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Blood in urine with clots, colonoscopy, mucosal injury to urinary bladder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions

Doctor :   hi
Doctor :   how can i help you
User :   I have blood in my urine
Doctor :   how long
User :   some small clots as well
User :   started yesterday
Doctor :   what is your age?
User :   I have had episodes in the past
User :   48
User :   first episode was age 30
Doctor :   Do you have any renal stones in the past?
User :   kidney stones? no pain
Doctor :   yes
User :   no
User :   blood use to occur after long jog
User :   this just showed up
Doctor :   okay
User :   It is clear now, but then showed up after bowel movement
Doctor :   okay
Doctor :   were you diagnosed with any other medical condition
User :   postititus when younger
User :   then
User :   when 43 it came back
Doctor :   okay
User :   they did a scope and did not find anything
Doctor :   prostatitis?
User :   ya ya
Doctor :   have you undergone any clinical procedures for this condition
User :   neg

User :   yes
Doctor :   okay have you undergone any medical procedure like cystoscopy
User :   what is that
User :   ?
Doctor :   it i the test where physician introduces a tube through your penis to look at your urinary bladder and checks for any sort of abnormality
User :   Yes when I was 43
User :   it turned up negative
User :   It did not feel good
Doctor :   Okay
Doctor :   there are several reasons for blood in urine
Doctor :   it might be a simple problem
Doctor :   or sometimes it might a complicated one
Doctor :   but taking consideration of your age it might a benign condition
Doctor :   some times it might because of strictures, stones in bladder or any benign growth in your urinary bladder
Doctor :   when did you get this blood
Doctor :   whether before or after the urination
User :   OK
User :   the urine is mostly clean
Doctor :   okay
User :   there are some clues
User :   it is a little different this time
Doctor :   okay . let me know
User :   first of all, there was a little clot that came out at the beginning of urinating yesterday.
User :   this is different than the bloody urine that i had 6 years ago
User :   next
User :   i had a slightly larger clot this morning after waking, then clean urine
Doctor :   can you say the exaxt xolor of clot?
User :   but more blood after a bowel movement
Doctor :   *exact color
User :   cherry
Doctor :   apart from clot do you have any blood
User :   very small amounts
Doctor :   in your urine?
User :   years ago, the blood was more like the whole piss
User :   today it is just a very small amount, but with a clot
Doctor :   Dont you have any lower belly pain?
User :   neg
User :   I am pretty healthy, 180 lbs, 6'0"
Doctor :   okay
Doctor :   So apart from bloody urine you dont have any problem . is that right?
User :   dont drink
Doctor :   I appreciate you for your personal habits
User :   just structural stuff like a hip issue and a torn acl
User :   partially torn
Doctor :   okay
Doctor :   Do you smoke ?
User :   neg
Doctor :   that great
User :   desk job
Doctor :   okay
User :   lots of cafine
Doctor :   Have you had any urinary tract infection in recent days?
Doctor :   okay
User :   dont think so
User :   how would I tell?
Doctor :   have you had any episodes of fever or flank pain... which are symptoms of uti
User :   I have been very lucky. Wife and kid have had terrible coughs. I have been all well.
User :   traveling a little too much with job
Doctor :   it seems you are maintaining a very good health
Doctor :   okay
User :   this is wierd for me
User :   the blood
Doctor :   Do you have any other problems apart from blood in urine
Doctor :   yes i can understand .. it is worrisome
User :   ok i now that I think
User :   I have had colitis
User :   Blood in the stool
Doctor :   okay
User :   I have had two colonoscopies
Doctor :   are you taking any medication for your colitis?
Doctor :   okay
User :   no I was 24 yo
User :   went away
Doctor :   whats the result of your colonoscopies?
User :   but they want to do colonoscopies every 1-2 yrs???
Doctor :   okay
Doctor :  
Are you using any other medication for any other condition?
User :   they want to get one more polip they think is not an issue, could not get is last time
Doctor :   okay
User :   no medicines. If i get a sore hip from working out, I take ibuprofin
Doctor :   have you had colonic polyps earlier?
User :   I also do some weight liftin but not in the last two weeks. some of the weights are heavy like dead lifts in the 300+ weight range
User :   I never had anything chronic
Doctor :   okay
User :   just two colonoscopies that were good
Doctor :   how long have you been using this ibuprofen?
User :   I usually only take two or three and I am done
Doctor :   i am not asking about the dose
Doctor :   i am asking about the time?
User :   I use Ibuprofin for muscle joint pain when I get it. Not very often. But it has been our p/r of choice for 15+ years
Doctor :   okay
Doctor :   because chronic usage of ibuprofen supress platelets which increases bleeding tendency
Doctor :   thats why i am stressing on that
User :   sure
Doctor :   okay
User :   it is just that I did take last week!!! but only a couple
User :   If that was it that would be great
User :   right?
Doctor :   based on the information what you have given your condition might be because of mucosal injury of your urinary bladder
User :   but if it is that scope or worse - $hit!
User :   what is mucosal injury how is that caused stone?
Doctor :   Did you observe any weight loss in these recent days
User :   neg
Doctor :   okay
Doctor :   thats good
User :   do you not think it is prostate
User :   ?
Doctor :   if at all the mucosal injury because of stone , then you should get pain
Doctor :   But you dont have any pain
User :   for all practical purposes - no
User :   no pain
Doctor :   prostate infection usually leads to fever
User :   ok
Doctor :   you dont have even fever
User :   no fever
Doctor :   so it might be some benign polyp or just mucosal irritation of your bladder
User :   if it clears up real good, do you think it should still get scoped?
Doctor :   to get to know more about your condition you might need a physical examination by an urologist
User :   Lets talk worse case for a moment
Doctor :   if at all his physical examination is inconclusive , then obviously he goes for a cystoscopy
Doctor :   some times some complicated conditions like malignancy of bladder can also present like this
Doctor :   but it is common in older age people above 60 years
Doctor :   and you are having no weight loss which goes against malignancy
Doctor :   sometimes kidney malignancies also present with painless bleeding , but weight loss of atleast 10% of body weight and fevers usually accompanies that condition
Doctor :   are you there?
User :   what is my timing on need to get to a urologist?

