Bleeding

I have passed blood in my urine on four occasions in the past 24 hours. No more than a tea spoon full on the first two occasions but  quite  a high volume at 8pm and 11 pm this evening. I  called my urologist this morning, after the first two occurrences and he advised me to call back if the condition worsened. It is obviously now more severe but it's 1am in the morning . Should I take myself of to my local hospital or wait to see my doctor tommorow morning and then call my specialist..I had a TURP two years ago. My prostate was nearly 30 percent larger when my urologist examined me last week. My PSA was just over 7. I would appreciate your help.

[Kevin Pho, MD]

Followup with the urologist should definitively be done.  Possible causes can be recurrance of the cancer, infection, kidney disease, or bladder lesions or a mass.

If there is any doubt, I would see a physician as soon as possible to ensure there isn't an excessive loss of blood.

Workup would include a cystoscopy as well as tests to ensure the prostate cancer isn't responsible for the symptoms.  A kidney ultrasound can also be considered.

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.

Kevin, M.D.
kevinmd_b

[nelson s. F]

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