Background info: I am a 30 year old female with no history of kidney issues. I had several UTI's as a child, but none since elementary school. I am overweight, have hypothyroidism, and PCOS.
For a little over a year, i have been experiencing what I thought was just an anxiety symptom. I will urinate and then, by the time I have wiped and am pulling my pants up, I feel like I have to go again, but nothing comes out (maybe a drop or two). I do this up to 3 times. This doesn't happen all the time, but usually about 1x day. In the fall, I began having intermittent pains in my left side that I can only describe as similar to a stitch in your side that you get after running. It is either under my left rib or behind my ribs on the left side. This would happen 1-2 x month. I was evaluated by my family doc in November and he thought it was a muscle strain. 10 days ago, I began having these "episodes" all day. My side would have a dull ache all day and would be a sharp pain any time I took a deep breath or laughed. Out of the 10 days, 7 were pretty bad and the others were less so. The last day that it was really bad was on Monday. The doctor found microscopic hematuria and I have what he described as a lump that he can feel in my back below the ribcage. It hurts when he pressed there and in front under my ribs. He sent me for a CT scan to check for kidney stones and this came back normal and no signs of infection were found in the urine. I am supposed to go back in a week for another urinalysis to check for blood. Since I saw the doctor, I have been passing white pieces of tissue in my urine intermittently. These range in size from a speck to about the size of a dime. They are white, except for one was pink and white. I am not on my period, but it is due in the next week or so. However, I have never passed tissue on my period except for on the day it starts and it is usually gray and red in color. The past two days, I have had some lightheadedness and fatigue. I have also gotten short of breath when doing housework (putting away dishes and laundry).
My question is, should I ask for a referral to a urologist? Could there be something wrong with my kidneys that would not show up on the CT scan or urinalysis?
Thank you for your help.