Erythrocytes in urine: is treatment necessary?

Obviously, the main goal should be not to reduce the number of red blood cells in the urine, but to eliminate the factors that led to red blood cells as much as possible. Therefore, it would be important to list all types of treatment that are commonly used for urological, trauma, nephrological, oncological problems. However, such an enumeration is too large, so the only answer to the question of reducing red blood cells in the urine should be this: consult a doctor, undergo the necessary series of examinations, find out the root cause of the pathology and act on it in a complex therapeutic way.

A change in the composition of urine, the appearance of blood elements in it is not just a symptom, but one of the dangerous signals that the body sends. It is very important to understand this. Therefore, after receiving the results of the analysis, further medical intervention should necessarily follow.

Who should I contact? To begin with - to the urologist or nephrologist. If necessary, during the diagnosis, the doctor connects and other specialists.

In case of severe and confirmed erythrocyturia, the patient should undergo additional examination to determine the cause of the violation. Only after that the doctor will be able to correctly prescribe treatment.

To take any medication without identifying the root cause of the appearance of red blood cells in the urine is impractical, as this will give only a temporary effect, and the cause itself will not be eliminated.

By itself, the appearance of red blood cells in the urine does not require treatment: the therapy is directed to the elimination of the underlying pathology.

What to do?

If the urine test has shown elevated red blood cell levels, then you should seriously take care of your health. It is not self-treatment that is meant, but a full-fledged medical therapy prescribed by a doctor on the basis of the obtained diagnostic results.

In case of doubtful test results, it is recommended to pass urine again, or even twice, in order to compare the indicators and reduce the likelihood of error. For example, significant errors may occur if the urinary fluid intake occurred during menstrual bleeding, or if the hygiene of the genitals is not followed.

After receiving the first test results, you should not immediately panic and invent a diagnosis and treatment. It is necessary to consult a doctor, conduct additional diagnostics, find the cause of the appearance of red blood cells in the urine. Only after that the doctor will prescribe treatment.

In no case should a similar problem be triggered: if you drag out time and do not rush into treatment, the condition can be aggravated, causing the development of complications.

Medications that the doctor may prescribe

First of all, pay attention to the underlying disease and the intensity of blood and red blood cells entering the urine. They use drugs that affect the cardiovascular apparatus - for example, Dopamine is prescribed in a daily amount of 400 mg, as well as solutions and plasma substitutes (Dextrose, isotonic sodium chloride solution). It is also possible to use medications that affect the blood coagulation system: Protamine Sulfate, Etamzilat, etc.

Additional treatment is due to primary pathology.

Urolithiasis disease
Blemish	A drug that maintains an adequate acid-base state of the urinary fluid. With prolonged use, Blémaren is able to dissolve uric acid calculi and prevent their formation. The average dose of the drug - 3-6 g up to three times a day after meals. During the entire period of treatment, a systematic control of the urine pH is required to avoid the formation of phosphates (formed at a pH of more than 7.0).
Novalgin	Anesthetic, antipyretic, anti-inflammatory agent. Take 1-2 tablets 1-3 times a day, for five days. Possible side effects - nausea, leukopenia, allergic reactions.
Infectious and inflammatory diseases (pyelonephritis, prostatitis, cystitis)
Ciprofloxacin	Antibiotic with a broad spectrum of antimicrobial activity. Apply in individual dosages for 7-15 days. The drug rarely causes allergies, but edema, pain in the head, insomnia, diarrhea can occur.
Nitroxoline	An effective antibacterial drug that is taken with a meal of 0.1 g 4 times a day. Reception duration - from two to three weeks. During treatment, dyspepsia can sometimes occur, a change in urine color is observed.
Diseases of the connective tissue (systemic vasculitis, arthropathy, rheumatoid arthritis)
Prednisolone	Synthetic analogue of corticosteroid hormones with anti-inflammatory, anti-allergic, anti-exudative, anti-toxic properties. The dosage of Prednisolone is determined individually, the treatment is canceled gradually, so as not to cause withdrawal syndrome.
Dicinon	Antihemorrhagic drug, normalizing the permeability of the vascular wall without the development of hypercoagulation. The drug is prescribed in an individual dosage, on average, 1.5 g per day, for 1-2 weeks. Side effects of the drug: lower blood pressure, nausea, numbness of the extremities.
Urinary trauma
But-snap	An antispasmodic drug that is taken from 0.04-0.08 g up to three times per day. In some cases, admission may be accompanied by dizziness, lower blood pressure, sweating, allergies.
Kanefron	Herbal urological drug, different anti-inflammatory and antispasmodic action. For adult patients, in most cases, it is recommended to take two tablets three times a day. The duration of treatment is determined individually. Side effects are rare and are expressed in the appearance of digestive disorders, an allergic reaction.

