What Does Hemoglobinuria Indicate?

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.

How do you check for hemoglobinuria?

If freshly collected urine from a patient with hematuria is centrifuged, red blood cells settle at the bottom of the tube, leaving a clear yellow urine supernatant. If the red color is due to hemoglobinuria, the urine sample remains clear red after centrifugation.

What does it mean when you test positive for hemoglobin?

Positive results mean Hgb S is present and sickle cells were seen. Your healthcare provider will confirm these results with hemoglobin electrophoresis. A positive result may also mean that you have another blood disease and may need more tests.