Hematuria after strenuous exercise or physical exertion

Introduction Hematuria is one of the symptoms of renal ptosis after strenuous exercise or strong physical labor. It refers to red blood cells 3 / HP in urine, centrifuged urinary red blood cells > 5 / HP, or 12 hours urine Addis count > 500,000, is a common urinary system symptoms in children. Causes are urinary tract inflammation, tuberculosis, stones or tumors.

Cause

(1) Causes of the disease

The occurrence of renal ptosis may be associated with shallow kidney socket, long kidney pedicle, decreased perirenal fat, loosening of perirenal connective tissue, increased abdominal pressure (such as chronic cough, constipation) or sudden decrease in abdominal pressure (such as childbirth), injury (such as by high It may be a single factor, but it is mostly the result of several factors working together, such as falling or the body is subject to severe shocks.

(two) pathogenesis

Renal sag can pull or twist the renal blood vessels, causing renal blood supply disorders, resulting in kidney congestion, swelling, resulting in colic, hematuria, proteinuria or even no urine; the kidneys move down and cause the ureter to twist and angulate, resulting in Hydronephrosis, and secondary infection and stones. Kidney ptosis is often accompanied by sagging of other internal organs.

an examination

Related inspection

Myoglobin

I. Symptoms

Low back pain

It is dull or painful. It is aggravated after sedentary, long-standing or active, and relieves or disappears after lying down.

2.Dietl crisis

The renal pedicle is suddenly pulled or the ureter is caused by acute obstruction. It has symptoms such as renal colic, nausea, vomiting, collapse, and pulse increase.

3. Gastrointestinal symptoms

Due to sympathetic stimulation, there may be symptoms such as indigestion, bloating, belching, anorexia, nausea, and vomiting.

4. Neurosis

It is characterized by insomnia, fatigue, palpitations, dizziness, vertigo and other symptoms.

5. Urinary system symptoms

After secondary infection, there may be frequent urination, urgency, dysuria and varying degrees of hematuria.

6. Physical examination

The double diagnosis of the kidney area can be used to treat the lower part of the smooth kidney. The position and activity of the kidney in the horizontal and lateral lying and upright can be used for preliminary diagnosis.

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

Pediatric hematuria

Pediatric hematuria is one of the common symptoms in pediatrics. It can coexist with other symptoms of the urinary system or it can exist alone. In addition to hematuria in the presence of kidney damage, hematuria may also occur in the urinary system and systemic diseases below the kidney.

2. Painless hematuria

In countless causes of hematuria, we must be alert to a painless hematuria. This intermittent, painless hematuria is often a clinical manifestation of urinary system tumors. If the hematuria suddenly increases, it is often the late stage of the tumor. .

3. Abdominal pain with hematuria

Abdominal pain with hematuria is one of the clinical manifestations of kidney and ureteral calculi.

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