From the Guidelines
The presence of blood, 1+ protein, and trace leukocytes in the urinalysis suggests a possible urinary tract issue that requires further evaluation, and I strongly recommend confirming heme-positive results with microscopic urinalysis that demonstrates 3 or more erythrocytes per high-powered field before initiating further evaluation, as advised by the American College of Physicians 1. The findings could indicate a urinary tract infection (UTI), kidney issue, or other conditions affecting the urinary tract.
- The blood in urine (hematuria) could be a sign of inflammation, infection, kidney stones, or other conditions.
- The protein in urine (proteinuria) might suggest kidney function issues.
- The leukocytes indicate an inflammatory response, often due to infection. Given the recent guidelines from the American College of Radiology 1, it is essential to undergo a thorough history and physical examination, urinalysis, and serologic testing prior to any initial imaging. I recommend scheduling an appointment with your healthcare provider within the next few days for a complete assessment, and considering urology referral for cystoscopy and imaging if microscopically confirmed hematuria is present without a demonstrable benign cause, as suggested by the High-Value Care Advice 5 from the American College of Physicians 1. While waiting for your appointment, increase your fluid intake to 2-3 liters of water daily to help flush the urinary system. Your provider will likely order a urine culture to identify any bacterial infection and may prescribe antibiotics if a UTI is confirmed. If you experience fever, severe pain, or worsening symptoms, seek immediate medical attention. Avoid self-medication with antibiotics without proper diagnosis, as these findings could represent various conditions requiring different treatments.