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Suggest Treatment For Blood In Urine

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Posted on Tue, 2 Feb 2016
Question: I have had blood in the urine in may 15, july15, oct15, and now a major bleed from 21 dec 15 to date.
I was put on eliquis in april15, stopped by doctor on 21 dec for 2 days, restarted on 25th dec15, and again bled profusely. Admitted to emergency centre on 3 Jan16 with an urinary obstruction caused by blood clots. Stopped eliquis again on 3rd XXXXXXX and on 5thjan bleeding has stopped.
Eliquis was for AF on April 2015. Needed the paddles to regulate the AF.
Prior history of blood clots in lower leg in 1999, it was large and it lodged in femoral vein in groin. Removed by surgery. No blood thinners prescribed at that time.
Current age 72, treated over the last 10 yrs with crestor and olmetec plus. Since April 2015 on elequis and a beta blocker for the AF attack. I also have a 72% oversized prostate that had a TURPS in 2005, no problems with it since then.
Question: Is the bleeding coming from Prostate (ct scan shows a benign cyst) or from bladder?.
Can a urologist detect the bleed site now the bleeding has stopped?.
Does my prostate surgery in 2005 leave me pre disposed to a weakness to bleed with the Eliquis as the trigger.
Will surgery find or correct the problem. XXXXXXX
doctor
Answered by Dr. Matthew J. Mangat (1 hour later)
Brief Answer:
Prostate gland most likely to be cause for bleeding.

Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist,i can fully understand and share your concern.
As you've asked 4 questions,i'll answer each of them separately.

1. As the CT scan(contrast CT), shows no source of bleeding from kidneys or bladder, one should assume, it's from the obstructive prostate gland.
Benign cyst is unlikely source for recurrent bleeding.

2. Any Urologist should be able to localize the bleeding site.
Till then,check with your cardiologist, if the Eliquis can be stopped.

3.Prostate surgery doesn't make you pre-disposed to bleeding from any site.
But,Eliquis will precipitate bleeding from any site.

4.If the cardiologist and anesthetist, give you clearance for undergoing surgery for the obstructive prostate gland(TURP), you should have it at the earliest.
The Urologist will first do a cystoscopy, to confirm there's no other source for the bleeding, and then proceed with TURP.

Hope all your doubts are cleared.
You're welcome to clear any more doubts you may have.
Wishing you a speedy recovery.
Dr.Matthew J. Mangat.
















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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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Suggest Treatment For Blood In Urine

Brief Answer: Prostate gland most likely to be cause for bleeding. Detailed Answer: Hello XXXX and welcome to HCM. As an Urologist,i can fully understand and share your concern. As you've asked 4 questions,i'll answer each of them separately. 1. As the CT scan(contrast CT), shows no source of bleeding from kidneys or bladder, one should assume, it's from the obstructive prostate gland. Benign cyst is unlikely source for recurrent bleeding. 2. Any Urologist should be able to localize the bleeding site. Till then,check with your cardiologist, if the Eliquis can be stopped. 3.Prostate surgery doesn't make you pre-disposed to bleeding from any site. But,Eliquis will precipitate bleeding from any site. 4.If the cardiologist and anesthetist, give you clearance for undergoing surgery for the obstructive prostate gland(TURP), you should have it at the earliest. The Urologist will first do a cystoscopy, to confirm there's no other source for the bleeding, and then proceed with TURP. Hope all your doubts are cleared. You're welcome to clear any more doubts you may have. Wishing you a speedy recovery. Dr.Matthew J. Mangat.