Microscopic Hematuria, Lower Left Adbdomen Discomfort

[JuanchoBT]

I am a 26 year old male with microscopic hematuria. Before I went to any doctor, I was feeling this weird discomfort in my lower abdomen. It felt like I was wearing a tight belt. I thought it was constipation so I drastically went on a high fiber diet. After that I was able to have a proper bowel movement for 7 days straight, but the weird discomfort was still there.

This time, I was able to pinpoint the location at my lower left abdomen. It feels like something is swollen there whenever I bend to the left side while standing with my legs straight. I don't feel any severe pain, just that weird feeling that something is either swollen or getting stuck on my lower left abdomen. I especially feel it when I slouch or I bend over to my front-left side.

I went to a urologist and after an ultrasound test, he said that the size of my prostate is almost above normal. He also gave me a uroflowmetry test and the results showed that the strength of my urine flow is lower than the average, so he said that I might have a prostate problem and it might also be the reason for the symptoms I was feeling.

After about 3 weeks he gave me different antibiotics, the first ones were the prostate relaxant and an antibacterial medicine, and the next one was something to clean my urinary tract. After I took these medicines, I still had microscopic hematuria and my lower left abdomen discomfort was still present. The doctor also said that I might need cystocopy in order to trace the source of bleeding.

What could the possible causes of these symptoms I have?

After long, careful thinking and reflection, I feel like excessive ejaculation (4 to 7 times in a week) might be the cause of my problem, since I have been doing it for more than 7 years. But I have stopped for more than a week now and I still have microscopic hematuria and my lower abdomen discomfort. I don't take drugs, I don't smoke, although I have an unhealthy diet (meat lover).

[JuanchoBT]

Thank you for your thoughts ma'am. I'm sorry if I misled you, but I accidentally posted 2 topics here on the Urology community. I've had some earlier discussions here:

http://www.medhelp.org/posts/Urology/Microscopic-Hematuria--Lower-Left-Adbdomen-Discomfort/show/1937164#post_9056165

Here are some of the tests I've had.

- Ultrasound (pre and post void); result: aside from mild urinary retention, almost everything was normal, but the urologist told me that my prostate was almost above the normal size, so he gave me an antibiotic and a prostate relaxant

- Urinalysis (about 3 times); result: microscopic hematuria for the first few tests so the doctor gave me something to stop the bleeding. Then for my last test which was about  5 days ago, the trace of blood was gone, but my lower left abdomen discomfort was still there

- Creatinine blood test; result: normal

I found someone on the internet which perfectly described the weird feeling in my lower left abdomen as something like a "small balloon with air inside" whenever I bend over to my front-left side (you can see it in the other topic that I posted here). Somehow it's more of like a pressure feeling or a muscle pressure rather than pain.

There isn't any major pain at all, or something that I can consider as pain itself. Another observation is that I would have this strong yellow urine once or twice a day. Also, when I give a little push to the spot where I feel the discomfort (lower left abdomen, below my belly button), I wouldn't feel the pressure when I bend over.

What bothers me is that there are some days whenever I slouch or sit down on a chair, the muscles in my lower abdomen would feel tired or exhausted from sitting, and I would feel like I'm wearing tight pants.

I really don't know what this is and it's frustrating me and giving me anxiety. I've been feeling this since like late February. Could this really be a problem in my urinary tract, since I had microscopic hematuria, or could it be caused by something else?

[S. Kaul, MD]

Hi there!

Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. Possible causes that may need to be considered include GI/ GU infections, inflammations, growths/ masses such as prostatic enlargement, neuro-muscular issues etc.; while haematuria could be related to renal causes such as infection, inflammation, calculi, growths, haematological causes etc. Ejaculation is unlikely to be responsible for the symptoms. It would be best to consider a detailed evaluation by an internist and a urologist for an accurate diagnosis and appropriate management.
Hope this is helpful.

Take care!