Patient: Description of condition (onset time, main symptoms, hospital visited, etc.): hematuria with back pain, no protein, normal creatinine, microscopy 8 – 12 red blood cells, uric acid 389, bitewing results:4500 abnormal red blood cells, 0 ortho red blood cells, what tests are needed? After sexual intercourse on October 6, vaginal itching, mycobacterial infection, urinary frequency symptoms 2 days later, leukocytes +, red blood cells negative. 3 days after infusion, leukocytes 3+, occult blood 2+, doctor suggested to see gynecologist, take medicine fluconazole for 3 days, 5 days later, abdominal pain started, no diarrhea no vomiting etc., gynecologist ruled out pelvic inflammatory disease, 10 days after abdominal pain, back pain started, back pain gradually not pain after 7 or 8 days, now deformed red blood cells 4500, leukocytes negative. I am only 25 years old, is this nephritis caused by urinary tract infection? People say simple hematuria needs no treatment, but I had no red blood cells before the urinary tract infection. The first two days of the infection were only white blood cells, and the red blood cells started to appear on the third day. Doctor’s reply: According to your suggestion to review urine routine, urine phase difference microscopy; 3 days after stopping the drug to check the urine culture, if there is still microscopic hematuria, urine culture negative and then check the PPD test; urine to find TBC, urine TB-DNA, as well as Chlamydia trachomatis, Mycoplasma solium, if still can not be diagnosed feasible intravenous pyelogram examination. If the repeated tests are all based on microscopic anomalous red blood cells, then nephritis should be considered. Nephritis based on hematuria alone can be reviewed regularly. The doctor only looked at my current urinalysis and ruled out pyelonephritis without looking at my previous medical records, is it possible that I have not been treated for 2 months and have severe pyelonephritis directly. Doctor’s reply: If there is still submicroscopic hematuria and predominantly normal form in multiple urine tests, it is recommended that you can take oral antibiotics in small doses again Check the urine routine during the period of administration, and if the hematuria improves, you can continue to take it for a period of time to consolidate the treatment. Patient: I now have high uric acid 390, pH 5.0 Is acidic urine not adapted to bacterial growth, so the urine culture is not done but actually still present I did the red blood cell bit phase again yesterday. Doctor’s reply: Urine pH 5.5 is considered normal range. Patient: Dec. 1, 2500 ortho red blood cells; Dec. 3, 4500 aberrant red blood cells; Dec. 7, GI “5% Dec. 10, 90% aberrant red blood cells Dec. 13, 68% aberrant red blood cells Does this indicate that the disease is worsening and developing, aberrant red blood cells up to 50% is from the kidney, I am now 90% aberrant, really scared, doctor, what to do? I now have no back pain no white blood cells, is the occult blood 2 +, centrifugal microscopy red blood cells 3-5, just want to know levofloxacin, cefaclor, enrofloxacin, etimesine, feverfew pellets these drugs taken at the time of mycotic infection, what damage to the kidneys, is the kidneys can bear, or will cause hematuria? Doctor’s reply: The high number of abnormal red blood cells only means a greater possibility of originating from the kidney and does not mean aggravation. Feverfew is good for symptom relief, but all of the above drugs are ineffective against mycobacteria, and normal doses at the time of kidney function are generally not damaging to the kidneys suggest long-term follow-up or kidney biopsy.