Whether urinary occult blood 2+ needs treatment depends on the cause of the disease. If the cause is physiological, such as after strenuous exercise, generally need to pay attention to rest, no special treatment, regular review can be. If the cause is pathologic, treatment is usually needed. Such as renal disease, can be given prednisone acetate treatment; urinary stones, feasible extracorporeal shock wave lithotripsy; urinary tumor, surgical resection and so on. 1. Physiological reasons: physiological conditions, such as a large number of sports, nutcracker syndrome, etc., can lead to positive urinary occult blood, at this time there is generally no need for special treatment. After resting and weight gain, it can be normalized, but still pay attention to review. 2. Pathologic causes (1) Kidney disease: Occult blood in urine may occur when women have glomerulonephritis or nephrotic syndrome, and hormone therapy such as methylprednisolone and immunosuppressant therapy such as tacrolimus should be carried out under the guidance of doctors. (2) Urological diseases: some patients have urinary stones, urinary tumors, there will be occult blood in the urine under the guidance of the doctor for lithotripsy, or surgical treatment, such as urological tumor resection. Occult blood in urine may have other reasons, such as urinary tract infection, abnormal blood clotting function. It is recommended that the patient go to a regular hospital in time, under the guidance of a professional doctor, to clarify the specific causes, and follow the doctor’s instructions for treatment.