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Definition of Haematuria

Haematuria is the passage of blood in the urine.

abrot. Acon. alco. aloe alumn. am-c. ambr. amyg-p. ant-c. Ant-t. antip. APIS ARG-N. ARN. ARS. ars-h. ars-s-f. asc-t. aspar. Aur. aur-ar. aur-s. Bell. bell-p. benz-ac. Berb. borx. BOTH. bufo CACT. cadm-met. cadm-s. CALC. Camph. CANN-S. CANTH. Caps. Carb-ac. Carb-v. carbn-s. carc. Caust. chel. Chim. chin. Chinin-ar. chinin-s. chir-fl. cimic. cina COC-C. coch. Colch. coli. coloc. Con. Cop. crot-c. CROT-H. cub. cupr. cupr-s. cyn-d. dig. diosm. diph-t-tpt. dulc. epig. equis-h. Erig. eucal. euph. fab. ferr. Ferr-ar. ferr-m. ferr-p. fic-r. fuma-ac. gaert. gal-ac. ger. graph. guat. HAM. Hell. hep. hydrang. Hyper. IP. jatr-c. Kali-ar. kali-bi. Kali-chl. kali-i. kali-m. kali-n. kalm. Kreos. Lach. lat-m. led. loxo-lae. loxo-recl. Lyc. Mangi. Merc. MERC-C. Mez. MILL. moni. murx. Nat-m. nat-n. Nit-ac. Nux-v. oci. ol-sant. Op. opun-v. ox-ac. oxyurn-sc. pall. pareir. petr. Ph-ac. PHOS. pic-ac. Plb. psor. PULS. rhod. Rhus-a. Rhus-t. sabad. Sabin. sal-ac. santin. Sars. scarl. SEC. Senec. Sep. ser-ang. Solid. SQUIL. stigm. Sul-ac. Sulph. tab. tann-ac. tarent. TER. terebe. thal-xyz. Thlas. thuj. tril-p. tub. uva vac. vanad. vesp. vip. Zinc. zinc-p.

Types of Haematuria

Frank haematuria

It is the presence of blood on macroscopic examination.

Alumn. apis ars. bell. Cact. canth. Chim. coc-c. colch. Ip. kreos. Lyc. mela. Mill. Ph-ac. Plat. puls.

Microscopic haematuria

It indicates that RBCs are only seen on microscopy.

Acon. ant-t. apis ARN. ars. Ars-h. Berb. CACT. cadm-s. calc. cann-s. CANTH. caps. Carb-ac. Carb-v. cham. CHIM. chin. chinin-ar. chinin-s. colch. coloc. con. crot-h. Dulc. ferr-p. Ham. hell. hep. ip. kali-bi. Kali-chl. lyc. merc. mez. nat-n. Nit-ac. pareir. PH-AC. phos. pic-ac. PULS. santin. sec. SEP. sul-ac. sulph. Ter. uva Zinc.

Haemoglobinuria

It is defined as the presence of free Hb in the urine.

acon. act-sp. agar. all-c. alum. Am-c. am-caust. ant-c. ant-t. apis arg-n. ARN. ARS. ARUND. Aspar. aur-m. bapt. bell. Benz-ac. Berb. bry. Cact. Camph. Carb-v. Caust. chel. Chim. chin. chinin-ar. Chinin-s. Cimic. cob. coc-c. colch. Coloc. con. Cop. DIG. Elaps get. Glon. grat. hedeo. Hyos. Ip. Kali-c. kali-n. Lach. Led. LOB. LYC. Meph. MERC-C. Mez. Nat-m. Nat-s. nit-ac. nux-m. Nux-v. Oci. Op. ox-ac. pall. PAREIR. Petr. PHOS. pic-ac. PLAN. Psor. puls. pyrog. rumx. SEL. SENEC. SEP. Sil. sumb. TARENT. ter. thuj. valer. zinc. zinc-p.

Initial haematuria

When blood comes on commencing urination. It suggests a urethral cause.

con.

Terminal haematuria

When blood comes after passing urine. It suggests a bladder base or prostatic cause.

HEP. mez. puls. sars. sulph. Thuj.

