Aa
please help me!
Hello, I am 36 years old male.
It is 3 months that I have burning, frequent urination, back-pain at L5S1 region (not in kidney regions!) and blood in urine from time to time.
So far I have been to 4 urologists with the following results:
Urologist 1: on ultrasound of prostate gland he saw white spots and said this is prostate gland infection.
He prescribed doxycyline, I used for 3 weeks but no improvement.
Urologist 2: He said it is pelvic pain syndrome. He looked at prostate semen under a microscope and said there is no infection.
Urologist 3: He did blood test . PSA was elevated, 1. 86. For my age of 36, normal value is less than 1.4.
CT scan of kidney, bladder and urinary tract was done. There was a 5 cm stone in the left kidney.
The radiologist was suspicious about bladder wall thickening and suggested cystoscopy.
I did cystoscopy and the result was normal.
I did urine cytology also and the result was negative.
In my urine tests, there was no infection. The urologist diagnosed me chronic prostatitis.
I had SWL for my kidney stone 3 weeks ago.
Urologist 4: He inserted his finger in my rectum and said the prostate is very tender and said I have pelvic floor
dysfunction.
From time to time when I do urine analysis with a dipstick, I see non-hemolyzed tiny dots on the golden color strip.
This shows existence of blood.
As far as I know and many urologist professor told me, pelvic pain syndrome, chronic prostatatis does no cause blood in urine. Hence, I am very suspicious for the diagnosed made by the 4 urologists.
I had SWL for my kidney stone 3 weeks ago and if the blood continues to be in urine, then kidney stone cannot be the reason anymore.
What is the cause of blood my urine? Please help me... I am very depressed. It is 3 months that I have burning urination, frequent urination and back pain at L5S1 region and blood in urine from time to time.
No doctor found the reason and the treatment.
Can it still be bladder cancer in spite of negative cytology and normal cystoscopy?
Please help me,.. I cannot even sleep at night due to depression.
It is 3 months that I have burning, frequent urination, back-pain at L5S1 region (not in kidney regions!) and blood in urine from time to time.
So far I have been to 4 urologists with the following results:
Urologist 1: on ultrasound of prostate gland he saw white spots and said this is prostate gland infection.
He prescribed doxycyline, I used for 3 weeks but no improvement.
Urologist 2: He said it is pelvic pain syndrome. He looked at prostate semen under a microscope and said there is no infection.
Urologist 3: He did blood test . PSA was elevated, 1. 86. For my age of 36, normal value is less than 1.4.
CT scan of kidney, bladder and urinary tract was done. There was a 5 cm stone in the left kidney.
The radiologist was suspicious about bladder wall thickening and suggested cystoscopy.
I did cystoscopy and the result was normal.
I did urine cytology also and the result was negative.
In my urine tests, there was no infection. The urologist diagnosed me chronic prostatitis.
I had SWL for my kidney stone 3 weeks ago.
Urologist 4: He inserted his finger in my rectum and said the prostate is very tender and said I have pelvic floor
dysfunction.
From time to time when I do urine analysis with a dipstick, I see non-hemolyzed tiny dots on the golden color strip.
This shows existence of blood.
As far as I know and many urologist professor told me, pelvic pain syndrome, chronic prostatatis does no cause blood in urine. Hence, I am very suspicious for the diagnosed made by the 4 urologists.
I had SWL for my kidney stone 3 weeks ago and if the blood continues to be in urine, then kidney stone cannot be the reason anymore.
What is the cause of blood my urine? Please help me... I am very depressed. It is 3 months that I have burning urination, frequent urination and back pain at L5S1 region and blood in urine from time to time.
No doctor found the reason and the treatment.
Can it still be bladder cancer in spite of negative cytology and normal cystoscopy?
Please help me,.. I cannot even sleep at night due to depression.
Hi Me,
As usual Jemma has offered you some excellent suggestions.
I wanted to chat a bit about your DX (Diagnosis). If I understand your post correctly it was determined that you have Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Your SX (Symptoms) do fit.
The following is from a trusted site: "Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic or perineal pain without evidence of urinary tract infection, lasting longer than 3 months, as the key symptom.....Pain can range from mild to debilitating. Pain may radiate to the back and rectum, making sitting uncomfortable. Pain can be present in the perineum, testicles, tip of penis, pubic or bladder area. Dysuria (painful urination), arthralgia (Sharp, severe pain, extending along a nerve or group of nerves), myalgia (muscle pain), unexplained fatigue, abdominal pain, constant burning pain in the penis, and (urinary) frequency may all be present."
I added some explanation () of the words used to describe your condition in the above notation.
