What are the reasons for occult blood in a child's urine

Patient's question:

What is the reason for a 9-year-old child having occult blood in their urine? A urinalysis revealed five plus occult blood. After receiving intravenous saline, it was still one plus. Upon re-examination, it was two plus again. Kidney and bladder ultrasounds, including color Doppler ultrasound, have all been performed and found to be normal. So, what exactly is the problem?

Doctor's answer:

Hello, hematuria is a common symptom of IgA nephropathy and nephritis. Suggestions: However, hematuria does not necessarily confirm kidney disease or urinary tract infection and requires further diagnosis through relevant tests. First, a urinalysis should be repeated to check for high levels of urinary protein. Friends with hypertension or diabetes who have high urinary protein levels should undergo a red blood cell morphology test to determine the source of the hematuria.

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