Key Points for Haematuria

  • Haematuria always requires investigation to exclude an underlying cause.
  • Initial haematuria suggests a urethral cause.
  • Terminal haematuria suggests a bladder base or prostatic cause.
  • Ribbon clots suggest a pelvi-ureteric cause.
  • Renal bleeding can mimic colic due to clots passing down the ureter.

Causes of Haematuria

Important Diagnostic Features of Haematuria

Kidney

Trauma: mild to moderate trauma commonly causes renal bleeding; severe injuries may not bleed (avulsed kidney- complete disruption).

acon. Arn. bell. verat-v.

Tumours:  may be profuse or intermittent.

Anil.

Renal cell carcinoma: associated mass, loin pain, clot colic or fever, occasional polycythaemia, hypercalcaemia and hypertension.

calc. chim. form. sars. solid.

Transitional cell carcinoma (TCC): characteristically painless, intermittent haematuria.

agath-a. Aloe Am-c. Ant-c. Ant-t. CALC. Cann-s. cic. Con. Hell. heroin. hyos. Kreos. laur. Lyc. mosch. olnd. Op. Ph-ac. positr. psil. sacch. Sec. stram. Sulph. syph. tung-m.

Calculus: severe loin/groin pain, gross or microscopic, associated infection.

act-sp. alum. am-c. am-m. ambr. Ant-c. apoc. Arg-n. arn. baros. bell. bell-p. BENZ-AC. Berb. cact. cal-ren. CALC. Cann-xyz. Canth. cham. chin. chinin-s. Chlf. cimic. coc-c. coli. coloc. Dios. epig. equis-h. erig. ery-a. eup-pur. fab. frag. gali. guat. hed. hedeo. hep. hydrang. ipom-p. kali-bi. kali-c. kali-i. lach. lipp. LITH-C. Lith-f. Lith-met. Lith-p. LYC. mag-p. med. mill. morg-g. nat-m. Nit-ac. nux-m. nux-v. oci. onis. op. oxyd. PAREIR. Petr. Phos. pipe. polyg-h. rub-t. Ruta saroth. SARS. Sep. Sil. solid. Stigm. sulfa. sulph. Tab. ter. thlas. thuj. urt-u. uva vesi. Zinc.

Glomerulonephritis: usually microscopic, associated systemic disease (e.g. systemic lupus erythematosus (SLE)).

APIS eberth. streptoc.

Pyelonephritis: rare.

apis bals-p. benz-ac. berb. bry. coc-c. coli. ferr-m. kali-sula. lyc. morg-g. naphtin. nux-v. podo. puls. sars. syc. ter.

Renal tuberculosis (rare): sterile pyuria, weight loss, anorexia, Pyrexia of unknown origin (PUO), increased frequency of micturition day and night.

ARS. BELL. calc.  Carc. chin-ars. Coli. HEP. kreos. Lach. led. LYC. Nat-m. NIT-AC. ox-ac. PHOS. psor. PULS. SENEC. SEP. SULPH. Tub. Vac. vanad. Zinc. 

Polycystic disease (rare): palpable kidneys, hypertension, chronic renal failure.

kres.

Renal arteriovenous malformation or simple cyst (very rare): painless, no other symptoms.

Renal infarction (very rare): may be caused by an arterial embolus, painful tender kidney.

bacls-7. LAT-M. mand. prot.

Ureter

Calculus: severe loin/groin pain, gross or microscopic, associated infection.

apis Bell. Berb. canth. carb-an. hydrang. Lyc. oci. par. polyg-h. SARS. sep. ter. verat.

TCC: characteristically painless, intermittent haematuria, history of work in rubber or dye industries.

agath-a. Aloe Am-c. Ant-c. Ant-t. CALC. Cann-s. cic. Con. Hell. heroin. hyos. Kreos. laur. Lyc. mosch. olnd. Op. Ph-ac. positr. psil. sacch. Sec. stram. Sulph. syph. tung-m.