You've had some excellent diagnostic testing. It looks like they have covered all the bases. In my opinion anyone of these tests would have at the very least hinted at bladder cancer if you had it. As Jemma said only your Physician can address your concern.
You may have had an infection that Urologist 1 DX - which may have just been a incidental finding and though important - not solely responsible for your SX. The ATB (antibiotic) cleared that infection - so when Urologist 2 viewed the Prostrate Semen and found no infection. Urologist 3 - did the PSA which was slightly elevated. An inflamed prostate, often will elevate PSA levels. Urologist 4 actually confirmed Urologist 2 and 3s DX. He just said it differently. I'd think that it's a pretty solid DX.
Microscopic hematuria (blood) in the urine can come from a multitude of reason. If you believe your dip stick strips are accurate than you need to return to your Urologist to determine the cause. You understand that the
Extracorporeal Shock Wave Lithotripsy (ESWL) you had did not remove the 5mm stone - it broke it up so it could pass in smaller pieces. It can take weeks or more for your body to actual pass these smaller stones. As they pass through the urinary track they can "scratch" and irritate the delicate tissues causing microscopic hematuria. That would account for the dip stick readings.
Stones can also form quickly - so you may have another one. I've rerely had a scan that didn't reveal one or more stones - even after I've passed one. (Fun! - Not!) As Jemma wisely suggested - another ultra-sound may be beneficial or at least ease your mind.
In summary - and as Jemma suggested - I too suggest you return to your Urologist. I think you're okay - but you need a physician to ease your fears and concerns. Life is way too short to live it with/in fear my friend.
Please let us know how you are doing - and feel free to ask additional questions. We'll do our best to reply.
Peace,
~Tuck
As usual Jemma has offered you some excellent suggestions.
I wanted to chat a bit about your DX (Diagnosis). If I understand your post correctly it was determined that you have Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Your SX (Symptoms) do fit.
The following is from a trusted site: "Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic or perineal pain without evidence of urinary tract infection, lasting longer than 3 months, as the key symptom.....Pain can range from mild to debilitating. Pain may radiate to the back and rectum, making sitting uncomfortable. Pain can be present in the perineum, testicles, tip of penis, pubic or bladder area. Dysuria (painful urination), arthralgia (Sharp, severe pain, extending along a nerve or group of nerves), myalgia (muscle pain), unexplained fatigue, abdominal pain, constant burning pain in the penis, and (urinary) frequency may all be present."
I added some explanation () of the words used to describe your condition in the above notation.
You've had some excellent diagnostic testing. It looks like they have covered all the bases. In my opinion anyone of these tests would have at the very least hinted at bladder cancer if you had it. As Jemma said only your Physician can address your concern.
You may have had an infection that Urologist 1 DX - which may have just been a incidental finding and though important - not solely responsible for your SX. The ATB (antibiotic) cleared that infection - so when Urologist 2 viewed the Prostrate Semen and found no infection. Urologist 3 - did the PSA which was slightly elevated. An inflamed prostate, often will elevate PSA levels. Urologist 4 actually confirmed Urologist 2 and 3s DX. He just said it differently. I'd think that it's a pretty solid DX.
Microscopic hematuria (blood) in the urine can come from a multitude of reason. If you believe your dip stick strips are accurate than you need to return to your Urologist to determine the cause. You understand that the
Extracorporeal Shock Wave Lithotripsy (ESWL) you had did not remove the 5mm stone - it broke it up so it could pass in smaller pieces. It can take weeks or more for your body to actual pass these smaller stones. As they pass through the urinary track they can "scratch" and irritate the delicate tissues causing microscopic hematuria. That would account for the dip stick readings.
Stones can also form quickly - so you may have another one. I've rerely had a scan that didn't reveal one or more stones - even after I've passed one. (Fun! - Not!) As Jemma wisely suggested - another ultra-sound may be beneficial or at least ease your mind.
In summary - and as Jemma suggested - I too suggest you return to your Urologist. I think you're okay - but you need a physician to ease your fears and concerns. Life is way too short to live it with/in fear my friend.
Please let us know how you are doing - and feel free to ask additional questions. We'll do our best to reply.
Peace,
~Tuck
The SWL, extracorporeal shock wave lithotripsy breaks down the kidney stone into small pieces so that these can move through the urinary tract so that they can be excreted from your body when you urinate.
As you are finding traces of blood on the urine dips stick, still having back and pelvic pain with burning and frequent urination, it is highly likely that you are still passing small pieces of the stone. A stone can be as small as a grain of sand, but will still cause problems and the discomfort as it moves along the urinary tract and passes through your urethra when you urinate.
