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Suggest Treatment For Blood In Urine, Headaches And Chills

Posted on Thu, 25 Jun 2015

Question: I went to the ER with what I felt was uti and kidney stone. After urin dip and ct, I was told yes i had a uti and a kidney stone that was 4mm in lower pole of r kidney. I have a histiry of stones and infections resulting in removal and stents. Saw a urologist next morning told i had blood in urine and i should continue cipro. She said she thiught i had a uti and had passed a stone. Got worse over next few days and cane back in. Doctor said culture was negative and stop cipro. Was tild i had now more blood in urine to much to count. Set up for ct with contrast two days frim now. Feekung witse body hurts, righ side hurts, sever headaches, nausiated, chills no fever, bp 90/51 hr 70, very weak. 39 years old, 106 lbs. Doctor is unsure what is wrong.

Answered by Dr. Matthew J. Mangat (32 minutes later)

Brief Answer:
It's advisable to see urologist and get admitted in hospital.

Detailed Answer:
Hello and welcome to HCM. Ms.,you should see a urologist at once,as your B.P. is on the lower side and with blood in urine with chills,R.flank pain and nausea with headache, you may be advised treatment in hospital.apart from routine blood tests, you will need the B.P.,to be stabilsed. kidney function tests, like CBC,s.creatinine,urea,blood sugar,platelets,a coagulation profile like BT,CT,PT,Uric acid,and electrolytes are tested.As your contrast CT is posted after2 days, it's best you remain in hospital, where your treatment is supervised by medical personnel.The contrast CT will be able to rule out any stone between kidney and bladder.
Wish you a speedy recovery.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Matthew J. Mangat (33 hours later)

Ct with contrast showed 4mm stone amd body full of stool. PA said follow upurin showed 5 of blood on dip. Unsure what the problem is and dosemg know what to say, told mr she would serk second opinion snd call me back but did mot.

Answered by Dr. Matthew J. Mangat (15 minutes later)

Brief Answer:
a 4mm stone on CT scan should flush out.

Detailed Answer:
Hello XXXX and welcome again.
if the contrast CT showed only a 4mm stone, you don't have to worry at all. In almost 90per cent people,the stone will flush out. A stone dissolving syruo of potassium magnessium citrate may be used ,and drink about 3 liters of liquids daily. The blood in urine is most likely due to the stone. Now you don't need to check your urine also.

If you have any doubts ,contact me.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Matthew J. Mangat (13 minutes later)

Hi. The doctor PA said the stone is in the lower pole of the kidney and would not cause the blood. She said i still have sugnificante blood in urine. She is unsure why.

Answered by Dr. Matthew J. Mangat (3 hours later)

Brief Answer:
ethamsylate tablets are effective to stop bleeding.

Detailed Answer:
Hi XXXX.
The CT scan is a definitive test and only shows a 4mm stone in lower pole of L. kidney. there's nothing else seen on scan, so don't worry at all. when the stone moves around , it can lead to bleeding. if you're having significant bleeding, you should undergo a cystoscopy test as well. further advice can be given after doing this test. Ensure the doctor you're seeing is a qualified Urologist, not a surgeon practising urology.A hemostatic drug may also be prescribed such as, ethamsylate tablets.
wish you a speedy recovery.

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad