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RCB seen in Urine

My Father is :69 yrs old, he has BP and takes medicines for BP .has prostrate little enlarged, but doctor says there is not problem of prostrate. Recenlty he got his urine tested and the result is : Erythorcytes :10 - 15 seen, littlehigher, Kidney function test, PSA  test is normal, kidney stone test negative.. Doctor examined and said no problem of prostrate. He has pain while passing urine and gets tired after passing urine. WHat might be the cause for RCB to be seen in the Urine?
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Avatar universal
Your posting is a little unclear.

I don't know what "little higher" refers to.

I also don't know what you mean by a "kidney stone test". Are you referring to ultrasound or some other diagnostic imaging, or some form of biochemistry test? I don't know of a single biochemistry test that can determine if there are kidney stones or not.

Having said that, here are my thoughts. I would be concerned about the prostate and/or prostate cancer, despite your indication that the "PSA test is normal". The PSA test is not foolproof and there are false negatives. As well, ideally the PSA ought to be compared to previous baseline results. Therefore, while the result may in and of itself be still within normal limits, if it is higher than previous results (and thus showing a trend upwards), a problem with the prostate should not be ruled out of the differential diagnosis.

Other possibilities are stones in areas other than the kidneys, such as the bladder. The bladder probably should be scoped to rule out stones or a growth in the bladder.

I hope this helps.
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Avatar universal
MEDICAL PROFESSIONAL
Hello,
Since you are having microscopic hematuria, so definitely its cause needs to be probed. 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 have already undergone cystoscopy which has ruled out most of the cases. I suggest you to get done an ultrasound abdomen to look for any kidney stone and blood tests for sickle cell anemia.
I hope it helps. Take care and please do keep us posted on how you are doing. Kind regards.
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