Negative urine protein but the appearance of hematuria, if the physiological causes such as specimen contamination, generally do not need special treatment, if the pathological causes such as nephritis syndrome, IgA nephropathy, anterior urethral trauma, urinary tract tumors, etc., need to actively treat the primary pathology, such as giving methylprednisolone shock treatment.
1. Physiological factors: female physiological period can cause specimen contamination, it is recommended to review the urine routine after physiological period, urine erythrocyte negative does not require special treatment.
2. Pathologic factors:
(1) Nephritis syndrome: manifested as hematuria, edema and hypertension, which may be accompanied by proteinuria. Among them, acute glomerulonephritis is mainly treated with supportive and symptomatic treatment, which is a self-limiting disease with a good prognosis for most patients. Acute glomerulonephritis should start intensive immunosuppressive therapy as early as possible, including plasma exchange therapy and methylprednisolone shock therapy.
(2) IgA nephropathy: It is a glomerular disease characterized by IgA deposition in the glomerular mesangial area, often manifested as asymptomatic hematuria. Treatment should be actively carried out, including supportive therapy and anti-infection therapy.
(3) Anterior urethral trauma: combined with the history of previous trauma, the diagnosis can be clarified, and hematuria can disappear after treatment for the primary disease.
(4) Urological tumor: treatment for the primary disease, such as surgery, radiotherapy, chemotherapy.
If hematuria occurs, you should go to the hospital in time, to clarify the cause of the disease, under the guidance of the doctor for treatment.