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Blood in urine. Ultrasound for kidney stones done, shows mild pelvic fullness in both kidneys without frank hydronephrosis. What does this mean?

My 10 yr old son went to the emergency room last nigh because he was urinating blood. He had an ultrasoud of his kidneys to check for possible kidney stones . We will be getting an appointment with a nephrologist in the next week or two, but I was concerned about the findings from the ultrasound . The ER doctor said it could be normal, but that makes me feel that it could also be something else. What does mild pelvic fullness is noted in both kidneys without frank hydronephrosis mean? Thanks.
Asked On : Tue, 10 Jul 2012
Answers:  2 Views:  258
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General & Family Physician 's  Response
Hi scruggsm.

Your son had acute onset blood in urine.there are so many causes of it but the most common are-Renal stone,ureteric stone,bladder stone,may be stone in the urethra,acute post streptococcal glomerulonephritis and other type of kidney infection,UTI,ingestion of any drug like aspirin,tumor in the kidney,rarely bleeding disorders.
But it seems to be from renal stone.

Do some investigation like-USG-KUB,Urine for routine,blood for count,urea,creatinine,bleeding and clotting time as early as possible and consult a urosurgeon or a nephrologist for opinion.

Mild pelvis fullness is a vague term it can not make any diagnosis but in renal stone mild pelvic fullness is seen.And hydronephrosis means if a stone obstruct renal pelvis outlet then urine can not drain properly and it become swollen that is called hydronephrosis.It is a bad sign as due to back pressure of stored urine kidney function gradually deteriorate.

Best wishes,

Dr Sourav Ganguly
Answered: Tue, 10 Jul 2012
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Nephrologist Dr. Bakshish Singh's  Response
Kindly mention whether his blood in urine was associated with any pain or not. If it was painless than it could be due to kidney disease like IgA nephropathy. Stone usually cause painful he atria that is blood in urine. Also was the urine examined for any associated protein loss? The ultrasound report is grossly normal.
Answered: Sat, 14 Jul 2012
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