Urine occult blood 2 +, high red blood cells first need to clarify the cause, if it is caused by menstrual blood and other physiological reasons, usually do not need treatment; if it is caused by glomerulonephritis, urinary stones and other pathological causes need to be directed at the cause of the treatment. 1. Physiological reasons: urinary occult blood 2 +, high red blood cells, may be caused by women’s menstrual blood or strenuous exercise, etc., usually do not need to be treated, usually do not need special treatment. 2. Pathologic causes: (1) Glomerulonephritis: all types of glomerulonephritis can lead to the appearance of urinary occult blood 2 +, high red blood cells, usually accompanied by proteinuria, edema and other clinical manifestations. Usually need to follow the doctor’s advice to apply hydrochlorothiazide and other diuretics, chlorosartan and other angiotensin receptor blockers and other drugs for treatment. (2) Urinary tract stones: according to the size of the stone, the stone can be dissolved by drugs or extracorporeal impact lithotripsy treatment, etc., and larger stones need to be removed by surgery. Urine occult blood 2 +, high red blood cells, there may be other reasons, it is recommended that the patient to the regular hospital in time to do further examination, to clarify the cause, and actively comply with the doctor’s instructions for treatment, so as not to delay the condition.