Changes in the analysis of urine in a child can identify various diseases. At the same time, any deviations from the norm can cause anxiety in parents, for example, if it is noted in the analysis form that the baby's urine 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 test of the crumbs showed the presence of hemoglobin?
What is it?
Hemoglobin is called a protein that is normally present in red blood cells, and when red blood cells disintegrate, hemoglobin combines with another protein, as a result of which the formed substance is unable to pass through the kidney filter. This means that hemoglobin does not normally enter the urine of children. If this protein is found in a urine sample, the condition is called hemoglobinuria.
Possible reasons
The ingress of hemoglobin into children's urine happens in such situations:
- If red blood cells get into the urine. Due to their high pH, they quickly degrade, resulting in the detection of hemoglobin.
- If the amount of hemoglobin in the blood exceeds the norm. As a result of this situation, hemoglobin does not have time to bind to another protein and penetrates through the kidneys.
The reason for the appearance of hemoglobinuria is:
- Acute poisoning with dyes, sulfonamides or other toxins.
- Poisonous insect bite.
- An acute infection in which a child develops a fever.
- Glomerulonephritis.
- Inflammatory diseases of the urinary tract.
- Renal failure
- Burns affecting a large area of the body.
- Tuberculosis.
- Diseases of the gastrointestinal tract.
- Phimosis in boys.
- Transfusion of the wrong blood type.
- Some diseases of the cardiovascular system.
- Excessive stress on the feet, such as running frequently. This hemoglobinuria is called marching. As a rule, repeated examination does not reveal it.
Symptoms
If hemoglobin gets into the urine, this is often manifested by a change in the color of the discharge - the child's urine becomes darker, almost brown. In addition, children may experience back pain, lethargy and weakness, fever, aching joints, nausea, headaches, and other symptoms.
What to do?
Noticing that the color of the 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 be sent to donate blood and do an ultrasound of the genitourinary system. So the pediatrician can identify the cause of the problem and prescribe treatment that will eliminate it.
For more information on what hemoglobin is and why is it needed, see the program of Dr. Komarovsky.
