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Blood in Urine after passing stone
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Blood in Urine after passing stone

I believe that I have passed a kidney stone.  All of my pain has disappeared.  The only thing that hasn't is the slight bit of blood in my urine.  How long does this normally last after passing a stone?
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Avatar_dr_f_tn
Hi,

When did you pass the stone?

I can not give you a definite answer with regards to your question but if the bleeding persists for greater than 24 hours, I suggest that you seek immediate consult. If the bleeding is profuse, then I suggest you seek prompt consult as soon as possible.

Were you able to save the stone ?  I suggest that you keep the specimen and bring this for evaluation at the laboratory .It is important that this has to be ascertained that what you have passed is indeed a stone.

Have you been recently diagnosed with kidney stones by  a physician?

What are your associated symptoms?
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Avatar_f_tn
I am not certain if I did have a kidney stone, but after speaking to several individuals that have done so, it was concluded that I probably did based on my symptoms.  I began have cramps in my lower abdomen and on my right side and right lower back.  The pain was not severe, just bothersome.  After having supper last night, which included a larage dr. pepper from mcdonalds, the pain got a lot worse.  I didn't feel nauseous or anything.  After a short time, the pain subsided.  When I went to bed last night,  the pain returned.  After talking to my parents (who have had kidney stones), I took some ibuprofen and used my heating pad to see if this would help.  The pain did ease off some, but about an hour and half later, it came back.  I tried to switch positions in bed, but nothing worked.  As I was laying there, the pain slowly seemed to move from my lower back, to my side, then up front toward my stomach.  The pain lessened enough to where I was able to get up and go to the restroom.  I did go to the bathroom, but never saw anything that looked like a stone.  My urine was a light brownish color.  I have used several otc uti kits and I happened to have one on hand.  I had collected a sample and used the kit to see if there was any hint of an infection, but nothing showed up.  After going to the restroom, the pain had almost completely disappeared.  I went back to bed and when I got up a couple of hours later, there was no pain at all and so far, the pain has not returned.  Every time I have gone to the restroom today (about 3 times), there has been a hint of a brownish color, but nothing like it was this morning. As far as I can tell, I haven't run a fever and there doesn't appear to be anything else wrong with me (other than my usual allergies).
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Avatar_dr_f_tn
Hi,

With a significant family history of kidney stones and with the way you have described your symptoms, this is likely to be a kidney stone disease. However, at this point, without an objective examination, kidney stone disease shall remain as a primary differential.

I suggest that your seek immediate evaluation by a urologist. A baseline urinalysis and urine culture may be able to help rule out an underlying infection or the presence of a kidney stone. A baseline kidney ,ureter and bladder ultrasound may also help.

I am not sure about the sensitivity and predictive value of the OTC UTI kits. I advice that you see your physician about this.

Drink plenty of water and eat well. Continue to exercise everyday.

Keep us posted with regards to physician's advice.
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Avatar_f_tn
I went to the doctor Monday night and they did a urinalysis.  It showed a lot of red blood cells.  The doctor said that due to the color of the urine late Sunday night and early day Monday and the pain that I had Sunday night, I probably passed a stone, but also had a pretty severe kidney infection as well.  They are doing a urine culture to see what other information they can get.  I have to go back in after I finish the antibiotics for another urinalysis.  The doctor did say that since the urine didn't "appear" to have blood in it that this was a  good thing as the more blood you can see, usually the worse your problem is (especially it if continues).
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Avatar_dr_f_tn
Hi,

Yes, you had experienced gross hematuria and this usually needs prompt assessment and further evaluation. Is the bleeding still as prominent as your previous void ?

Take the complete course of antibiotics and have a follow up with your physician so that you response to the antibiotics will be assessed. The results of your urine culture will help guide your treatment.

At this point, is there any presence of crystals in your urinalysis  that may suggest an underlying urinary tract stone? Were blood tests done to measure blood calcium or uric acid levels?  
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Avatar_f_tn
At this point, I have no idea what was in the urinalysis.  All the doctor mentioned was the red blood cells.  I am taking my antibiotics every night and plan to go back on Monday for the 2nd urinalysis.  

Since my visit on Monday, there has been no more visual evidence of blood.  All it really was was an increase on Sunday, a lot over night Sunday and early Monday morning, but after the severe pain that I experienced in the early hours Monday morning, the blood has disappeared (at least visually)

As for blood tests, they didn't perform any at my first visit, but they may do some when I go back next week. I really don't know for sure.
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Avatar_dr_f_tn
Hi,

Visually, it seems that urine did not present with any bleeding but microscopically your physician has noted red blood cells. This will still require further evaluation.

A CT scan or ultrasound of the kidney , ureter and bladder will be able to help rule out any stones. Kidney stones may not necessarily present with symptoms. It starts to present with symptoms when the stone dislodges and begin to pass through the ureters .If the stone is small ,they may easily pass through .and this happens without much discomfort.

A blood test to determine calcium, phosphorus and uric acid levels may be necessary since increased levels may suggest that there is increased chance of stone formation.

Continue a healthy lifestyle and drink plenty of water.

Keep us posted with regards to your progress.
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Avatar_f_tn
I just went back to the doctor on Monday because I was still having symptoms like those of a bladder or kidney infection.  I had to do a urine screen and it came up negative.  Luckily I was seeing my regular doctor that day and she decided to do a vaginal exam to see if there was some other explanation for my symptoms.  After doing the exam and running some tests on the samples she took, it was determined that I had severe bacterial vaginosis.  Apparently this type of illness can create symptoms similar to a urinary tract infection.  Hopefully everything will clear up soon and I can return to normal.

Thanks for all your input.  I appreciate all of your help, because without it, I probably never would have kept going to the doctor to see if my problem was anything other than kidney stones or a uti.
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