Bladder

Calculus: sudden cessation of micturition, pain in perineum and tip of penis.

all-s. Ambr. ant-c. ant-t. apoc. arg-n. ars. aspar. bell. BENZ-AC. BERB. bry. cact. cal-ren. CALC. Cann-s. CANTH. carb-v. card-m. Chin. Coc-c. Coch. coff-t. colch. coloc. cupr. dig. epig. equis-h. Eup-per. graph. hydrang. kali-c. Kalm. kreos. Lach. lipp. Lith-c. Lith-m. Lith-p. Lith-s. LYC. Meny. merc. Merc-c. mez. Mill. naja nat-m. nat-s. Nit-ac. Nux-m. Nux-v. oxyd. pall. Pareir. Petr. Phos. Puls. Raph. rhod. Ruta SARS. SEP. Sil. sul-ac. sulph. tarent. thuj. zinc.

TCC: characteristically painless, intermittent haematuria, history of work in rubber or dye industries.

Anil. arg-n. ars. blatta-o. chim. clem. con. congo-r. crot-h. equis-h. gamb. hydr. mal-ac. sabal sars. staph. tarax. TER. thuj. tor.

Acute cystitis: suprapubic pain, dysuria, frequency and bacteriuria.

acon. ant-t. apis ars. aspar. Bell. benz-ac. berb. Camph. camph-ac. Cann-s. Canth. caps. chim. con. Cop. Cub. dig. Dulc. elat. Equis-h. erig. Eucal. Eup-pur. fab. ferr-act. Ferr-p. Gels. hell. hydrang. hyos. lach. Merc-c. methyl. mez. nit-ac. nux-v. Ol-sant. Pareir. petros. pip-m. Pop. prun. Puls. sabal Sabin. sars. Saur. sep. Stigm. sulph. Ter. tritic. uva vesi.

Interstitial cystitis (rare): may be autoimmune, drug or radiation induced, frequency and dysuria common.

med.

Schistosomiasis (very rare): history of foreign travel, especially North Africa.

ant-t. ars. chin. ip.

Prostate

BPH: painless haematuria, associated obstructive symptoms, recurrent UTI.

PROSTATE GLAND - SWELLING - old people; in

aloe BAR-C. Benz-ac. Con. DIG. ferr-pic. Iod. nux-v. prost. Sabal SEL. Staph. sulph.

Carcinoma: rare.

bar-ox-suc. carc. chim. CON. Cop. crot-h. Iod. kali-cy. Lyc. naphthoq. plb. Psor. SABAL Scir. Sel. senec. Sil. staph. sulfonam. Sulph. THUJ. thymol.

Urethra

Trauma: blood at meatus, history of direct blow to perineum, acute retention.

ARN. bell-p. cham. CON. dulc. euphr. ham. hyper. lach. Nat-c. nat-m. phos. Puls. Rhus-t. samb. Sul-ac. sulph. Symph.

Calculus: rare.

coc-c.

Urethritis: rare.

Acon. agar. agn. anemps. apis ARG-N. Ars. Aur. aur-ar. bell. bov. Cact. calc-f. camph. cann-i. CANN-S. CANTH. caps. carb-ac. caust. Chim. Clem. Cop. Cub. cycl. dig. dor. dulc. ferr-p. Gels. gonotox. gran. Hep. hydr. kali-bi. kali-f. Kali-i. kola lith-c. lyc. lyss. mag-f. med. Merc. Merc-c. napht. nat-c. nit-ac. Nux-v. oci-sa. pareir. Petr. Petros. phys. pip-m. psor. puls. rham-f. Sabin. sars. staph. Sulph. sumb. syc. tab. TER. teucr. Thuj. yohim.

KEY INVESTIGATIONS for Haematuria

Full Blood Count (FBC): infection, chronic blood loss. ‘Rouleaux’ suggest glomerulonephritis.

Clotting: exclude underlying bleeding cause.

Creatinine, Urea and electrolytes (U+E): renal function.

Microscopic study of urine, microbe culture and sensitivity (MSU MC + S): infection, parasites.

