Ask the patient to show the urine in glass bottle or test tube. Is it Red blood, Brown Blood (Renal) or colour due B-complex/ Jaundice etc.? Get urine examined for RBC’s.
Mild Hematuria- often due to urinary infection / stone.
Plenty of water and fluids. Cital x tsp in a glass of water x tds. Cap. Norflox 400mg tds x 5. Tab. Dicynene 1 tds. Refer to a urologist or surgeon for investigation.
Ask for Urine Routine, AFB, and culture, X ray KUM and ultrasonography. If no stone cystoscopy, IVP and CT scan.
Painful hematuria is usually due to stones. And in old patients, prostate malignancy.
Painless hematuria in young = TB or Papilloma of Blagger/ Kidney, TB, and Prostate.
If hematuria is fresh red blood with clots or continous refer immediately to a surgeon. Urologist.
No urine for > 12hrs,
If a ptient has not passed urine > 12 hours and bladder is not palpable.
First check the B.P. Is there marked hypotension? Is there H/o Gastroenteritis? Palpate the abdomen for tenderness. IF in doubt, catheterize the patient to confirm anuria.
If BP is low- Fast IV drip x 2 pints RL. Inj. Mephentin 2cc IV If Bp does not rise and no urine – refer to hospital.
If abdomen is tender – gusrge or distended, Then it is? Peritonitis. Refer to surgeon/ Hospital.
If BP is normal and abdomen is soft.
Then it is? Acute Renal failure. There may be anorexia, vomiting, Hypertension breathlessness.
Do not give I.V. Fluids. Injj. LASIX 2-4 amps IV stat. IV 100ml 10% Mannitol. If no urine, refer immediately.LASIXMEPHENTINE