Occult Blood in Urine: Causes, Symptoms & UA Test Results

What is Occult Blood in Urine (Occult Hematuria)? Occult blood in urine refers to the presence of red blood cells in the urine that are not visible to the naked eye. Known medically as occult hematuria or microscopic hematuria, this condition can only be identified through specialized testing like an occult blood urinalysis. Occult blood in urine differs significantly from gross hematuria, where blood is visible, giving urine a reddish or pinkish tint. Understanding Occult Blood Urinalysis: What Do Test Results Mean? Normal Range for Occult Blood in Urine Normally, urine tests should show little to no red blood cells (RBCs). The accepted normal range occult blood in urine normal range is: Insignificant microscopic hematuria: 0–2 RBCs per high-power field (HPF). Significant microscopic hematuria: 3 or more RBCs per HPF. Occult Blood UA Abnormal Results Explained Abnormal results in occult blood urinalysis indicate various underlying issues, ranging from infections and minor trauma to serious medical conditions. Common abnormal results are: Occult blood trace: minimal presence, often requiring retesting or monitoring. Occult blood 1+ (ua hgb 0.03 (1+) mg/dl): mild presence. Occult blood 2+: moderate presence; this may reflect urinary tract infections, kidney stones, or inflammatory conditions and requires timely medical evaluation. Occult blood 3+: high presence; often associated with serious medical issues such as malignancies, glomerular disease, or urinary tract trauma and warrants urgent diagnostic investigation. (moderate):** indicates a significant underlying condition that needs immediate medical attention. Common Symptoms of Occult Blood in Urine Wondering what are the symptoms of occult blood in urine? While occult (microscopic) hematuria itself doesn’t cause noticeable symptoms, it often occurs alongside signs of an underlying condition, such as: Frequent or painful urination Abdominal or flank pain Urine discoloration (in cases of gross hematuria) Fever and chills (suggesting infection) Fatigue or weakness What Causes Occult Blood in Urine? Common and Less Serious Causes: Urinary Tract Infection (UTI): A prevalent cause, especially in women. Kidney or Bladder Stones: Small stones can irritate and injure the urinary tract lining. Exercise-Induced Hematuria: Common among athletes, resolves naturally. Menstruation: Women can experience trace occult blood in urine from menstrual contamination. Serious Medical Conditions Linked to Occult Blood: Kidney Disease: Chronic kidney issues can manifest as occult hematuria. Cancer: Kidney, bladder, or prostate cancers may cause microscopic hematuria. Enlarged Prostate (BPH): Common in older men, causing urinary obstruction and bleeding. Occult Blood in Urine for Females: Is It Related to Menstruation? Yes, occult blood in urine can indeed be related to menstrual bleeding. To ensure accurate results, women should avoid providing urine samples during their periods or clearly inform their healthcare providers. Diagnostic Tests: How Is Occult Blood in Urine Identified? Dipstick Occult Blood Urine Test (UA): Provides quick semi-quantitative results. Microscopic Occult Blood Urinalysis: Confirms exact RBC count. Imaging Tests (CT, MRI, Ultrasound): Identify structural abnormalities. Positive vs. Negative Occult Blood Results: When Should You Worry? Positive Occult Blood in Urine: Indicates red blood cells present, necessitating further investigation. Negative Occult Blood in Urine: Occult blood in urine negative means that no red blood cells were detected in the urine. This typically indicates a healthy urinary tract and no further testing is needed unless symptoms persist. Any positive result, particularly 2+ or 3+ (moderate), warrants immediate medical evaluation. Effective Treatments for Occult Blood in Urine Treatment depends on the underlying cause: Infections: Antibiotics. Kidney Stones: Hydration, medication, or lithotripsy. Enlarged Prostate: Medication or surgery. Cancer: Surgery, chemotherapy, or radiation therapy. Can Occult Blood in Urine Go Away on Its Own? In cases of mild trauma or exercise-induced hematuria, it can resolve spontaneously. Persistent cases, however, require medical investigation. Prevention Tips: How to Get Rid of Occult Blood in Urine Stay hydrated. Practice good hygiene to avoid UTIs. Limit consumption of irritants (caffeine, alcohol). Manage chronic diseases (diabetes, hypertension). When Should I See a Doctor for Occult Blood in My Urine? See a physician immediately if: You receive a positive occult blood result. You experience accompanying symptoms like pain, fever, or persistent urgency. You have recurrent UTIs or kidney stones. At Manhattan Medical Arts, our experienced primary care physician, Dr. Syra Hanif, and our dedicated team provide comprehensive diagnostic and personalized treatment plans for patients experiencing occult blood in urine. Frequently Asked Questions (FAQs) Book Your Appointment Now Disclaimer This blog is for informational & educational purposes only and does not intend to substitute any professional medical advice or consultation. For any health-related concerns, please consult with your physician, or call 911.