Renal cause: Intravenous pyelography (IVU), CT scan or Renal ultrasound (U/S) Renal Angiography for Arterio-Venous Malformation (AVM)

Bladder cause: Cystoscopy, Renal U/S

Glomerulonephritis: Autoimmune screen, Renal Biopsy (Bx)

 

References

  Although hematuria is absent in 5% to 10% of patients with genitourinary trauma,98...
Principles of Critical Care > Chapter 95. Torso Trauma > Specific Abdominal Injuries—Diagnosis and Management Principles > Genitourinary Injuries

Atraumatic Hematuria
CURRENT Diagnosis & Treatment: Emergency Medicine > Chapter 37. Genitourinary Emergencies > Immediate Management of Serious & Life-Threatening Conditions

Blood (Hematuria)
Clinician's Pocket Reference > Chapter 6. Laboratory Diagnosis: Urine Studies > Differential Diagnosis for Routine Urinalysis

Bloody Urine
Smith's General Urology > Chapter 3. Symptoms of Disorders of the Genitourinary Tract > Symptoms Related to the Act of Urination

Carcinoma of the Renal Pelvis and Ureter
Harrison's Online > Chapter 90. Bladder and Renal Cell Carcinomas

Colorless urine of low concentration from excessive fluid...
DeGowin's Diagnostic Examination > Chapter 10. The Urinary System > Urinary System Signs > Key Sign Discolored Urine > DISCOLORED URINE—CLINICAL OCCURRENCE

Diseases of glomeruli (glomerulonephritis or vasculitis) and the renal microvasculature (hemolytic...
Harrison's Online > Chapter 45. Azotemia and Urinary Abnormalities > Azotemia > Approach to the Patient: Azotemia > Intrinsic Renal Disease

Dysuria Associated with Hematuria in Either Sex
CURRENT Diagnosis & Treatment: Emergency Medicine > Chapter 37. Genitourinary Emergencies > Immediate Management of Serious & Life-Threatening Conditions > Dysuria > Clinical Findings

Erythrocytes
Smith's General Urology > Chapter 5. Urologic Laboratory Examination > Examination of Urine > Interpretation

Exercise 9-4. Hematuria
Basic Radiology, 2e > Chapter 9. Radiology of the Urinary Tract

Figure 45-2. Approach to the patient with hematuria. RBC, red blood cell; WBC, white blood...
Harrison's Online > Chapter 45. Azotemia and Urinary Abnormalities > Azotemia > Approach to the Patient: Azotemia > Intrinsic Renal Disease

Gastrointestinal Bleeding, Hemoptysis, and Hematuria
Hazzard's Geriatric Medicine and Gerontology, 6e > Chapter 106. Hemorrhagic Disorders > Clinical Approach to Bleeding in the Elderly Patient > Bleeding Symptoms

Hematuria & Glomerular Disease
CURRENT Diagnosis & Treatment: Pediatrics > Chapter 22. Kidney & Urinary Tract

Hematuria & Renal Papillary Necrosis
CURRENT Diagnosis & Treatment: Nephrology & Hypertension > Chapter 49. Sickle Cell Nephropathy

Hematuria can also occur with papillary necrosis, a complication seen in both homozygous and...
Tintinalli's Emergency Medicine > Chapter 135. Sickle Cell Disease > GU Complaints

Hematuria is considered the hallmark finding in GU trauma, although it is a nonspecific sign. ...
Tintinalli's Emergency Medicine > Chapter 251. Trauma in Children > Specific Pediatric Injuries > Pelvic and GU Trauma

Hematuria
Clinician's Pocket Reference > Chapter 3. Differential Diagnosis: Symptoms, Signs, and Conditions

Hematuria
CURRENT Diagnosis & Treatment: Nephrology & Hypertension > Chapter 1. Approach to the Patient with Renal Disease > Complications

Hematuria
CURRENT Diagnosis & Treatment: Surgery, 13e > Chapter 38. Urology > Acquired Lesions of the Genitourinary Tract

Hematuria
CURRENT Medical Dx & Tx > Chapter 22. Kidney Disease > Approach to Kidney Disease > Urinalysis

Hematuria
CURRENT Medical Dx & Tx > Chapter 22. Kidney Disease > Cystic Diseases of the Kidney > Autosomal Dominant Polycystic Kidney Disease > Complications & Treatment

Hematuria
CURRENT Medical Dx & Tx > Chapter 23. Urologic Disorders > Urologic Evaluation > History

