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Chances of hematuria with prolonged use of niacin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Can niacin cause hematuria?
Doctor :   Hi
User :   hi
Doctor :   I am Dr.XXX here
User :   thanks
Doctor :   Since when are you taking Niacin?
Doctor :   and what is the reason
User :   5 years...just changed type
User :   raise hdl
Doctor :   Ok
Doctor :   May I know your age?
User :   72
Doctor :   Ok
Doctor :   So have you confirmed about hematuria?
User :   yes...not nephritic looking cells...normal red cells
Doctor :   Ok
Doctor :   Niacin does cause that problem
Doctor :   but you have been on it for 5 year
Doctor :   is it the first time you are noticing it?
User :   age plus drug effect?
User :   yes
Doctor :   Ok
Doctor :   You have put it rightly
Doctor :   age plus drug effect
Doctor :   Have you been examined for prostate gland problems?
User :   so I should wait a while off the drug before all the fancy testing for cancer. I feel fine; and yes, I have..I have a large prostate but no nocturia ...on finesteride
Doctor :   Ok
Doctor :   Enlarged prostate gland can cause this problem
User :   triple hit?
Doctor :   Sorry, I could not get you
User :   age plus niacin plus enlarged prostate....rather than cancer
Doctor :   Yes, it is possible
Doctor :   but a consultation in person would be required
Doctor :   for confirmation
Doctor :   also certain imaging studies will be required
User :   so I will prudently wait on the cancer workup.. or are suggesting I go ahead with cystoscopy and renal imaging right now?
Doctor :   First a examination would be required by the Urologist
Doctor :   then, further tests which you mentioned will also be done
User :   thank have been very helpful
Doctor :   for the benefit of doubt
User :   bye
Doctor :   Do you have any other queries?
User :   no...thanks again
Doctor :   I wanted to ask you a few more questions,
Doctor :   is that fine?
User :   ok
Doctor :   About the pain, appetite, weight changes, if you have noticed of late?
User :   none...healthy as a horse
Doctor :   That is a positive sign
User :   i like it
Doctor :   Before ending, do discuss about the possibility of bleeding problem as well
Doctor :   when you meet the doctor
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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