Having said that, when you experience the frequent the burning sensation when urinating with frequent urination, you should make an urgent appointment with the doctor to examine you. Take a morning mid stream sample of urine that should be in a sterile container (the surgery may provide you with one) so that the doctor can identify if there is any infection or nitrites and also send the sample to the laboratory for analysis. Although the dip sticks are a good indicator of any problems, the laboratory analysis is more accurate and can sometimes pick up problems that the dip stick does not. The laboratory test can also identify the particular bacteria that was causing any infection and advise your doctor on the appropriate antibiotic, if this was required.
If it is a kidney stone passing through, there is not much you can do about the discomfort, apart from taking pain relief medications.
If the burning urination is caused by acidic urine, you could try a drink of Bicarbonate of Soda to reduce the acidity. Drinking freshly squeezed lemon juice in water may also help.
For the Bicarbonate of Soda relief, mix 1 teaspoonful of Bicarbonate of Soda in a glass of water and drink this straight away. You can do this 3 times with an hour in between each dose and no more.
Drinking cranberry juice may also help - Personally I have not drunk cranberry juice for any urinary problems.
The symptoms of the frequent urination could be due to your chronic prostatitis. If you experience an urge to urinate and no urine will come or just trickles out, do be aware that this is can be due to the prostate blocking the flow of urine and you would need to go to the ER urgently.
There are a number of reasons for frequent urination. But if you are also having symptoms of excessive thirst, it may be a good idea to get checked out for diabetes, just to rule this out.
Have you had an ultrasound scan done or the dye xray to see if all the kidney stones have now been excreted? If not, it may be worth asking your doctor or urologist to refer you for an ultrasound scan to check your urinary tract.
Do not reduce your intake of fluids and follow the advice of your urologist with regard to how much you should be drinking. It is important to drink water to help flush out any small remaining stones. The usually recommendation is 2 litres of water a day (about 4 pints). Urinate into a clean glass jar and look at the urine to see if any sediment or grains of sand form at the bottom.
With regard to your concern about bladder cancer, this is something you should speak to your doctor or urologist about.
Let me know how you get on.
Hope everything settles down soon.
Best wishes.
As you are finding traces of blood on the urine dips stick, still having back and pelvic pain with burning and frequent urination, it is highly likely that you are still passing small pieces of the stone. A stone can be as small as a grain of sand, but will still cause problems and the discomfort as it moves along the urinary tract and passes through your urethra when you urinate.
Having said that, when you experience the frequent the burning sensation when urinating with frequent urination, you should make an urgent appointment with the doctor to examine you. Take a morning mid stream sample of urine that should be in a sterile container (the surgery may provide you with one) so that the doctor can identify if there is any infection or nitrites and also send the sample to the laboratory for analysis. Although the dip sticks are a good indicator of any problems, the laboratory analysis is more accurate and can sometimes pick up problems that the dip stick does not. The laboratory test can also identify the particular bacteria that was causing any infection and advise your doctor on the appropriate antibiotic, if this was required.
If it is a kidney stone passing through, there is not much you can do about the discomfort, apart from taking pain relief medications.
If the burning urination is caused by acidic urine, you could try a drink of Bicarbonate of Soda to reduce the acidity. Drinking freshly squeezed lemon juice in water may also help.
For the Bicarbonate of Soda relief, mix 1 teaspoonful of Bicarbonate of Soda in a glass of water and drink this straight away. You can do this 3 times with an hour in between each dose and no more.
Drinking cranberry juice may also help - Personally I have not drunk cranberry juice for any urinary problems.
The symptoms of the frequent urination could be due to your chronic prostatitis. If you experience an urge to urinate and no urine will come or just trickles out, do be aware that this is can be due to the prostate blocking the flow of urine and you would need to go to the ER urgently.
There are a number of reasons for frequent urination. But if you are also having symptoms of excessive thirst, it may be a good idea to get checked out for diabetes, just to rule this out.
Have you had an ultrasound scan done or the dye xray to see if all the kidney stones have now been excreted? If not, it may be worth asking your doctor or urologist to refer you for an ultrasound scan to check your urinary tract.
Do not reduce your intake of fluids and follow the advice of your urologist with regard to how much you should be drinking. It is important to drink water to help flush out any small remaining stones. The usually recommendation is 2 litres of water a day (about 4 pints). Urinate into a clean glass jar and look at the urine to see if any sediment or grains of sand form at the bottom.
With regard to your concern about bladder cancer, this is something you should speak to your doctor or urologist about.
Let me know how you get on.
Hope everything settles down soon.
Best wishes.
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