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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.-MS, Jan 01, 1995 12:00AM
Posted By HFHS M.D.-MS on January 20, 1999 at 22:30:44:
In Reply to: blood in urine posted by Willie on January 18, 1999 at 18:51:17:
I have recently been diagnosed as having
lupus disease. now my doctor says that he has
found speckled blood cells in my urine.is
that a symptom of lupus or could this be
something more serious? he couldnt give me a
definite answer. he says he has to run more
tests. could to tell of the possibilities??
Dear Willie
Thanks for your questions.
I am not a nephrologist but I will try to answer your question.
As you know, Lupus is an autoimmune disease that can attack the kidneys. The antibody level in your system should rise if this is attack is acute as well as the protein leakage into the urine. If your doctors test are inconclusive as to the cause of the microscopic analysis shown red blood cells in your urine, ( not just a dip stick, too insensitive) then a hematuria work-up should be recommended especially if you have ever smoked or have a family history of genitourinary cancer. This usually includes an IVP, (a dye test to look at the kidney and ureters) a cystoscopy (a look in the bladder with a lighted telescope) and possibly a urine cytology (urine test for abnormal cells) . These test can turn up stones , tumors or possibly nothing. A person with a negative microscopic hematuria work-up does not require further work-up for another 3 to 5 years depending on their risk factors, i.e. a smoker etc.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: lupus , SLE, microhematuria work-up
In Reply to: blood in urine posted by Willie on January 18, 1999 at 18:51:17:
I have recently been diagnosed as having
lupus disease. now my doctor says that he has
found speckled blood cells in my urine.is
that a symptom of lupus or could this be
something more serious? he couldnt give me a
definite answer. he says he has to run more
tests. could to tell of the possibilities??
Dear Willie
Thanks for your questions.
I am not a nephrologist but I will try to answer your question.
As you know, Lupus is an autoimmune disease that can attack the kidneys. The antibody level in your system should rise if this is attack is acute as well as the protein leakage into the urine. If your doctors test are inconclusive as to the cause of the microscopic analysis shown red blood cells in your urine, ( not just a dip stick, too insensitive) then a hematuria work-up should be recommended especially if you have ever smoked or have a family history of genitourinary cancer. This usually includes an IVP, (a dye test to look at the kidney and ureters) a cystoscopy (a look in the bladder with a lighted telescope) and possibly a urine cytology (urine test for abnormal cells) . These test can turn up stones , tumors or possibly nothing. A person with a negative microscopic hematuria work-up does not require further work-up for another 3 to 5 years depending on their risk factors, i.e. a smoker etc.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: lupus , SLE, microhematuria work-up
