I just started walking for fitness again, walking for 45 minutes and running for 5 minutes. On those occasions when I run for even just 5 minutes, it results in gross hematuria immediatly thereafter. If I just walk, there's no appearance of any blood in my urine. At one time, I ran 25 miles a week, with no problems. However, this started approximately 7 years ago. There is absolutely no occurrence of this unless I run, but even a brief run of a half mile causes substantial blood to appear. I'm only 25, but my father developed kidney cancer. A complete exam (IVP, cytoscopy, and urine analysis) seven years ago yielded no answers, and it was dismissed as due to the running. Should I have another complete exam?
Hematuria is the medical term for your condition. It is important to have a microscopic cell count done to determine if this amount of hematuria needs to have a full work-up. Above 3 RBC/HPF is suggestive of significant hematuria that needs work-up. You state that you have gross blood in the urine and this would necessitate a full work-up unless you have an infection or some other medical condition that would explain it. Are you taking anticoagulation meds? Are you sickle cell trait positive? Have you have any recent bacterial infections?
A full work -up consists of a history and physical to direct the studies, an IVP, a cystoscopy which should be done by a urologist, and a cytology looking for cancerous cells in the urine. Performing a cystoscopy immediately following running would be useful to help localize the site of bleeding. Given the amount of bleeding, I might consider an arteriogram (x-ray study of the blood vessels in your kidneys) if everything else is negative
You may well have idiopathic hematuria, simply meaning, we don
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
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. Med Help International, Inc. 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.