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Urology  (Expert Forum)
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Has crystals now blood
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.

Has crystals now blood

by meikman, Sep 11, 2004 12:00AM
I ask a question about a month ago about my son. He started wetting the bed at night without having a previous problem.  CT, MRI, VCUG, ultasounds of the bladder and cystogram all have been preformed also many UA's.  His Peds found crystals.  We went to Riley for Children.  Urologist said that his bladder was enlarged because of holding his urine for too long to long.  We had a follow up visit and the nurse told me as we were leaving that my son had blood in his urine this visit and the last.  I will be finding him another Doctor but in the meantime why is he now having blood in his urine?  His stills has wetting at night problems and his pain is not as bad.  Should some of the test be repeated?  Family history maternal grandfather had kidney and prostate cancer,  maternal uncle had non-cancerous tumors removed from bladder.

by Kevin Pho, MD, Sep 11, 2004 12:00AM
Possible causes can include urinary tract infection (UTI), irritation of the meatus or perineum, trauma, nephrolithiasis (including hypercalciuria without stones), sickle cell disease/trait, post-infectious glomerulonephritis, or IgA nephropathy, amongst other diseases.  



There has clearly been a pretty thorough workup done already that would have evaluated most of these causes.  If negative, it is less likely that a urological problem is present.



You may want to move up to the kidneys, since many of these disorders can also cause blood in the urine.  A referral to a kidney specialist (nephrologist) can be considered for another opinion.  



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.



Kevin, M.D.

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