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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
Your doctor will start by taking a medical history and asking what may have caused the appearance of blood in your urine. This will be followed by a test called urinalysis. In this test, a urine sample is analyzed. Urine tests may include urine cytology, which uses a microscope to look for abnormal cells in the urine. Blood tests may also be ordered. If blood contains high levels of wastes that kidneys are supposed to remove, it could be a sign of kidney disease. In addition to urine and blood tests, you may need additional imaging tests. These may include: