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Post exertional hematuria
P P Varma1, P Sengupta, R K Nair
1Deputy Chief IDS (Medical) , New Delhi , India .
Exercise-induced hematuria (blood in urine) is common, especially with timed runs. If hematuria persists beyond two weeks, underlying kidney disease is likely, not just functional.
Area of Science:
- Nephrology
- Sports Medicine
- Urology
Background:
- Exercise-induced hematuria (EIH) is a known phenomenon.
- Previous literature suggests EIH duration ranges from hours to three days.
- The role of exercise intensity versus duration in EIH is not fully elucidated.
Purpose of the Study:
- To investigate the incidence and duration of EIH in healthy adults.
- To explore the relationship between exercise intensity (timed vs. untimed run) and EIH.
- To identify potential risk factors and predictors for prolonged EIH.
Main Methods:
- Healthy participants (age 20-50) with normal baseline urine sediment were recruited.
- Urine sediment was analyzed before and after a 5km run.
- Participants completed the run either within an allotted time or without a time limit.
Main Results:
- A timed 5km run resulted in a 12% incidence of EIH, significantly higher than an untimed run (1.3%, p < 0.001).
- Younger participants (<30 years) showed a higher incidence of EIH (p=0.019).
- While 81% cleared hematuria within 3 days, 7% persisted beyond 7 days, and 3 individuals beyond 14 days, with underlying glomerular diseases identified.
Conclusions:
- EIH incidence is significantly influenced by exercise intensity, particularly timed efforts.
- EIH can persist for up to two weeks.
- Persistent hematuria beyond 14 days suggests an underlying renal pathology, warranting further investigation.
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