Hematuria medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Steven C. Campbell, M.D., Ph.D. Adnan Ezici, M.D[2] Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [3]
Overview
The treatment of hematuria is driven by the underlying pathophysiology and the majority of patients recover with supportive therapy.
Medical Therapy
The initial evaluation of patients presenting with gross hematuria is 3-fold:[1]
- Assess hemodynamic stability
- Determine the underlying cause of hematuria (same for gross hematuria/ microscopic hematuria/ asymptomatic hematuria).[2]
- Ensure urinary drainage.
Treatment depends on the underlying cause of hematuria, and severity of symptoms. Controlling hypertension is usually the most important part of treatment.
Medicines that may be prescribed include:
- Blood pressure medications to control hypertension, most commonly angiotensin-converting enzyme inhibitors and angiotensin receptor blockers
- Corticosteroids
- Medications that suppress the immune system
References
- ↑ Avellino GJ, Bose S, Wang DS (2016). "Diagnosis and Management of Hematuria". Surg Clin North Am. 96 (3): 503–15. doi:10.1016/j.suc.2016.02.007. PMID 27261791.
- ↑ Pan, Cynthia G. (2006). "Evaluation of Gross Hematuria". Pediatric Clinics of North America. 53 (3): 401–412. doi:10.1016/j.pcl.2006.03.002. ISSN 0031-3955.