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Urology  (Expert Forum)
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Discovered blood in urine
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Discovered blood in urine

by Bagman, Apr 21, 2004 12:00AM
I am a healthy male..44 years old.  During a routine yearly exam a urinalysis discovered ..1-3 red Blood Cells per HPF in my urine.  All other tests...blood, urine, physical exam were normal.  This has never shown up before.  My general Physician says that that is below the "worry" level and he is not recommending any follow-up.  I am not so sure.  What, if anything should be done in my case?



Bagman

by Kevin Pho, MD, Apr 21, 2004 12:00AM
There are a variety of conditions that causes blood in the urine (hematuria).  Hematuria may be a symptom of an underlying disease, some of which are life threatening or treatable. The causes vary with age with the most common being inflammation or infection of the prostate or bladder, stones, and, in older patients, malignancy or benign prostatic hyperplasia.



I would suggest a referral to a urologist, where the urinalysis may be repeated.  Other tests to consider would be a CT scan to evaluate for stones, an ultrasound to evaluate to kidneys, a prostate exam, as well as a cystoscopy to evaluate for bladder diseases.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.
Member Comments

by problemmatic, May 02, 2004 12:00AM
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