Exercise-induced hematuria
is the appearance of gross or microscopic hematuria following an intense
exercise, in the absence of apparent kidney or urinary tract disease, and the
recovery of this hematuria with rest.
In sports such as football
or kick-boxing, direct trauma to the kidney or bladder may be the cause of
hematuria. In addition, there may be trauma to the bladder in long distance
runs and cycling. The risk is greater in the empty bladder.
Hematuria can also develop
in non-contact sports such as swimming and shovels. One of the possible
mechanisms is the accumulation of blood in the muscles and the development of
renal ischemia. Another possible mechanism is the development of lactic acidosis
and increased glomerular permeability as a result of exercise. Thus, the
erythrocytes pass urine.
Bir başka olası sebep ise
nutcracker sendromudur. Bu sendrom, sol renal venin, aorta ile süperior
mezenterik ven arasında sıkışması olarak bilinir. Hematüri sıklıkla
asemptomatiktir, ancak sol flank ağrısıyla birlikte de olabilir.
Exercise-induced hematuria
is known as a benign condition with no long-term morbidity related. Diagnosis
is a diagnosis of exclusion.
If the hematuria that
starts after the exercise does not end within 1 week, other diagnoses should be
considered.
If erythrocytes are not
dysmorphic, further research should be considered.
Hematuria associated with
exercise, should be distinguished from myoglobinuria following exercise and
marginal hemoglobinuria.
Exercise induced hematuria may also be present in patients with erythrocyte membrane spectrin
abnormalities.
Bladder cancer or kidney
cancer should be considered in people over 50 years of age.
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