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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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8 Yr Old Diagnosed With Hematuria, Complains Of Stomach Pain. Renal Ultrasound, Cystoscopy Normal. Cause ?

HI, I HAVE AN 8 YR OLD DAUGHTER..SHE HAS RECENTLY BEEN DIAGNOSED WITH HEMATURIA ..CAUSE UNKNOWN..SHE HAS HAD A RENAL ULTRASOUND AND A CYSTOSCOPY PERFORMED WITH ALL NORMAL RESULTS..HOWEVER, SHE CONTINUES TO COMPLAIN OF STOMACH PAIN. IS IT POSSIBLE THAT SHE COULD HAVE SOME SORT OF G.I. ISSUE GOING ON..AND WOULD ANY THAT YOU ARE AWARE OF CAUSE BLOOD IN THE URINE?
Fri, 26 Oct 2012
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Pediatrician 's  Response
good evening, first thing that comes to mind about hematuria is urinary tract infections, if u have done a urine rouitne test and a urine for culture and sensitivity test and if they r normal then UTI will be ruled out, if its not done , get it done at once and treatment should be started if its UTI. secondly get a 24 hr urinary protein test a renal function test serum total cholesterol test CRP, throat swab ,ASLO titres and get her blood pressure checked. i want to rule out other two most commonest causes for hematuria- nephrotic syndrome and nephritic syndrome. i even want to know if she is on amny long term medications, ur data provided is not com[plete. rule out any local injury to the genitals. come back with the report and detailed history and symptoms.
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Dentist Dr. Neha Gupta's  Response
Hello,

Thanks for posting your query.

According to medical experts, some amount of red blood cells (RBCs) are considered perfectly normal in the urine. This is so because millions of dead RBCs are discharged through the urine every day, as the body gets rid of inefficient and dead blood cells. In medical terminology, blood in the urine is called hematuria. Hematuria is generally of two types; microscopic hematuria and macroscopic hematuria. In microscopic hematuria there is an abnormal count of red blood cells, but it can't be visualized by the naked eyes. In macroscopic hematuria, also known as gross hematuria, the amount of blood cells is enough to cause significant changes in the color of the blood turning it from red to pink or brown.

To be diagnosed for hematuria, a child has to go through various tests. These include blood tests and cystoscopy, that is a test in which the urinary bladder and urinary tracts are examined through the urethra with the help of a viewing tube.

The treatment of hematuria involves a critical study of the patient's medication history and diagnostic tests. The urologist will determine the type of treatment based on the information gathered through repeated tests and medical history of the child.

Regards.
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Urologist Dr. G.Srinivasan's  Response
Hi,

Welcome to HCM.

It is extremely unlikely for a GI disease to manifest as hematuria.
If scan and cystoscopy are normal, it is most probably urinary tract infection.
If a course of antibiotics does not solve the issue, she needs to be evaluated by a nephrolgist to look for what is called GLOMERULONEPHRITIS/ NEPHROTIC SYNDROME.

Regrads
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8 Yr Old Diagnosed With Hematuria, Complains Of Stomach Pain. Renal Ultrasound, Cystoscopy Normal. Cause ?

good evening, first thing that comes to mind about hematuria is urinary tract infections, if u have done a urine rouitne test and a urine for culture and sensitivity test and if they r normal then UTI will be ruled out, if its not done , get it done at once and treatment should be started if its UTI. secondly get a 24 hr urinary protein test a renal function test serum total cholesterol test CRP, throat swab ,ASLO titres and get her blood pressure checked. i want to rule out other two most commonest causes for hematuria- nephrotic syndrome and nephritic syndrome. i even want to know if she is on amny long term medications, ur data provided is not com[plete. rule out any local injury to the genitals. come back with the report and detailed history and symptoms.