User :   Sorry I was waiting for u
Doctor :   I am giving you all the information and possibilities.
User :   but do I need to get in like tomorrow??
Doctor :   My concern is not to frighten you , but make you more informative about your condition
User :   of course
Doctor :   Are you OK ..
User :   but I need to take action
User :   oh yeah i am great
Doctor :   You are having no weight loss and no fevers
Doctor :   No need to get worry
User :   hey I want to go swimming im my lake
Doctor :   Your condition looks like a very benign one
User :   I just dont know how fast I need to react
Doctor :   you can go to urologist within a week
User :   lets say the blood get worse? do I need to go to the emergency room?
Doctor :   depends on your time schedule
User :   I have a busy job
Doctor :   i prefer you to go for an appointment
Doctor :   But do not neglect
Doctor :   okay
User :   of course I am real worried
User :   but those urologist may be book out a few weeks
Doctor :   Mr. XXXXXXXX it is very rare possibility for you to get a complicated condition
Doctor :   because you are not a smoker or drinker
Doctor :   You can go to general physician also
Doctor :   he can exclude serious condition
Doctor :   By doing proper investigations
User :   ok
User :   the advise has been really great
Doctor :   IS there anythingelse, i can help?
User :   I just wanted to know - are you in the US?
User :   it would be ok if you are not
Doctor :   I am in India .
User :   wow
Doctor :   Please comeback to me online after investigation done .
User :   I have some great friends from india - thank you for your information
Doctor :   So that we can discuss further
User :   ok
User :   thank you
Doctor :   Is there anything else, i can help
User :   no
Doctor :   okay .
Doctor :   Continue your healthy life style .
User :   thanks
Doctor :   I appreciate you for that again and again .
User :   ok great
Doctor :   Have a good day.
User :   thank you and you too
Doctor :   Can i leave now.
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