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Urology (Expert Forum)
Re: BLOOD IN URINE
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.
Re: BLOOD IN URINE
by HFHS M.D.-BE, Jan 01, 1995 12:00AM
Posted By HFHS M.D.-BE on March 01, 1999 at 12:47:59:
In Reply to: BLOOD IN URINE posted by CON on February 27, 1999 at 20:57:04:
I AM 48 YEARS OLD ON LST MONTH IMVISIT THE DOCTOR OFFICE ONE DAY AFTER I HAD MY MONTHLY CYCLE. SO HE SAW BLOOD IN MY URINE .HE SET ME UP AN APPOINTMENT FOR THE FOLLOWING MONTH THIS WAS TWO DAY BEFORE MY MONTHLY CYCLE SO EACH TIME I HAD BLOOD IN MY URINE ALSO I HAVEJUST STARTED A EXCERISE PROGRAM ON THE TREAD MILL ALL ABOUT THE SMAE TIME. I TOLD ALL OF THIS TO MY DOCTOR BUT HE INSISTED THAT I VISIT A SPECIAL DOCTOR FOR MY BLADDER AND KIDNEY .SO I DID , ON THE DAY I HAD THAT APPOINTMENT I WAS ON MY MONTHLY CYCLE.,SO I TOLD THEM THAT THEN. THE STILL INSIST THAT I GO THROUGH THESE TEST . COULD ALL OF THIS BE COMMING FROM THE FACT THAT I AM ON MY MONTHLY CYCLE AND NOT THAT I HAVE BLADDER CANCER?
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Dear Con,
I understand your concern for these tests, when you feel that the blood in your urine is likely coming from the menstrual blood. One way to settle that question for you is to test a sample of urine when you are not on your period. You can ask your physician about this. You would have to obtain a "clean catch". You also need to have a "midstream sample", which means that you start urinating and after a couple of seconds you put the clean specimen container under the stream and catch some of the urine. By catching the urine midstream like this, you assure that no contaminants are included in the sample. However, let's assume that you actually do have blood in your urine. Blood in the urine is called hematuria. Hematuria can be quite obvious to the naked eye, or microscopic so that it only is revealed by testing. Your primary care physician referred you to a urologist, who is the correct physician to evaluate any hematuria.
There are many causes for hematuria, besides bladder cancer. These include: kidney disease or kidney stones, trauma, inflammation, infection, abnormal blood vessels, tumors (of the kidney, ureter, or bladder). In order to properly diagnose the cause of hematuria, the urologist will want to order specific tests. Your physician may order an IVP (an X-ray study), urine culture and cytology (looking at the cells in the urine), and cystoscopy (looking at the bladder through a scope). Once your urologist has determined the cause of the bleeding, s/he will institute a treatment plan.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword: hematuria
In Reply to: BLOOD IN URINE posted by CON on February 27, 1999 at 20:57:04:
I AM 48 YEARS OLD ON LST MONTH IMVISIT THE DOCTOR OFFICE ONE DAY AFTER I HAD MY MONTHLY CYCLE. SO HE SAW BLOOD IN MY URINE .HE SET ME UP AN APPOINTMENT FOR THE FOLLOWING MONTH THIS WAS TWO DAY BEFORE MY MONTHLY CYCLE SO EACH TIME I HAD BLOOD IN MY URINE ALSO I HAVEJUST STARTED A EXCERISE PROGRAM ON THE TREAD MILL ALL ABOUT THE SMAE TIME. I TOLD ALL OF THIS TO MY DOCTOR BUT HE INSISTED THAT I VISIT A SPECIAL DOCTOR FOR MY BLADDER AND KIDNEY .SO I DID , ON THE DAY I HAD THAT APPOINTMENT I WAS ON MY MONTHLY CYCLE.,SO I TOLD THEM THAT THEN. THE STILL INSIST THAT I GO THROUGH THESE TEST . COULD ALL OF THIS BE COMMING FROM THE FACT THAT I AM ON MY MONTHLY CYCLE AND NOT THAT I HAVE BLADDER CANCER?
Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Dear Con,
I understand your concern for these tests, when you feel that the blood in your urine is likely coming from the menstrual blood. One way to settle that question for you is to test a sample of urine when you are not on your period. You can ask your physician about this. You would have to obtain a "clean catch". You also need to have a "midstream sample", which means that you start urinating and after a couple of seconds you put the clean specimen container under the stream and catch some of the urine. By catching the urine midstream like this, you assure that no contaminants are included in the sample. However, let's assume that you actually do have blood in your urine. Blood in the urine is called hematuria. Hematuria can be quite obvious to the naked eye, or microscopic so that it only is revealed by testing. Your primary care physician referred you to a urologist, who is the correct physician to evaluate any hematuria.
There are many causes for hematuria, besides bladder cancer. These include: kidney disease or kidney stones, trauma, inflammation, infection, abnormal blood vessels, tumors (of the kidney, ureter, or bladder). In order to properly diagnose the cause of hematuria, the urologist will want to order specific tests. Your physician may order an IVP (an X-ray study), urine culture and cytology (looking at the cells in the urine), and cystoscopy (looking at the bladder through a scope). Once your urologist has determined the cause of the bleeding, s/he will institute a treatment plan.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword: hematuria
