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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Male. On And Off Blood Discharge With Clots In Urine After Having Sex. X-ray, Ultrasound Normal. Suggest

My wife and I just had intercorse and when I went to the bathroom I started to urinate blood. A dime size blood clot came out. I have been to the doctors and had blood test done nothing. I have had an ultrasound and a x-ray of my kiddney and blatter nothing. This has been happening off and on for the last month and a half. What else could it be. This time I was able to catch the blood clot.
Fri, 30 Aug 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

I suggest you need a urologic evaluation. It might be important to know exactly for how long you have experiencing these symptoms. How it starting, aggravating and relieving symptoms could be very useful in this case.
It is imperative to exclude a urinary tract infection, infection at the level of the semeniferous tubules and a lesion at the level of the bladder. Urine cultures and analysis and specific endoscopic and ultrasonographic analysis could help.
I suggest you consult your urologist. Kind regards,

Bain LE, MD
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General & Family Physician Dr. Manjeth Kumar G's  Response
Hello,
Welcome to Healthcaremagic.

I had gone through your query and understand your concern.

Blood in urine can be from any where in the urinary tract including kidneys, ureters, urinary bladder and urethra.
Any way blood in urine could be viewed as serious condition and management is necessary.

If the blod clot in urine is in diffrent shape, it may be due to bleeding in urethra or prostate,
If it is worm like, it may be due to bleeding in ureter.

If you have bleeding at beginning of urination, it is most likely from urethra (tube connecting bladder to outside)
If you have blood in urine, it is most likely from kidney, bladder, or Ureter ( tube connecting kidney and bladder).

How ever most common cause is infection and stones.
Stones are commonly associated with abdominal pain.
You do not have any abdominal pain and your ultrasound and X-Ray is also normal.
So stones we can rule out stones.

Blood in the urine in anyone over the age of 45, especially in people who smoke, should warrant full urologic evaluation because the most common cause of blood in the urine in this group of people is bladder cancer.
Thus you need full urological evaluation.

You need some more investigations to be done.
1. Urine routine ( Urine Analysis )
2. Urine culture and sensitivity
3. Cystoscopy and tissue may be taken for biopsy

If it is a infection, Antibiotics will be prescribed.
Please review with reports to an urologist.

Hope this helps.
If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards,
Dr.Manjeth.
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Male. On And Off Blood Discharge With Clots In Urine After Having Sex. X-ray, Ultrasound Normal. Suggest

Hi and thanks for the query, I suggest you need a urologic evaluation. It might be important to know exactly for how long you have experiencing these symptoms. How it starting, aggravating and relieving symptoms could be very useful in this case. It is imperative to exclude a urinary tract infection, infection at the level of the semeniferous tubules and a lesion at the level of the bladder. Urine cultures and analysis and specific endoscopic and ultrasonographic analysis could help. I suggest you consult your urologist. Kind regards, Bain LE, MD