Kidney Disease & Disorders Community
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Avatar universal

Blood in urine but no infection

I am a 51 year old female with a history of high blood pressure and sleep apnea.  For the last three months I have experienced increasingly severe loss of energy so that I can barely function.  I have also had no appetite and have lost weight and muscle.  I do not need to lose weight.  I have only mild sleep apnea and use a CPAP so I don't think that should be causing the lack of energy and loss of appetite.  My blood pressure has been out of control for the last three months with my medication being changed three times, and yesterday the dosage doubled.  My blood pressue was 160/110 at my doctor's appt. yesterday.  Last month I had what I thought was a UTI, pain upon urination, urgency, pain in my urinary tract, etc and the urinalysis results were no infection but blood in my urine.  About a week later I developed edema in both feet, ankles and lower legs.  About two years ago I had the same thing,  Symptoms of a UTI, blood in my urine, and a shortwhile later the edema in both legs.  At that time I had a cat scan that showed 3 small kidney stones but nothing was happening with them.  My doctor determined that the edema was caused by my blood pressure medication and changed the medicqtion.  This last time my doctor thought it was caused by a sun burn.  He is sending me to have a cat scan of my kidneys, bladder and urinary tract and a 24 hour urine analysis. Is it possible the fatigue, weight loss and out of control blood pressure are related to a kidney problem?  Has anyone had similar symptoms and are these the right tests to find that out?  I hope someone can respond to this.  Thank you
1 Responses
Avatar universal

Kidney infections can cause blood pressure control to become deranged. The fatigue and weight loss can also be due to impaired renal function as well. The blood in the urine can be due to trauma to the kidney and ureters caused by the presence or passage of renal stones. This can be determined on an X-ray or CT scan.

Swelling in the feet and under-eye puffiness in the morning are also signs of impaired kidney function.

Unexplained blood and protein loss in urine can be due to certain immune system disorders, if the blood and protein are not accompanied by other factors such as kidney stones, infection, pain, etc.

One of these disorders, IgA nephropathy is characterized by painless hematuria (blood in urine) that presents during episodes of upper respiratory (colds) or gastrointestinal infection. This disorder is typified by the deposition of a protein in the vital kidney structures. This causes localized damage to microscopic kidney structures and can manifest as painless hematuria that is off and on. this condition can also manifest in other systems and can cause sleep disorders.

IgA nephropathy is confirmed after examination of kidney tissue obtained via a renal biopsy. This condition has no effective cure and is managed with steroids and control of blood pressure and cholesterol.

You should have the prescribed tests done and the results may throw more light on what is wrong with you.

Do keep us posted on your doubts and progress.
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