What are the treatment methods for hematuria?

Nov 13, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, hematuria may be caused by intense physical exercise, poor dietary habits, medication effects, urethritis, urinary stones, or other reasons. Treatment may include general management and medication under the guidance of a doctor. It is important to maintain healthy lifestyle habits, appropriately increase fluid intake, and avoid strenuous exercise or excessive fatigue, which can help promote recovery.

In general, hematuria (blood in urine) may be caused by intense physical exercise, poor dietary habits, medication effects, urethritis, or urinary stones. Treatment methods such as general management and medication can be adopted under the guidance of a physician. Specific analyses are as follows:

1. Intense Physical Exercise

During intense physical activity, renal blood flow decreases, potentially leading to ischemia and hypoxia in the kidneys, affecting the filtration function of the glomeruli and allowing red blood cells to leak into the urine, thus causing hematuria. It is advisable to rest appropriately and avoid prolonged strenuous exercise.

2. Poor Dietary Habits

Consuming excessive spicy and irritating foods combined with insufficient water intake may lead to concentrated urine, increasing the risk of hematuria. A light diet is recommended, along with adequate hydration and avoiding holding urine.

3. Medication Effects

Certain medications such as chemotherapy agents, anticoagulants, and anti-inflammatory drugs may cause mucosal bleeding in the urinary system, resulting in hematuria. Before using such medications, it's important to consult a doctor and follow medical instructions carefully regarding dosage and timing to prevent adverse reactions.

4. Urethritis

Urethritis is primarily caused by infections from pathogens such as bacteria or viruses. The inflammatory response can irritate the urethral mucosa, possibly triggering hematuria. Symptoms often include frequent urination, urgency, and painful urination. Under medical guidance, medications such as Levofloxacin Hydrochloride Tablets, Relinqing Granules, or Azithromycin Dispersible Tablets may be used for treatment.

5. Urinary Stones

Urinary stones may result from factors such as a high-fat, high-salt diet or urethral stricture. As urinary calculi move through the urinary tract, they may scratch the urethra, causing hematuria. This condition may be accompanied by urethral pain and difficulty urinating. Under a doctor’s supervision, medications such as Pishikeling Granules, Jinqiancao Granules, or Shitong Pills may be used for treatment.

Maintaining healthy lifestyle habits, drinking sufficient water, and avoiding intense physical activity or excessive fatigue can help promote recovery.

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