dr Swati Bhardwaj
Pediatric Nephrologist
BLK Super Speciality Hospital
About Author

All cases of red urine are not due to hematuria. Ask history of fever, dysuria, rash, joint pain etc. If asymptomatic ask history of ingestion of beetroot, food coloring agents at a party, candies etc. Look for rash, edema, hypertension, renal angle tenderness etc.

Confirm: presence of RBCs in urine with urine microscopy in a freshly voided urine specimen. Presence of >5 RBCs per HPF is significant in centrifuged specimen. Evaluate:

  • Urine for culture, colony count and sensitivity. If positive, treat for UTI
  • Renal function tests, albumin, spot urine protein creatinine ratio. Refer to Pediatric nephrologist if acute glomerulonephritis is suspected.
  • Ultrasound KUB. Refer to Pediatric Nephrologist/Urologist if Nephrolithiasis.
  • Spot urine calcium creatinine ratio, 24 hr urine calcium for hypercalciuria

Wait and watch: If above evaluation is non-contributory and child is otherwise asymptomatic.

Posted On: 03/09/2018

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