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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Initially Diagnosed With Kidney Stones. Having Severe Pain. Suspecting Bladder Cancer. Urine Accompanied With Blood. No Help With Painkillers. Suggestions?

Father is hospitalized initial diagnosis was kidney stones sent home to return to hospital 1 day later with such sever pain was unable to walk to the car. Urologist suspected bladder cancer and ordered multiple tests ending In a cythascope showing no issues he remains hospitalized and pain is worsening despite morphine Nd other high intensity pain killers no ideas on what the issue is. Urination is consistently accompanied by blood
Sat, 5 Jan 2013
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Urologist,  's  Response
Hello
Thanks for your query.Since you have not furnished results of all the test what your father has undergone it is difficult to make any comment.Based on whatever facts you have stated it appears that he has painful haematurea most likely due to impaction of the blood clots in ureter (Clot Colic)Please get following investigation done to come to diagnosis.
1) Routine Urine Test
2) Ultrasound scanning of abdomen
3) Serum Creatinine and Blood Urea..
4) I.V..P
5 ) Contrast C.T Scan of Kidney Ureter and Bladder. to rule out any space Occupying Lesion.
Consult some Urologist for clinical assessment and further management.
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Initially Diagnosed With Kidney Stones. Having Severe Pain. Suspecting Bladder Cancer. Urine Accompanied With Blood. No Help With Painkillers. Suggestions?

Hello Thanks for your query.Since you have not furnished results of all the test what your father has undergone it is difficult to make any comment.Based on whatever facts you have stated it appears that he has painful haematurea most likely due to impaction of the blood clots in ureter (Clot Colic)Please get following investigation done to come to diagnosis. 1) Routine Urine Test 2) Ultrasound scanning of abdomen 3) Serum Creatinine and Blood Urea.. 4) I.V..P 5 ) Contrast C.T Scan of Kidney Ureter and Bladder. to rule out any space Occupying Lesion. Consult some Urologist for clinical assessment and further management.