i have had visible blood in my urine for over a year. on moment i will see the blood in the urine usually a brown color and the next time i use the bathroom the urine is as normal as can be. the weird thing is tht in the morning when i wake up and urinate there is never visible blood. when this first started the blood was only noticable after running or jaring excersice. i went to a urologist in dec 2005 and had a ct without contrast everything was normal, urine test normal except rbc, and a cystostopy normal. i was told i was fine. recently the blood in urine has been more frequent so i was worried and went to the er about a month ago. they did a ct no contrast of kidney and abdoman results normal. blood of kidney liver gallbladder and regular blood work normal. urine test normal except rbc in urine, urine cytology normal.
my question is if i had a tumor would it show up on a non contrast ct. i am afraid that i have had cancer for a year and it has gone untreated. this has made me a nervious reck. i have another cystostopy, and a renal ultra sound scheduled. what question should i ask the urologist and what could this be please help. thank you for your time
A normal cystoscopy would rule out many of the lower GU causes - including bladder cancer.
The CT scan would make kidney cancer unlikely as well. If there continues to be concern, further imaging can be considered with an MRI.
The hematuria can be monitored periodically with a urinalysis. Periodic cystoscopies can be considered to monitor for any occurrence of bladder cysts or cancer. A referral to a nephrologist (kidney specialist) can be considered to further workup the source of the blood.
These options can be discussed with your personal physician.
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.
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