Chronic pain and blood in urine for about a year

[aurora1010]

Since March, I’ve been getting pain that just starts out of nowhere. It’s either below my belly button (sometimes radiating to my left or ride side) and seems to spread downward into my private area (lower back pain usually comes when this happens). When this pain happens, the area below my belly button hurts when I touch it. It feels like a stabbing/pulling pain. It can get so bad at times that I can’t walk or stand up straight—nothing seems to make it go away even when I take medicine like Tylenol. I feel pressure, and sometimes pain when I have to urinate but, never a burning feeling. The other type of pain I’ve been getting is upper abdominal pain, like where the gallbladder is (when this happens, I also get pain on either my upper right or upper left part of my back). I also get waves of nausea and have moderate anemia (around 10). In addition, doctors have found microscopic hematuria for almost a year now, but in the past 3 months, I’ve been able to see blood clots in my urine. I already had a bunch of ultrasounds, which did reveal a large cyst on my right side which I’m currently taking birth control pills for in attempts to shrink it, and I already had two cat scans (one without contrast, one with contrast through iv).  However, the cat scans didn’t find anything. Now, my urologist has scheduled a cystoscopy for the 29th, of this month. I’m worried that nothing has been found yet. Any ideas that I can look into or ask my doctors? Also, I’m 19 years old and I’m a virgin, so my gynecologist and urologist aren’t able to examine my private area because I’m not sexually active. Do you think it might be time to let them? I will be thankful for any advice!

[aurora1010]

Thank you so much for replying! Your comment was most helpful. Take care as well and I will keep you updated!

[Dr J Singh]

Hello,
The severe abdominal pain that you are having can be due to the ovarian cyst which has already been diagnosed in your case.It is one important possibility.The other possibility can be pelvic inflammatory disease.

For the blood in urine, If you are passing different-shaped clots in your stream, they could represent bleeding from the urethra. Clots can be wormlike, and if associated with pain it could represent clots coming from your ureters(tubes from your kidneys to your bladder).

When the blood in the urine is at the beginning of urination, it most likely comes from the urethra, (the tube from the bladder to the outside). Blood throughout urination is most likely from the bladder or kidneys or ureters (the tubes connecting the kidneys and the bladder).

Diagnostic tests that may be performed include Urinalysis, Urine culture, X-rays of the kidneys, Cystoscopy, IVP, Abdominal ultrasound and CT scan of the abdomen.Since ultrasound and CT have not revealed anything,so cystoscopy needs to be done.

The treatment will depend on the cause of the blood in the urine.I hope it helps. Take care and regards.