Female urine routine occult blood positive requires first monitoring the number of red and white blood cells in the urine, and then further examination and specific treatment based on the number of cells. If the occult blood positive is due to physiological factors, only adjustment is needed to improve. If it is caused by pathological factors, timely diagnosis of the cause and active treatment are needed to prevent delay from worsening the condition. When female urine routine occult blood is positive, the number of white blood cells or red blood cells in the urine should be checked first.
1. If only occult blood is positive, it may be affected by diet, such as eating more animal blood or internal organs recently. Improving diet can help.
2. If both white blood cells and red blood cells increase, it indicates a greater possibility of urinary tract infection. Symptoms such as frequent urination, urgent urination, and painful urination should be accompanied. Relevant urine culture tests are needed, and anti-infective treatment should be given after diagnosis.
3. If red blood cells increase and white blood cells are negative, it indicates that it is caused by urinary tract bleeding. It is necessary to improve the B-ultrasound or CT examination of the urinary system. If the results of B-ultrasound or CT are negative, it means that occult blood is a normal phenomenon, regular review is enough, and no special treatment is needed.
4. Stones in the urinary system, such as kidney stones, ureteral stones, or bladder stones, can cause local mucosal bleeding in the area where the stones are located, manifesting as positive occult blood in urine routine. Urinary system B-ultrasound examination is required. After confirming the location of the stones, extracorporeal shock wave lithotripsy treatment or drug stone removal treatment should be performed.
