Microscopic Hematuria

[Framusbar]

I  was wondering if anyone could get me some advice and some comfort on this. I have been to my Urologist and he is a very thorough Dr. They found Microscopic Hematuria in my urine on 3 occasions. I have had many tests which I wont list here and they are all negative. My next test is a CT (cat Scan) this makes about 4 tests. My Doctor swears this will come back negative also. My question is this, if it comes back negative what is the next step? He wants to see me in 6 months. Do I have to take all these tests again? I trust my Doctor but I am concerned, any input would be appreciated. My Internist and my Urologist both say the same thing. Some people have this and never find the reason. Is this true?

Thanks

[Framusbar]

I have had all the test you mentioned plus a cystoscopy. My next test is a CT scan scheduled for tomorrow. My doctor swears its going to come back negative. He then wants to see me every 6 to 8 months for a urine sample and monitoring. Is this common, or is there something going on that I should be concerned about?

[Bhupinder Kaur, MD]

Hello,
Microscopic hematuria can be due to urinary tract (bladder) infection, swelling in the filtering system of the kidneys ,stone in bladder or in a kidney, blood disease, like sickle cell anemia, certain medicines and tumors in the urinary tract.
You may need a series of investigations like urine examination, urine culture,ultrasound or cystoscopy to confirm the diagnosis. If the tests have come out negative then you need to get a cystoscopy done to rule out any tumor or malignancy. Please consult a urologist and get it done.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.