What does it mean if routine urine test is normal but red blood cells are low?

Jun 20, 2024 Source: Cainiu Health
Disease description:

For the past two months, I've frequently felt low blood pressure, and when getting up from squatting in the bathroom, everything goes dark and I can't see anything. Today I came to the hospital for a checkup, and one of the tests showed that my routine urine test revealed low red blood cells. What could be causing this?

Doctor's answer (1)
Dr. Luo Yong
Normal urinalysis but low red blood cell count may be caused by various factors: 1. Increased plasma volume: After large-volume intravenous fluid administration or excessive water intake, the expansion of blood volume reduces red blood cell density, leading to a lower red blood cell count. 2. Anemia: Various types of anemia, such as aplastic anemia, iron-deficiency anemia, and hemolytic anemia, can all result in low red blood cell counts. 3. Malnutrition: Deficiencies in nutrients such as iron, folic acid, and vitamin B12 can impair red blood cell production and function, causing a decrease in red blood cell count. 4. Blood loss: Excessive blood loss due to trauma, surgery, or illness can also reduce the number of circulating red blood cells. Patients with low red blood cell counts are advised to promptly visit a hospital for thorough evaluation to determine the underlying cause and receive targeted treatment under medical supervision.