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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Kidney Stones. Blood In Urine, Bloating, Headache, Back Pain. Source Of Blood?

I have had multiple kidney stones in my early 20s up unroll around 29-30. I'm 35 now. I had many lithotripsys along w/ a percutaneous removal through my kidney. Few days ago I realized my left kidney was hurting, few mins passed then realized it was most likely a stone due to groin hurting and back. Moved around pacing back n forth went per a lil to realize pretty bright blood in pee. Soon after pain was gone and I felt fine. Total of 20 mins. Figured I got lucky and passed it. Few days pass still no pain however I'm still passing blood in pee. My urine color goes from almost dark looking blood to redish blood then nothing, clear as can be. Question is my back had hurt 1 day, 5 days ago. However I'm still passing more blood in urine than I ever have. only symptoms I have currently as well as past week are Headaces, bloated along w/ unusual amounts of gas/air. Could it be a stone stuck and that's where the blood is coming from.? W/o any pain? I have had probably 15 stones from 2001 -2007/2008 most were removed surgically...I have passed few on my own. Or is it something else?
Tue, 13 Aug 2013
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Nephrologist 's  Response
Hi
Thanks for the query.
Common causes of blood in urine are infections, stones and cancer. In your case the first two seem more likely.
You need to get a urine exam and culture; CBC and an ultrasound or a CT Scan of the Kidneys and bladder to determine the cause.
Meanwhile keep yourself well hydrated.
Hope this helps
Good luck.
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Nephrologist Dr. Ilangovan Veerappan's  Response
The blood in urine in your case is very likely because of the kidney stones. It must have left some raw areas where bleeding is continuing. It usually is self limiting and not a cause of concern. What concerns me is the fact that you are having the stones repeatedly. Please do the following if not done before. If we narrow down the primary cause for recurrent stones, then you will have a peaceful years ahead.

Do 24 hour urine collections on three different days [yes ! repeat the urine tests on 3 different days! as urine tests can vary on a day to day basis more than blood tests] for creatinine, uric acid, calcium, citrate and sodium. Do serum calcium, albumin, PTH, TSH, T3, T4.

Consult your doctor for diet advice to prevent future stone recurrence. Do a CAT scan/ USG if hematuria persists. Blood in urine can occur without pain sometimes.
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History Of Kidney Stones. Blood In Urine, Bloating, Headache, Back Pain. Source Of Blood?

Hi Thanks for the query. Common causes of blood in urine are infections, stones and cancer. In your case the first two seem more likely. You need to get a urine exam and culture; CBC and an ultrasound or a CT Scan of the Kidneys and bladder to determine the cause. Meanwhile keep yourself well hydrated. Hope this helps Good luck.