Antibiotic treatment is carried out in infectious and inflammatory processes that caused the appearance of red blood cells in the urine. The main focus of such therapy is to stop the development of inflammation and the destruction of the pathogen.

• In most situations, antibiotics are prescribed with a broad spectrum of antibacterial activity. These can be drugs of the penicillin, cephalosporin group, or carbapenems (beta-lactams).
• The use of quinolone drugs (Ciprofloxacin, Norfloxacin) is quite common.
• Antibiotic therapy is carried out with oral preparations for three weeks, replacing the antibiotic in 7-10 days (in order to avoid the development of microbial resistance). If an antibiogram was performed, the drug is administered alone, depending on the sensitivity of the detected microorganisms. In case of severe course of the inflammatory process, it is possible to use several antibiotics at the same time.
• After antibiotic therapy, there is often a need to use uroantiseptics.

[1], [2], [3], [4]

Vitamins

Practically for any of the reasons for the appearance of red blood cells in the urine, doctors advise to change the diet in favor of plant products: vegetables, herbs and fruits saturate the body not only with vitamins, but also with minerals.

To speed recovery, or to prevent erythrocyturia, it is necessary to keep in mind the B vitamins. When they are not enough, the mucous tissues lining the urinary organs weaken. In addition, vitamin B-group increases resistance to infectious lesions and strengthens the immune defense.

The anti-inflammatory effect of pantothenic acid (B ₅ ) is due to its active participation in the development of corticosteroid homones.

Pyridoxine (B ₆ ) ensures the reliable functioning of immunity, therefore, it allows not only to speed up recovery, but also to prevent the development of complications.

Cyanocobalamin (B ₁₂ ) increases the phagocytic activity of leukocytes, therefore, acts as a prophylactic agent that prevents the transition of acute inflammation to a chronic form. In addition, cyanocobalamin helps to overcome anemia, which can develop against the background of prolonged presence of red blood cells in the urine.

Ascorbic acid is an essential vitamin for any inflammatory processes. It contributes to the launch of the processes of regeneration and healing of the affected tissues of the urinary apparatus.

Vitamin A is the main activator of nonspecific immunity, it can reduce the intensity of the inflammatory response.

Vitamin E provides kidney protection against free radicals, prevents the formation of cicatricial changes in tissues.

The optimal source of these vitamins is natural food. In some cases, you may need to take a multivitamin supplement, but this issue must first be resolved with your doctor.

Physiotherapy

Most often, patients with red blood cells in the urine are recommended to use mineral water, mineral baths (sodium chloride, carbonate), as well as such procedures:

• amplipulse technique;
• Microwave therapy;
• ultrasound;
• UHF-therapy;
• direct current exposure.

Physiotherapy procedures are not prescribed if the patient is diagnosed with primary or secondary pyelonephritis at the stage of an active inflammatory process, or a terminal phase of the chronic form of pyelonephritis, or renal polycystic or hydronephrosis in the decompensation stage.

Microwave therapy is not carried out with the corral form of kidney stones, as well as with stone formation in the cups and renal pelvis.

In case of cystitis, UHF-therapy, infrared irradiation of the projection zone of the urea, sessile mineral baths, paraffin (ozocerite) applications are indicated. In this case, prostate adenoma 2-3 stages, the ulcerative form of cystitis, urinary stones, resectable urethral stricture, leukoplakia can be a contraindication.

With prostate, mud cure, hydrogen sulphide and turpentine baths, ultrasound, laser treatment, low-frequency magnetic therapy, UHF and microwave therapy are shown. Contraindications are acute inflammation in the rectum and prostate, rectal polyps, anal fissures, the acute phase of hemorrhoids, prostate adenoma.

[5], [6], [7]

Alternative treatment

Alternative remedies in many cases successfully complement drug therapy, but such treatment can be carried out only with the consent of the attending doctor.

The following alternative methods will help to normalize urine analysis more quickly:

• Pour the rhizome or crushed bark of the barberry with 200 ml of boiling water, keep on low heat for twenty minutes. Cool, filter, take up to three times a day for 3 tbsp. L., between meals.
• 20 g of the rhizomes of the blackberry berry are poured in with 100 ml of Cahors wine, placed on a low flame and allowed to stand for fifteen minutes. Cool, filter and take three times a day for a couple of tablespoons.
• Dried bearberry leaves are ground to powder with a coffee grinder. Take the powder inside by ½ tsp, with water or tea, every four hours.
• Take natural mummy 0.2 g in the morning before breakfast, every day for a month.

