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What is the difference between blood and RBC in urine?

Published in Urinary Analysis 2 mins read

Blood in urine, often called hematuria, essentially means there are red blood cells (RBCs) present in the urine. Therefore, there isn't a difference, blood in the urine is the presence of RBCs in the urine.

Understanding Hematuria

While the terms are often used interchangeably, it's helpful to understand the context. When we say "blood in the urine," it's referring to the presence of red blood cells, which is what constitutes blood's red color.

How is Blood in Urine Detected?

  • Microscopic Hematuria: Often, the urine appears normal to the naked eye, but a high number of red blood cells are found when examined under a microscope. This is called microscopic hematuria. According to the reference, "the urine looks normal to the naked eye. But when checked under a microscope, it contains a high number of red blood cells."
  • Gross Hematuria: In other cases, the urine may be visibly discolored, appearing pink, red, or the color of tea, which indicates a larger quantity of red blood cells. In this situation, the blood is visible without a microscope.

Key Takeaways

Feature Microscopic Hematuria Gross Hematuria
Appearance Normal to the naked eye Pink, red, or tea-colored
RBC Detection Only visible under a microscope Visible to the naked eye
Significance Indicates presence of red blood cells Indicates presence of a larger amount of red blood cells

In conclusion, the phrase "blood in the urine" is a general term to describe the presence of RBCs in the urine, whether that presence is visible to the naked eye or only observable under a microscope.

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