Urine · /µL

Red blood cells in urine

Erythrocytes in the urine (red blood cells) mean blood in the urine — visible or only microscopic. There are many causes, from harmless ones to those that need work-up.

Ranges we useEFLM
RatingRangeWhat it means
Goodbelow 10 /µLWithin range.
Worth improving10 – 100 /µLAbove the upper reference limit (about 10/µL). In women of reproductive age often menstrual contamination; repeat outside the cycle.
Talk to a doctor100 /µL and aboveMarkedly raised red cells in urine. Needs further work-up (NICE: 1+ or more on the strip).
Source: EFLM · European Urinalysis Guideline 2023 (Kouri T et al.) · 2023

Why it matters

ECLM: presence requires clarification (infection/stones/kidneys).

If it’s low

The absence of erythrocytes is normal.

If it’s high

Erythrocytes in the urine indicate bleeding somewhere in the urinary tract. Common causes are infection, stones or (in women) menstrual contamination; persistent blood needs work-up.

What to do

Rule out transient causes (menstruation, exercise) and repeat. Persistent blood in the urine (especially without infection) → consultation for further work-up.

Read together with

White blood cells in urine · Nitrites in urine · Protein in urine

This content is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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