Is it normal if there is blood in urine but no pain when having kidney stone?
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I have been urinating blood for almost to weeks tomorrow. I have been to the ER twice and finally they contacted the urologist here and he wanted to see me and wanted a CT with and without contrast. It showed a kidney stone of 3cm or 3mm, don't know much about which is bigger, but they said it was too big to pass. I went to his office the next day and he scoped my bladder and didn't see anything wrong. Of course when I went I stopped the bleeding so he couldn't see where it was coming from. He said it was out of the kidney and asked if I had any pain. I told him I had had some left flank pain and low back pain, but no right pain where the stone was. He scheduled me for blasting it last Wednesday, but then they cancelled it and re-scheduled it for this Wednesday. I see blood on and off and still no pain. Today I am urinating a lot of blood and I am worried because there still isn't any pain and more blood. Is this normal to have a stone and no pain? Could the blood be from something else? He said the kidneys looked ok from the CT.I have been lying down all night and not up moving around and still seeing lots of blood.
Posted Thu, 26 Dec 2013 in Men's Health
Answered by Dr. Shailja Puri 48 minutes later
Brief Answer: Stone is the most probable cause of blood in urine Detailed Answer: Hello, Thanks for posting your query on XXXXXXX Kidney stones are usually associated with pain. The pain is experienced when the stone passes down from the kidney to the urinary bladder via the ureter. However, there are other causes of blood in urine. Lesion in the bladder e.g. bladder growth are known to cause blood in urine. Since, you have mentioned that a stone is detected on the CT scan measuring 3 mm or 3 cm; it is evident that the bleeding is caused by presence of stone in the urinary tract. A routine urine examination will determine the type of stone present in the urinary tract. Consult your urologist for complete examination and removal of the stone. If you have more queries, I will be glad to answer. Dr Shailja P Wahal
Follow-up: Is it normal if there is blood in urine but no pain when having kidney stone? 4 hours later
The urolgy dr did a scope on my bladder in his office and didn't see anything. Wouldn't these lesions show up from that is they were there. I am already scheduled to have the blasting of the kidney stone this Wednesday, but the bleeding is bad now. I have NO pain and it isn't even in my kidney anymore. He said they would have to get it back in there to break apart.
Answered by Dr. Shailja Puri 19 hours later
Brief Answer: Removal of stone and observe symptoms thereafter Detailed Answer: Hello and welcome again, The first thing to be done i removal of the stone in the urinary tract as suggested by your urologist. Absence of any growth in the bladder on cystoscopy rules out any lesion in the bladder. The symptoms should be observed after removal of the stone in the urinary tract. If blood still persists in the urine, further investigations need to be done. Any pathology in the kidney can lead to blood in urine. Renal function tests, imaging studies and renal biopsy needs to be done. If the cause of blood in urine is stone in the urinary tract, the blood should disappear in the urine after removal of the stone. If you have more queries, i will be glad to answer. Dr Shailja P Wahal
Follow-up: Is it normal if there is blood in urine but no pain when having kidney stone? 3 hours later
What do you mean by any pathology in the kidney can lead to blood in the urine? If something was wrong with my kidney, wouldn't it have shown up on the CT scan? How are renal function tests done, and why would a renal biopsy need to be done if nothing is seen on the CT? When u say imaging do u mean an MRI, or would the CT scan I had be enough?
Answered by Dr. Shailja Puri 20 hours later
Brief Answer: Kidney diseases can produce blood in urine Detailed Answer: Hello and welcome again, There are a group of diseases called glomerulonephritis which can cause blood in urine. The cause for glomerulonephritis is varied. Glomerulonephritis may not necessarily produce changes on CT scan or MRI. The subtle changes produced by glomerulonephritis can be detected on biopsy. Biopsy is studying the changes in the kidney parenchyma at microscopic levels. Imaging refers to investigations like X-ray, CT scan, MRI etc. Renal function tests are tests done on blood sample which determine the function of the kidney. These functions are sub-normal if the kidneys are not functioning properly. If you have more queries, I will be glad to answer. Dr Shailja P Wahal
Follow-up: Is it normal if there is blood in urine but no pain when having kidney stone? 2 hours later
Would they have to take a biopsy from both kidneys? Also, could they do this biopsy while I was out having the blasting? Would they have to cut me open, or could it be done with a kind of scope thing?
