What to do if the urine sediment has excessive red blood cells

Urinary sediment erythrocytes exceeding the standard usually indicates that the patient has hematuria, which needs to be targeted treatment according to the cause of the disease. Such as fever, strenuous exercise and other physiological causes of hematuria, red blood cells may disappear after rest, do not need special treatment. If it is caused by glomerular disease, kidney stones, urinary tract infection, urinary tract tumors and other pathological reasons, it may need oral medication or surgery and other treatments. 1. Glomerular diseases: common ones are glomerulonephritis, nephrotic syndrome, etc. Due to the destruction of the filtration barrier of the kidneys, the red blood cells in the blood pass through the kidneys into the urine, and hematuria may appear. Treatment can use immunosuppressants such as cyclophosphamide, cyclosporine or glucocorticoids, 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, corresponding inflammatory stimulus response will be produced, resulting in bladder mucosal erosion and bleeding, hematuria. Treatment requires the use of antibiotics, such as levofloxacin and cefuroxime. 3. Kidney stones: due to stone damage to the ureter or urinary system, it often leads to bleeding and hematuria, which needs to be treated by oral lithotripsy drugs or shock wave lithotripsy. 4. Tumor: common causes include bladder cancer, kidney cancer and so on, which may cause hematuria and need to be treated by surgery. All of the above medications should be used under doctor’s guidance, avoid self-medication. Urinary sediment red blood cells may also have other reasons, it is recommended that the patient timely to the regular hospital, improve the examination to clarify the cause of the disease, under the guidance of the doctor to the targeted treatment or therapy.