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Urology (Expert Forum)
IS IT NORMAL TO HAVE
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.
IS IT NORMAL TO HAVE
by kim__0__0, Jun 23, 1998 12:00AM
IS IT NORMAL TO HAVE BLOOD IN YOUR URINE ALL THE TIME? EVERY TIME I HAVE A URIN TEST DONE IT COMES BACK LIKE THAT WITH NO INFECTION. I DO HAVE A DISTENDED BLADDER, COULD THIS BE THE PROBLEM??
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Dear Kim
Thanks for your questions.
Blood in the urine is not normal with or without a distended bladder.
Urine test for blood are different. If it is a dip stick, the test depends on a chemical reaction between the iron from the blood in the urine and the stick. These test are not very reliable and should be checked with a microscopic evaluation. Three or greater red blood cells per high powered field is the cut off for a urological work-up. The typical work-up for microscopic hematuria is a cystoscopic exam (telescopic look into the bladder), plus or minus a urine for cytology and an IVP ( intravenous pyelogram- dye/ contrast x-ray to look at the kidneys and ureters. If your work-up is negative which about 30% are you will need to have these repeated every three to five years if you continue to have microscopic blood in the urine. Some of the causes of blood in the urine is infection, stones or tumors. These diseases can be dangerous if not found or treated.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: blood in urine, microscopic hematuria, hematuria, hematuria work-up
-----------------------------------
Dear Kim
Thanks for your questions.
Blood in the urine is not normal with or without a distended bladder.
Urine test for blood are different. If it is a dip stick, the test depends on a chemical reaction between the iron from the blood in the urine and the stick. These test are not very reliable and should be checked with a microscopic evaluation. Three or greater red blood cells per high powered field is the cut off for a urological work-up. The typical work-up for microscopic hematuria is a cystoscopic exam (telescopic look into the bladder), plus or minus a urine for cytology and an IVP ( intravenous pyelogram- dye/ contrast x-ray to look at the kidneys and ureters. If your work-up is negative which about 30% are you will need to have these repeated every three to five years if you continue to have microscopic blood in the urine. Some of the causes of blood in the urine is infection, stones or tumors. These diseases can be dangerous if not found or treated.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: blood in urine, microscopic hematuria, hematuria, hematuria work-up
