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+4 blood in urine with occasional red blood cell castle.

So I have been having some kidney issues. For years I have had occasional flank pain, and findings of cysts, and high amounts of blood in my urine. My daughter was diagnosed with thin basement membrane disease two years ago. I told her doctor about the recent problems I have had so she decided to test my urine at my daughter appointment. And she said I have +4 blood in urine with occasional red blood cell castle. Does anyone know what this means?
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replied June 7th, 2014
Welcome to e health forum.

Presence of hematuria, red cell casts and your medical history indicate various conditions causing inflammatory damage to the kidneys (glomerulonephritis), which can result in progressive loss of renal function.

Such patients would also have a history of high blood pressure.

The condition is detected with a panel of tests (blood, urine, ultrasound and if necessary a biopsy of the kidney). A chest Xray can also be requested to rule out similar condition affecting the lungs, which can present as cough, breathing problems and blood in sputum.

The condition is usually treated with a course of antibiotics (for any residual infection),steroids (to reduce inflammation) and antihypertensive medications to contol the blood pressure.

You might consult your nephrologist who can provide more information and help you further.

I hope this helps.

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