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Urine infection in 4 yr old, blood in urine - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   Daughter age 4 has non visible blood in urine and I am worried
Doctor :   Hi
Doctor :   Iam.Dr.
Doctor :   May i know since when?
User :   My daughter has been tested for a urine infection but there isnt one present - the blood levels in her urine however on the dip stick were 0.96
User :   She has had blood in her urine on and off for about 3 years
Doctor :   OK
User :   The doctor has said that as its the 3rd time she will need to be scanned!
Doctor :   Did you do ultrasound abdomen?
User :   One is scheduled next week
Doctor :   yes it might be required
Doctor :   ok
User :   What levels are grossly abnormal?
Doctor :   Hematuria, or blood in the urine, can be either gross (visible) or microscopic (as defined by more than three to five red blood cells per high power field when viewed under magnification).
Doctor :   Despite the quantity of blood in the urine being different, the types of conditions that can cause the problem are the same, and the workup or evaluation that is needed is identical.
Doctor :   Microscopic hematuria, on the other hand, is most commonly detected as part of a periodic checkup by a primary-care physician.
User :   She is normally othewise well - is it common in girls?
Doctor :   not common
Doctor :   the causes should be investigated
Doctor :   it can be infection
Doctor :   growth in bladder
Doctor :   parasites in bladder etc
Doctor :   even tuberculosis
User :   The urine samples normally come back clear!
Doctor :   One cannot readily distinguish between blood originating in the kidneys, ureters (the tubes that transport urine from the kidneys to the bladder), bladder, or urethra
Doctor :   ok
Doctor :   The causes of gross and microscopic hematuria are similar and may result from bleeding anywhere along the urinary tract.
Doctor :   infection of urine stemming either from the kidneys or bladder, is a common cause of microscopic hematuria. Kidney and bladder stones can cause irritation and abrasion of the urinary tract, leading to microscopic or gross hematuria.
Doctor :   Trauma affecting any of the components of the urinary tract can lead to bloody urine
Doctor :   Hematuria can also be associated with renal (or kidney) disease, as well as hematologic disorders involving the body's clotting system.
Doctor :   Medications that increase the risk of bleeding, such as aspirin, warfarin (Coumadin), or clopidogrel (Plavix), may also lead to bloody urine
Doctor :   Lastly, cancer anywhere along the urinary tract can present with hematuria.
Doctor :   Treatments for hematuria vary widely and depend wholly upon the reason for the bleeding
Doctor :   did you understand?
Doctor :   It is important to note that there is often no source found for the hematuria
User :   Surely if it was anything too sinister it would have been diganosed by now she has been having this for 3 years!
Doctor :   This should not be a source of major concern, however, since an appropriate workup effectively rules out the most serious causes of hematuria (for example, cancer).
Doctor :   yes sure
Doctor :   A blood test to check kidney function and a blood-pressure check should be done as well.
Doctor :   It is important to note that there is often no source found for the hematuria.
Doctor :   anyway investigations like ultrasounds are necessary
Doctor :   Tests used for the diagnosis of blood in urine include a CT scan, cystoscopy, and urine cytology.
Doctor :   Management of blood in the urine depends upon the underlying cause.
Doctor :   so the cause is to be detected first
Doctor :   mostly in children it can be trauma in or near the genital region
Doctor :   even child masturbation can cause it
Doctor :   many cases of hematuria aren't serious
Doctor :   certain foods, including beets, rhubarb and berries, can cause your urine to turn red.
Doctor :   even stones in kidney can cause it
Doctor :   it can be seen by ultrasound of kidney and bladder
Doctor :   Bladder or kidney stones can also cause both gross and microscopic bleeding.
Doctor :   did you understand what i said?
Doctor :   Are You there?
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consulting bye for now....
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