My 5 year old son was complaining about pain during and after urination yesterday. A couple of times after he urinated he immediately felt like he needed to urinate again. He said it hurt and complained for a while. Today he has not had the symptoms, and he says the pain is gone. However, he has complained about his stomach hurting. He complains about his stomach hurting from time to time. I took him to the Doctor this afternoon. They tested a sample of urine, and found that he did not have a bladder infection but did have a small amount of blood in his urine. The sample is being sent to a lab to grow a culture and for further testing. His doctor said it could indicate any number of things, and that their test could even be false. I have been researching online and am feeling concerned about what it could be. I am assuming a 5 year old probably does not have stones. Can you give me any additional information?
A large number of benign and serious conditions can cause hematuria (blood in the urine) in children. Gross hematuria is most frequently observed with urinary tract infection (UTI), irritation of the meatus or perineum, trauma, nephrolithiasis (including hypercalciuria without stones), sickle cell disease/trait, post-infectious glomerulonephritis, and IgA nephropathy (the last two are types of kidney diseases).
The most common causes of persistent microscopic hematuria in children include glomerulopathies, such as IgA nephropathy and glomerular basement membrane diseases (mainly Alport syndrome or thin basement membrane disease - again, more kidney diseases), hypercalciuria and microlithiasis, and UTI.
Obtaining kidney blood tests and imaging studies (i.e. ultrasound) are reasonable steps. I would also consdider a referral to a urologist or kidney specialist.
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.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.