When visiting your doctor, there are a variety of physical examinations and diagnostic tests that can be performed. For many patients, urinalysis is considered routine and part of the examination, without regard to the reason for your visit.
Often, during a routine urinalysis, your physician may, by coincidence, diagnose a complication known as microscopic hematuria. While this type of diagnosis can only be made with advanced laboratory medical equipment, when diagnosed, it usually reveals the presence of an infection.
Hematuria is most commonly associated with the presence of a urinary tract infection. Therefore, when visiting your physician, if the diagnosis of microscopic hematuria is made, a course of antibiotics may be prescribed. However, in many cases, antibiotics may not resolve the complications of microscopic hematuria, resulting in further evaluation.
In rare cases, when a urinalysis reveals the presence of microscopic hematuria and antibiotics do not resolve the complication, this may be indicative of a malignancy. For this reason, even after finishing a dose of antibiotics, it is important to follow-up with your healthcare professional for re-testing. Should the urinalysis continue to reveal a complication with microscopic hematuria, further testing may be indicated.
In some cases, the use of specific medications may result in microscopic hematuria; medications such as penicillin, Coumadin, aspirin products, birth control pills, diuretics and even some anti-depressants. For this reason, be certain your healthcare professional is familiar with all medications you may be using, even those not ordered by prescription.
There are a variety of diagnostic tests your physician may want to order if the microscopic hematuria does not resolve; tests such as cytoscopy, urine cytology, CT scan and even intravenous urography. Often, with a combination of testing, the complication that leads to microscopic hematuria can be determined.
While visiting your healthcare professional, ask that a urinalysis be performed as part of your medical examination. Because severe complications of the urological system, resulting in microscopic hematuria, are often asymptomatic, the urinalysis may be your first method at diagnosis. When your doctor confirms the presence of hematuria, begin a course of antibiotics and follow-up, immediately, for re-testing when the antibiotic therapy is complete. In many cases, when the microscopic hematuria is not resolve, the complication may be greater than that of a urinary tract infection, leading to further evaluation by a urologist. With changes to medication, diet and a course of antibiotics, most cases of microscopic hematuria can be resolved without further complications.