Patient's question:
Patient Gender: Doctor: I am a 19-year-old boy who now works in a factory. When I first started working, I wanted to lose weight, so I ended up working more and eating less. I drank less water at the factory and ate two steamed buns and a piece of fermented tofu for one meal. Additionally, I didn’t get enough rest at home because there was a computer. During a night shift, I suddenly noticed that my urine was reddish-brown, which scared me. I told my family about it, and a small hospital examination told me I had a urinary disease. After that, I stayed home for two months and my urine was normal, but after returning to work on night shifts, my urine had blood in it. This time, I went to a big hospital, and after the examination, my mother said it was megaloblastic anemia. I’m a bit skeptical. This relates to anemiaDoctor's answer:
If there is blood in the urine, it is classified as hematuria. There are generally many causes of hematuria, such as inflammation or infections of the genitourinary system, kidney stones, nephritis, ureteral stones, etc. It is recommended to seek medical attention promptly for tests such as a urinalysis, bacterial culture, and ultrasound to determine the cause and then receive symptomatic treatment! Megaloblastic anemia is a nutritional deficiency anemia that requires comprehensive treatment including folic acid and VitB12. However, sufficient evidence must first be obtained to diagnose megaloblastic anemia, so it is advised to visit a specialized hospital for diagnosis and treatment. Hematuria is mostly caused by genitourinary system diseases, but painless gross hematuria is rare. It is recommended to further examine to rule out genitourinary system diseases and bleeding disorders.