R31
DESCRIPTION
Bleeding from the urinary tract, which can be from the kidneys, collecting system, bladder, prostate and urethra.
Glomerular disease is suggested if proteinuria, red blood cell casts and/or dysmorphic red blood cells are present on microscopy.
Exclude schistosomiasis (bilharzia) , a common cause of haematuria.
When haematuria is accompanied by colicky pain a kidney stone should be excluded.
Note: The presence of blood on the urine test strips does not indicate infection and should be investigated as above.
MEDICINE TREATMENT
If evidence of schistosomiasis, treat as in Section 10.12: Schistosomiasis .
If symptoms of UTI; leucocytes and/or nitrite test positive in urine, treat as UTI.
If haematuria does not resolve rapidly after treatment referral for formal investigation will be required, i.e. next 48 hours.
REFERRAL
- All cases not associated with schistosomiasis or UTI.
- All cases not responding to specific medicine treatment.
- When glomerular disease is suspected.