Answered by Dr. Shailja Puri 20 hours later
Brief Answer: Biopsy is done from one kidney with a needle Detailed Answer: Hello and welcome again. Do not panic. The requirement of kidney biopsy will be required if there occurs any abnormality in the kidney function tests. So, get the surgery for removal of the stone first and observe the symptoms thereafter. If the blood still appears in the urine, then kidney function tests and biopsy may be required. The biopsy is done with a special kind of needle called-trucut needle. An open surgery is not required. Biopsy is done from one kidney. Biopsies from both kidneys is not required. If you have more queries, i will be glad to answer. Dr Shailja P Wahal
Follow-up: Is it normal if there is blood in urine but no pain when having kidney stone? 13 hours later
I had the blasting today and it has been awful. They did an x-ray to see it and they couldn't find it, so they wanted to do ANOTHER CT scan. I told them I really didn't want to have another one done being I had just had I guess two, two weeks ago in the ER. One with contrast, and one without. I know from seeing on the news and from reading how much radiation those CT scans subject ones body to and I am so worried now. I feel like I will definitely have cancer now for sure. So disappointed with that part. Now back to the procedure, I am in pain from the stent and it pains and I hurt in my back where the shock waves or whatever they are called hit me. I got sick and threw up a lot of green stuff. I am cramping in my left back side and paining up in me where the stent is, and eat up with radiation now. This has been an awful experience for me and is not yet over by far. Another thing I don't understand is how the kidney stone was out of my kidney almost in the tube and now he said today it was back up in the kidney. He said it had rolled back up in there. How in the world did the kidney stone roll upwards? Just wondering.....I also have been having a lot of skipping beats with my heart since being put to sleep. It has been in runs of threes and has bothered me most of the night. I told the nurses and the person who put me out before this and they didn't seem alarmed. Is this normal for it to bother me more since the procedure?
Answered by Dr. Shailja Puri 10 hours later
Brief Answer: These symptoms are common in post-operative period Detailed Answer: Hello and welcome again. The Ct scan exposes to radiation, however, the a couple of CT scans done for some ailment do not cause radiations associated damage. A high dose exposure for long duration is required to produce deleterious effects. So, do not panic. Pain and discomfort can stay due to stent placement and exposure to lithotripsy for a couple of days. Painkillers are usually prescribed for the pain and discomfort. You can confirm that from your treating doctor. The stone in the urinary tract can move in downward direction. However, the stone will not move upwards. On the contrary the stone can be moved upwards into the kidney manually for removal. Skipping beats can occur due to pain or anxiety. Kindly stay under observation and take medication prescribed for some days. The pain, discomfort and irregular beats will be relieved. Thanks and take care Dr Shailja P Wahal
Follow-up: Is it normal if there is blood in urine but no pain when having kidney stone? 9 hours later
That is strange, because the dr. showed me the kidney stone on the CT scan x-rays two weeks ago and said it was out of the kidney and that it was inflamed and he would have to get it back in the kidney to break it up first. Then, yesterday they couldn't find it with just an x-ray, so they did another CT scan. He came and told me it was back in the kidney. I asked him how it would have gotten back up in the kidney when it was out and in the tube right out of the kidney and he told me it was rolling around and had rolled back in there. I am not a dr. but didn't make sense to me that it could roll upwards back into the kidney. Makes me wonder what the heck happened to the one he showed me and if this one was the one I knew I have had for many years. He said it would give me trouble and I should have it blasted. I am really worried now that this really wasn't the reason I have been seeing blood for two weeks. Also, I am still urinating blood and do you know if that is normal after this procedure? It is not slacking off any and I am drinking lots of water.
Answered by Dr. Shailja Puri 14 hours later
Brief Answer: Observe the symptoms for some time Detailed Answer: Hello and welcome again, It is possible for the stone to move about in the body. The direction of the movement depends on the position of the stone in the urinary tract. The position of the stone could be unstable, The unstable position can lead to the stone moving in either direction. Lithotripsy or blasting of the stone requires proper position of the stone. Blood in urine can appear due to the procedure. Observe the symptoms for some time. The symptoms should disappear after some days. Drinking plenty of water is good. Thanks and take care Dr Shailja P Wahal