Hemoglobin in the urine of a child
Changes in urine analysis in a child can reveal various diseases. At the same time, any deviations from the norm can cause anxiety in parents, for example, if the analysis form indicates that the urine of the baby contains hemoglobin. Can such a substance be in the urine of a healthy child, a sign of what it is and what to do if the urine analysis of the crumbs showed the presence of hemoglobin?
What is it?
Hemoglobin they call a protein that is normally present in erythrocytes, and when red blood cells break up, hemoglobin is combined with another protein, as a result of which the resulting substance is unable to pass through the kidney filter. This means that normal hemoglobin does not enter the urine of children. If this protein is found in a urine sample, this condition is called hemoglobinuria.
Possible reasons
Hemoglobin in children's urine can be in such situations:
- If the red blood cells are in the urine. Due to their high pH, they quickly deteriorate, resulting in hemoglobin detection.
- If the amount of hemoglobin in the blood exceeds the norm. Due to this situation, hemoglobin does not have time to bind with another protein and penetrates through the kidneys.
The cause of hemoglobinuria is:
- Acute poisoning with dyes, sulfonamides or other toxins.
- Bite of poisonous insects.
- Acute infection in which a child has a fever.
- Glomerulonephritis.
- Inflammatory diseases of the urinary tract.
- Renal failure.
- Burns affecting a large area of the body.
- Tuberculosis.
- Diseases of the digestive tract.
- Phimosis in boys.
- Transfusion of an inappropriate blood type.
- Some diseases of the cardiovascular system.
- Excessive load on the foot, for example, frequent running. Such hemoglobinuria is called marching. As a rule, re-examination does not reveal it.
Symptoms
If hemoglobin gets into the urine, it is often manifested by a change in the color of the discharge - the baby’s urine becomes darker, almost brown. In addition, children may experience back pain, lethargy and weakness, fever, feeling of aching in the joints, nausea, headaches and other symptoms.
What to do?
Noticing that the color of urine in the crumbs has changed, you need to immediately show the child to the pediatrician and take a referral from him for a urine test or repeat this analysis. After confirming the presence of hemoglobin in the urine, the child will be examined further, in particular, they will direct blood donation and an ultrasound of the urinary system. So the pediatrician will be able to identify the cause of the problem and prescribe treatment that will eliminate it.
For more information on what hemoglobin is, why it is needed, see Dr. Komarovsky’s program.
