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Hematuria vs. Hemoglobinuria — What's the Difference?

By Tayyaba Rehman — Updated on October 12, 2023
Hematuria refers to the presence of blood in the urine, while Hemoglobinuria pertains to the presence of free hemoglobin in the urine.
Hematuria vs. Hemoglobinuria — What's the Difference?

Difference Between Hematuria and Hemoglobinuria

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Key Differences

Hematuria is a medical term that describes the condition when blood, specifically red blood cells, is found in the urine. This can occur for various reasons, such as urinary tract infections, kidney diseases, or physical trauma.
Hemoglobinuria, on the other hand, indicates the presence of free hemoglobin in the urine. Hemoglobin is a protein found in red blood cells that carries oxygen. When these cells break down prematurely, hemoglobin is released, and if it passes into the urine, it results in hemoglobinuria.
While both Hematuria and Hemoglobinuria involve the abnormal presence of substances in the urine, they signify different issues. Hematuria indicates blood cells in the urine, which could be visible or microscopic. In contrast, Hemoglobinuria points to the presence of free hemoglobin, suggesting red blood cell hemolysis or breakdown.
It is essential to differentiate between Hematuria and Hemoglobinuria when diagnosing because their underlying causes and subsequent treatments might differ. Hematuria might hint at conditions directly affecting the urinary system, whereas Hemoglobinuria could be a sign of conditions that cause rapid destruction of red blood cells.
In practice, Hematuria might present as pink, red, or cola-colored urine due to the presence of red blood cells. Hemoglobinuria, however, can result in a brown or dark colored urine, stemming from the free hemoglobin and its byproducts.
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Comparison Chart

Definition

Presence of blood in the urine
Presence of free hemoglobin in the urine

Indication

Blood cells in urine
Breakdown of red blood cells and release of hemoglobin

Common Presentation

Pink, red, or cola-colored urine
Brown or dark-colored urine

Potential Causes

Urinary tract infections, kidney diseases, physical trauma
Hemolysis of red blood cells, certain infections or medications

Underlying Issue

Can be related to the urinary system directly
Related to conditions causing rapid destruction of red blood cells

Compare with Definitions

Hematuria

An indication of possible injury or disease in the urinary system.
Hematuria can sometimes indicate a more serious underlying condition.

Hemoglobinuria

The presence of free hemoglobin in the urine due to red blood cell breakdown.
Hemoglobinuria can be a sign of a serious medical condition and requires prompt attention.

Hematuria

A clinical sign that can be either gross (visible) or microscopic.
Her Hematuria was microscopic, so it wasn't visible to the naked eye.

Hemoglobinuria

Often results in dark or brown-colored urine.
His Hemoglobinuria was evident from the dark hue of his urine.

Hematuria

May present without pain or other symptoms.
Despite having Hematuria, he experienced no discomfort or pain.

Hemoglobinuria

Indicates excessive hemoglobin release that kidneys cannot fully reabsorb.
In cases of severe Hemoglobinuria, the kidneys are overwhelmed by the amount of free hemoglobin.

Hematuria

Can result from infections, stones, or trauma.
The patient's Hematuria was traced back to a recent bladder infection.

Hemoglobinuria

Indicates hemolysis or the premature destruction of red blood cells.
A significant hemolysis event led to her developing Hemoglobinuria.

Hematuria

Hematuria or haematuria is defined as the presence of blood or red blood cells in the urine. It can be classified according to the quantity, the anatomical origin of bleeding and the occurrence during bleeding.

Hemoglobinuria

Can result from certain infections, toxins, or medications.
Malaria, a common cause in certain regions, can lead to Hemoglobinuria.

Hematuria

The presence of blood in the urine.

Hemoglobinuria

Hemoglobinuria is a condition in which the oxygen transport protein hemoglobin is found in abnormally high concentrations in the urine. The condition is caused by excessive intravascular hemolysis, in which large numbers of red blood cells (RBCs) are destroyed, thereby releasing free hemoglobin into the plasma.

Hematuria

(pathology) The presence of blood in the urine

Hemoglobinuria

The presence of hemoglobin in the urine.

Hematuria

Passage of urine mingled with blood; blood in the urine.

Hemoglobinuria

(medicine) The presence of hemoglobin in the urine.

Hematuria

The presence of blood in the urine; often a symptom of urinary tract disease

Hemoglobinuria

Presence of hemoglobin in the urine

Common Curiosities

What might cause Hemoglobinuria?

Hemoglobinuria can be caused by the premature destruction of red blood cells, certain infections, or medications.

Is Hematuria always painful?

No, Hematuria can occur without any accompanying pain or discomfort.

Can Hematuria be invisible to the naked eye?

Yes, Hematuria can be microscopic and not visibly apparent.

How does Hemoglobinuria present in the urine?

Hemoglobinuria often results in brown or dark-colored urine due to free hemoglobin.

Can both conditions coexist?

Yes, in some cases, both Hematuria and Hemoglobinuria can be present simultaneously.

What color is the urine typically with Hematuria?

With Hematuria, urine can be pink, red, or cola-colored.

Can Hemoglobinuria be linked to certain infections?

Yes, infections like malaria can lead to Hemoglobinuria.

Should Hemoglobinuria be addressed immediately?

Yes, Hemoglobinuria can indicate serious conditions and should be promptly evaluated.

What does Hematuria refer to?

Hematuria refers to the presence of blood in the urine.

Is Hemoglobinuria a direct result of urinary system issues?

No, Hemoglobinuria is more related to conditions causing rapid red blood cell breakdown.

What's a primary difference between the two conditions?

Hematuria involves blood cells in urine, while Hemoglobinuria involves free hemoglobin.

Is dark urine always indicative of Hemoglobinuria?

No, while dark urine can be a sign of Hemoglobinuria, other factors can also darken urine.

How can Hematuria be diagnosed?

Hematuria can be diagnosed through urinalysis or other medical tests.

Is Hematuria a disease?

No, Hematuria is a symptom or sign, indicating an underlying issue.

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Author Spotlight

Written by
Tayyaba Rehman
Tayyaba Rehman is a distinguished writer, currently serving as a primary contributor to askdifference.com. As a researcher in semantics and etymology, Tayyaba's passion for the complexity of languages and their distinctions has found a perfect home on the platform. Tayyaba delves into the intricacies of language, distinguishing between commonly confused words and phrases, thereby providing clarity for readers worldwide.

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