Blood in Baby Urine (Hematuria)
Blood in the urine, called hematuria (hee-ma-TUR-ee-uh), is relatively typical and, most of the times, not serious.
The two type of hematuria are:
- Microscopic hematuria is when blood in the urine (pee) is not visible to the naked eye, and can just be identified through a urine test. For the most parts, kids and teens who get tiny hematuria will never ever know they had it, and it goes away without triggering any issue or long-lasting problems.
- Gross hematuria is when there suffice red blood cells in the urine to turn it red or tea-colored. Numerous cases of gross hematuria likewise clear up by themselves with no problems, however often it’s a sign of a more serious condition. In those cases, physicians will treat the underlying cause.
In some cases my child’s urine looks reddish in color. Is that typical?
If your child’s urine has a red, orange, or brown color, it may include blood. When the urine specifically consists of red blood cells, physicians use the medical term hematuria to describe this condition.
Causes of Blood in Baby Urine
Many things, liking a physical injury or inflammation or infection in the urinary tract, can cause it. Hematuria likewise is related to some general medical problems, such as defects of blood clotting, direct exposure to poisonous materials, hereditary conditions, or body immune system abnormalities. Sometimes there may be such small amounts of blood in the urine that you can not see any color change, although it might be detected by a chemical test performed by the pediatrician.
In many cases the reddish color is not associated with hematuria at all, and the reddishness might be due simply to something your child has actually consumed or swallowed. Beets, blackberries, red food coloring, phenolphthalein (a chemical in some cases used in laxatives), or phenazopyridine (medicine used to eliminate bladder pain), and the medicine rifampin may cause the urine to turn red or orange if your child ingests them.
Anytime you are unsure that a person of these alternative explanations is accountable for the color change, call your pediatrician. Blood in the urine, when accompanied by protein (albumin), is usually due to inflammation of the filtering membranes of the kidney; the general term for this condition is nephritis. Your doctor might recommend additional tests to differentiate amongst numerous various kinds of nephritis.
Treatment for Blood in Baby Urine
Your pediatrician will ask you about any possible injury, foods, or health symptoms that might have caused the change in urine color. He will perform a physical examination, inspecting particularly for any increase in blood pressure, tenderness in the kidney area, or swelling (particularly of the hands or feet or around the eyes) that might indicate kidney problems. He likewise will carry out tests on a sample of urine and might buy blood tests, imaging research studies (such as an ultrasound scan or X-rays), or perform other examinations to check the performance of your child’s kidneys, bladder, and body immune system.
If none of these reveals the cause of the hematuria, and it continues to take place, your pediatrician might refer you to a children’s kidney specialist, who will perform added tests. (Sometimes these tests include an examination of a small piece of kidney tissue under the microscope, a procedure known as a biopsy. This tissue might be gotten by surgically operating or by performing what’s called a needle biopsy.).
As soon as your pediatrician knows more about what is triggering the hematuria, a decision can be made whether treatment is required. Typically no treatment is needed. Periodically medication is used to reduce the inflammation that is the hallmarksign of nephritis.
Follow-up is very important
Whatever the treatment, your child will have to go back to the doctor routinely for repeat urine and blood tests and blood pressure checks. This is essential to make sure that she isn’t establishing chronic kidney disease, which can result in kidney failure. Periodically hematuria is caused by kidney stones, or, hardly ever, by an abnormality that will need surgery. If this holds true, your pediatrician will refer you to a pediatric urologist who can perform such treatments.