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Microhematuria, also called microscopic hematuria (both usually abbreviated as MH), is a medical condition in which urine contains small amounts of blood; the blood quantity is too low to change the color of the urine (otherwise, it is known as gross hematuria).
Hematuria can be classified according to visibility, anatomical origin, and timing of blood during urination. [1] [6]In terms of visibility, hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible but detected with a microscope or laboratory test).
Most patients with thin basement membrane disease are incidentally discovered to have microscopic hematuria on urinalysis. The blood pressure, kidney function, and the urinary protein excretion are usually normal. Mild proteinuria (less than 1.5 g/day) and hypertension are seen in a small minority of patients.
Rates of asymptomatic bacteria in the urine among men over 75 are between 7–10%. [11] 2–10% of pregnant women have asymptomatic bacteria in the urine and higher rates are reported in women who live in some underdeveloped countries. [108] Urinary tract infections may affect 10% of people during childhood. [7]
Hematuria (red blood cells in the urine) [11] Proteinuria (protein in the urine) ranging from sub-nephrotic (<3.5 g/day) to >10 g/day, [7] although it is rarely above nephrotic range proteinuria levels. [12] Hypertension [13] resting blood pressure is persistently at or above 130/80 or 140/90 mmHg. [14] Blurred vision [4]
Microscopic hematuria is sometimes observed in healthy people after exercise [98] or as a consequence of contamination of the sample with menstrual blood. [97] Pathologic causes of hematuria are diverse and include trauma to the urinary tract, kidney stones , urinary tract infections , drug toxicity , genitourinary cancers, and a variety of ...