How to treat urinary occult blood a + usually depends on its cause. If urinary occult blood is caused by physiological reasons such as fever, strenuous exercise, it can turn negative after rest and does not need special treatment. If it is caused by glomerular diseases, kidney stones, urinary tract infections, urinary tract tumors and other pathological reasons, it needs to be treated according to the cause of the disease. 1. Glomerular diseases: common are glomerulonephritis, nephrotic syndrome, etc. Due to the destruction of the filtration barrier of the kidneys, the red blood cells in the blood enter the urine through the kidneys, which can lead to urinary occult blood a +. Treatment is mainly based on the condition of proteinuria and the pathology of the kidneys, choose to use immunosuppressants such as cyclophosphamide or glucocorticosteroids such as prednisone, etc. Accompanying infections need to be treated with drugs such as cefixime. 2. Urinary tract infection: common causes include cystitis, pyelonephritis, etc. As bacteria multiply in the body, it will produce corresponding inflammatory stimulus response, leading to bladder mucosal erosion and bleeding, causing urinary occult blood a +. Treatment requires the use of antibiotics, such as levofloxacin, cefuroxime and so on. 3. Kidney stones: due to stone damage to the ureter or urinary system, often lead to bleeding, causing urinary occult blood a +, need to be treated by oral lithotripsy drugs or shock wave lithotripsy and so on. 4. Tumor of urinary system: such as bladder cancer, kidney cancer, etc., if the blood vessels on the surface of the tumor rupture, it may cause urinary occult blood of one +, and need to be actively operated and other treatments. All of the above medications should be used under doctor’s guidance, avoid self-medication. Urine occult blood of one + may also have other reasons, it is recommended that the patient timely to the regular hospital consultation, improve the examination to clarify the cause of the disease, under the guidance of the doctor’s treatment.