Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Subject: Re: blood in urine
Forum: The Urology Forum

Topic Area: Kidney/Urinary Stones

Posted by Barry on April 16, 1999 at 11:24:10

I AM A 31 AND HAVE HAD 3 KIDNEY STONES IN THE LAST 5 YEARS. THREE WEEKS AGO I
HAD BLOOD IN MY URINE WITH NO PAIN. I WENT TO THE DOCTOR AND HE DID A URINE TEST
THAT SHOWED BLOOD 3+ BUT NOTHING ELSE. HE ORDERED A IVP WHICH CAME BACK NEGITIVE.THE BLOOD IN MY URINE LASTED FOR 2 DAYS THEN CLEARED UP.TWO DAYS AGO I
HAD BLOOD IN MY URINE AGAIN AND HAD SOME BACK PAIN AND PENIS PAIN.COULD THIS BE
ANOTHER STONE? I HAVE NOT HAD BLOOD IN MY URINE FROM MY OTHER STONES THAT I COULD SEE WHEN I URINATE.MY OTHER STONES WERE URIC ACID STONES.

Posted by HFHS M.D.-BE on April 19, 1999 at 07:54:59


Dear Barry,
It is possible to have blood in urine(hematuria) from kidney stones. Given the medical history you have given, it is very likely that you have experienced another episode with kidney stones. It is important for you to follow up with a urologist for this problem. If it is unclear that your hematuria is due to a kidney stone, he or she should order studies to rule out other causes. There are multiple reasons why someone might have hematuria, and each person's medical history is an important part of the differential diagnosis process. Some of the causes are kidney stones; inflammation or infection; trauma; tumors; bleeding from prostate veins; blood clotting problems; and abnormal blood vessels. Certain medications could cause irritation, as well, which would produce hematuria. Some treatments, such as radiation or chemotherapy, could also cause it.
The appropriate workup for someone with hematuria includes: IVP (by now you will have the results of your father's test), urine culture and urine cytology (looking at the cells in the urine), cystoscopy (looking inside the bladder with a scope), and possibly, bladder biopsy. Once a diagnosis is made, the urologist will make the appropriate treatment recommendations. Again, given your age and history a kidney stone is the likely cause for your hematuria.

This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-BE
*Keyword : kidney stone/ hematuria



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