Hematuria
CURRENT Medical Dx & Tx > Chapter 23. Urologic Disorders

Hematuria
Diagnosaurus

Hematuria
Hazzard's Geriatric Medicine and Gerontology, 6e > Chapter 127. Urinary Tract Infections > Clinical Presentation

Hematuria
Smith's General Urology > Chapter 16. Urinary Stone Disease > Renal & Ureteral Stones > Symptoms & Signs at Presentation

Hematuria
Tintinalli's Emergency Medicine > Chapter 128. Renal Emergencies in Infants and Children

Hematuria
Tintinalli's Emergency Medicine > Chapter 230. Hemophilias and von Willebrand Disease > Hemophilia > Special Considerations

Hematuria
Tintinalli's Emergency Medicine > Chapter 94. Urinary Tract Infections and Hematuria

Hematuria
Williams Hematology, 8e > Chapter 124. Hemophilia A and Hemophilia B > Hemophilia A (Classic Hemophilia, Factor VIII Deficiency) > Clinical Features

Hematuria
Williams Hematology, 8e > Chapter 48. Disorders of Hemoglobin Structure: Sickle Cell Anemia and Related Abnormalities > Clinical Features and Management > Genitourinary

Hematuria, Cyst Hemorrhage, and Retroperitoneal Hemorrhage
CURRENT Diagnosis & Treatment: Nephrology & Hypertension > Chapter 46. Cystic Diseases of the Kidney > Autosomal Dominant Polycystic Kidney Disease > Clinical Findings > Symptoms and Signs > Renal Manifestations

Hematuria, Proteinuria, and Pyuria
Harrison's Online > Chapter 277. Glomerular Diseases > Approach to the Patient: Glomerular Disease

Hematuria, Pyuria, and Casts
Harrison's Online > Chapter 45. Azotemia and Urinary Abnormalities > Abnormalities of the Urine

HEMATURIA—CLINICAL OCCURRENCE
DeGowin's Diagnostic Examination > Chapter 10. The Urinary System > Urinary System Signs > Key Sign Discolored Urine

  Normally, erythrocytes, leukocytes, hyaline casts, and crystals (urate, phosphate, oxalate) are...
DeGowin's Diagnostic

Renal
CURRENT Diagnosis & Treatment: Nephrology & Hypertension > Chapter 47. Familial Hematurias: Alport Syndrome & Thin Basement Membrane Nephropathy > Alport Syndrome > Clinical Findings > Symptoms and Signs

The classic symptom complex for nephrolithiasis is the acute onset of a crampy intermittent pain...
Tintinalli's Emergency Medicine > Chapter 97. Urologic Stone Disease > Clinical Features

The signs and symptoms of acute appendicitis lie along a spectrum that correlates with...
Tintinalli's Emergency Medicine > Chapter 84. Acute Appendicitis > Clinical Features

Urinalysis
Williams Obstetrics, 23e > Chapter 5. Maternal Physiology > Urinary System > Kidney

Encyclopedia Homoeopathica

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Tags: Dr., HWC, Haematuria, Hahnemann, India, Kashipur, Rajneesh, Ruchi, hematuria, homeopathy, More…homoeopathy

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Thanks Helena.
How You do this type of work,I want to learn.......
Sir, I imagine to have you all with me and start writing as per your guidence. Nothing else. Thanks with regards.
As usual, good work, Dr. Rajneesh.
Thanks Dr. Bahl. Regards.

Great effort...

This question is not a critique but an honest attempt to understand the usefulness of this information.

I wish to get a very frank opinion from members of HWC...how much of this info do you  actually use while prescribing. I wish to understand by classical method. Is this the sphere of clinical homeopathy?

I am waiting for our awesome Dr. Saraswat ji for answer to this question.
Every type of information about Haematuria is present here. All the refrences of books which is very helpful to all Homoeopaths. For clinical purpose there is no particular remedy. For prescribing or Permanent restoration of health a detail study is must,There is no shortcut in Homoeopathy for selectin of remedy.
Thanks Sir.

During repertorisation these types of work always helps a lot.

Thanks  Dr Rajneesh  for making the topic more easy for repertorisation...

Thanks Sir. Your Blessings.

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