Routine urine examination of occult blood, the treatment is as follows: 1, if women, first of all to exclude menstrual bleeding contamination of urine and lead to occult blood; 2, if the occult blood accompanied by pain in the lower back and abdomen, to be highly suspicious of urinary stones caused by, it is recommended to further line of the urinary system ultrasound, if there is a urinary stone, it is recommended that extracorporeal lithotripsy; 3, bleeding disorders, such as coagulopathy, Leukemia and other diseases, resulting in the urinary epithelium is easy to bleed and cause occult blood, this situation needs to check the coagulation function, such as the existence of abnormal coagulation function of the disease, you need to specialize in the treatment; 4, the urinary system of tumors or occupying lesions can cause bleeding, the most common bladder tumors, there can be a positive occult blood in the urine, usually painless, it is recommended to perform ultrasound of the urinary system to confirm and rule out the diagnosis; 5, other systems Lesions involving the urinary system, such as the right side of the appendicitis abscess formation, abscess invasion to the bladder wall caused by local mucosal hemorrhage, resulting in positive occult blood, such cases need to be based on the characteristics of abdominal pain and the urinary system ultrasound, abdominal ultrasound to make a comprehensive judgment.