Urology Expert Forum
trace hematuria
About This Forum:

Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal
trace hematuria
I am a 41 year male who exercises regularly.  I had a routine UA and it resulted in a finding of 2 to 4 RBCs.  The specific gravity was 1.033 which was above the upper limit of 1.030.  However, this was morning urine and my urine throughout the day is clearly much less concentrated.  Doctor thinks that this is likely nothing other than joggers hematuria.  Additionally, I take 81mg of aspirin as prevention for heart disease as i have significant family history.  A couple of days before the test I took 650mg prior to a jog.

What would the appropriate testing be, if any, to follow up?  Cyctology?  CAT? etc?
Discussion is closed
Cancel
2 Answers
Page 1 of 1
438205 tn?1240962949
On the basis of this single urinalysis I would not make any decisions. I would get three separate MID-STREAM urinalyses at least a day apart. If two or more of these have more than the upper limit of normal RED CELLS (not just dip-stick positive), then I would recommend a full work-up for hematuria. This consists of a CT Urogram (specially tailored cat scan that shows early and late phases of the excretion of the x-ray dye), as well as a cystoscopy (looking into your bladder with a narrow telescope) to examen the inside of your bladder. X-rays do not well show the bladder lining) and I  would not assume that this is just "jogger's hematuria" without ruling out other causes. I recommend getting a urine cytology along with the rest of the work-up. Joggers can get tumors and make stones. The aspirin does not cause  bleeding in the urinary tract but may help to keep it going.
Good luck!
S.A.Liroff, M.D.
Discussion is closed
Cancel
Comment
Avatar universal
A related discussion, MUSCLE WEAKNESS AND ACHES THAT INCLUDES  PARTIAL PARALYSIS OF THE 3RD TO THE 2ND DIGITS OF THE FOOT AT ONSET OF PAIN was started.
Discussion is closed
Cancel
Comment
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now