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brown/ red particles in urine

Hi, I'm a 43 yr old female (never smoked in my life/ no meds). On Sept.1/2010 my I urinated pink urine. One week prior to this happenening I had pain in the right groin area, which extended to the right hip area and then to the right lower back. I did not consult a doctor when the pain started because I had recently been operated for a right femoral hernia (Aug.10/2010) and had just started working again, so I thought the pain was related to my recent surgery. After the blood appeared I consulted a urologist. He sent me for a CT scan (no dye used) and a urine analysis. He said the kidney's looked fine but possible small cystic lesions were seen on my liver and ovary and booked me for an ultrsound. The urine analysis came back totally normal. I will also be doing a cystoscopy in 2 weeks. My pain is almost all gone except a small bruise-like feeling on my very lower right back. Since Sept.1st I have been seeing small red/brown/dark particles in my urine on occasion. These particles appeared again last night. What can these particles be? If they are blood clots how could my urine analysis be normal? I am very worried and can not sleep at night. Any advice or info would be very appreciated. Thank-you.
2 Responses
Avatar universal
MEDICAL PROFESSIONAL
Hello,
From the symptoms this looks like blood in urine. Kidney stones are one of the commonest causes of su8ch symptoms but it has been ruled out in your case.
Blood in the urine can present in one of two ways: gross hematuria (blood that you can see in the urine), and microscopic hematuria (blood that is only seen when the urine is examined under a microscope). Both types can have serious causes. If you are passing different-shaped clots in your stream, they could represent bleeding from the urethra. Clots can be wormlike, and if associated with pain it could represent clots coming from your ureters(tubes from your kidneys to your bladder).

When the blood in the urine is at the beginning of urination, it most likely comes from the urethra, (the tube from the bladder to the outside). Blood throughout urination is most likely from the bladder or kidneys or ureters (the tubes connecting the kidneys and the bladder).

Diagnostic tests that may be performed include Urinalysis, Urine culture, X-rays of the kidneys, Cystoscopy, IVP, Abdominal ultrasound and CT scan of the abdomen.

I sincerely hope that helps. Take care and regards.






Avatar universal
Thank-you so much for taking the time to respond to my question.

I have since had an abdominal and bladder ultrasound. It confirmed a cyst on the liver, which I was told no treatment was nesessary for this, and the ovary and kidneys, etc seemed normal according to the doctor doing the ultrasound. I am scheduled to do a cystoscopy soon. I will keep you posted.

Thanks again for all your advice, I truly appreciate it.
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