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Microhematuria and running?
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Microhematuria and running?


  During a recent physical, my urinalysis showed microhematuria.  My doctor ordered a blood test and an IVP, both of which came back with normal results.  My doctor subsequently suggested I have a renal ultrasound.  I am wondering if the microhematuria could be related to running, as I run approximately 3 miles three times per week.  Could you please elaborate on the need for the ultrasound, and whether you feel running could be causing the microhematuria?  Thank you, DR

Posted by DR on October 06, 1998 at 22:55:13:
Topic Area: Kidney/Urinary Stones
During a recent physical, my urinalysis showed microhematuria. My doctor ordered a blood test and an IVP, both of which came back with normal results. My doctor subsequently suggested I have a renal ultrasound. I am wondering if the microhematuria could be related to running, as I run approximately 3 miles three times per week. Could you please elaborate on the need for the ultrasound, and whether you feel running could be causing the microhematuria? Thank you, DR
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Dear DR,
You are having asymptomatic microscopic hematuria with a negative initial workup. If you are younger than 50 years of age, the likelihood of a significant urological disease is very rare.  Even in patients older than 50 years of age, the incidence of significant urological diseases (stones and tumors) vary between  10 Km) runners.  It is usually noted at the end of run and disappears upon rest.  The bleeding can be from kidney (glomerular) or bladder.  Sometimes a stone can present the first time with post exercise  hematuria.  However before labeling your hematuria as runners hematuria, above mentioned protocol should be completed.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
The Henry Ford Hospital Department of Urology has experience in the evaluation and treatment of problems such as you describes. They would be most interested in helping you. You can reach them through our toll-free number (1-800-653-6568). We can also arrange local accommodations through this number if this is your need.
Sincerely,
HFHS M.D.-A.T.
*keyword: Hematuria




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