In no case can not be replaced by alternative methods of traditional drug treatment. This can be fraught with serious health problems. Remember: alternative therapy is only an addition to the basic treatment regimen.

[8], [9], [10]

Herbal medicine

• Plant Hypericum in the amount of 1 tbsp. L pour boiling water (0.5 l) and incubated under the lid for half an hour. Take the drug one sip three times a day, between meals.
• Pour 200 ml of boiling water over 15 g of dried nettle leaves and leave for half an hour. Drink a small sip three times a day.
• Parsley seeds in the amount of 30 g pour 200 ml of boiling water, leave to cool. Drink 2 tbsp. L three times a day, one hour before meals.
• Take 20 g of fresh knotweed, pour 200 ml of boiling water, infuse until it cools. Take 1 tbsp. L 4 times a day.
• Take 20 g of strawberry leaves, pour 200 ml of boiling water, insist about half an hour. Take a sip three times a day. It is also recommended to add fresh or frozen strawberries to food.
• Squeeze the juice from the fresh plant coltsfoot. Take 1 tbsp. L three times a day after meals. You can also make an infusion of the leaves of the plant. Pour 5 g of dry leaves with 200 ml of boiling water, leave for about half an hour, filter. Drink 100 ml three times a day for an hour before meals.

[11], [12], [13]

Homeopathy

In recent years, patients are increasingly seeking help from homeopaths - specialists who are engaged in homeopathic treatment of various diseases. There are specific drugs for erythrocyturia: experts argue that homeopathy implies an impact on the immediate cause of the appearance of red blood cells in the urine, so its use is effective and always leads to a cure.

Which of the homeopathic remedies will help to normalize the indicators of urine analysis?

• Terebentin 3,6 - basic drug for the detection of red blood cells in the urine and with a decrease in daily diuresis.
• Phosphorus 6, 12 - helps if the appearance of red blood cells is associated with dystrophic changes in the urinary system.
• Ferrum aceticum 3,6 - is prescribed for trauma of the urinary tract (for example, in the presence of stones in the kidneys or urea). The drug is sometimes allowed to replace Arnica 3x, 3.
• Millifolium 3x, 3 - is used for erythrocyturia associated with physical exertion.
• Crotalus 6, 12 - the appointment of this tool is appropriate if the problem is associated with impaired blood clotting.
• Hamamelis 3x, 3 - is used for severe erythrocyturia.
• Hina 3x, 3 - can be prescribed if the appearance of red blood cells in the urine is detected against the background of anemia and the general exhaustion of the patient.

The dosage of these drugs is always strictly individual. Side effects are rare and are expressed in an allergic reaction to one or another homeopathic remedy.

It is indicated that during the first few days after the start of treatment, some exacerbation of symptoms may be observed - this is normal and does not require additional intervention by the doctor. Further, the state is normalized.

[14], [15], [16], [17]

Diet with red blood cells in the urine

In most cases, when an erythrocyte is detected in the urine, the doctor recommends that the patient change the diet. Assigned to a salt-free diet with a restriction of protein foods of animal origin, with a predominance of plant-dairy products. The amount of fluid you drink should match the volume of output. Also shown are fasting days - for example, once a week. After stabilization of well-being from such days can be waived.

The following products are allowed:

• bread, pancakes without salt;
• first courses - vegetable, cereal, vegetarian, with sour cream dressing or a small amount of butter;
• rarely white lean meat, tongue, lean fish;
• low-fat dairy products, cottage cheese;
• eggs (not more than a couple of pieces per day);
• cereals, pasta, vermicelli;
• any vegetables, including potatoes;
• vegetable and fruit salads without salt;
• honey, berries, jelly, jelly, tea, weak coffee, juices;
• vegetable oils, butter without salt.

Under the ban fall:

• plain bread, pastry;
• broth on meat, fish, mushrooms, beans;
• fatty meat or fish;
• sausage and smoked products, canned food, cheese, beans;
• chocolate, cocoa, spirits;
• onions and garlic, pepper, hot spices and spices, vinegar, horseradish, sorrel, radish;
• any pickles and marinades.

It is advisable not to salt food at all. The daily number of meals - 6, small portions.

The question of the need to reduce the caloric content of food is solved directly by the attending physician.