Brief Answer:
It needs to be investigate in detail.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have passed substantial quantity of blood (
Hematuria)through
urethra during sleep.
Though you do not have any urinary symptoms and your routine tests do not reveal any positive evidence of infection ,macroscopic hematuria of such a high magnitude needs to be
investigated in detail to find out the source of bleeding.
Please consult qualified
Urologist for clinical evaluation and get following tests under his guidance to help to come towards cause of bleeding.
1) Routine urine test and urine culture to find out the organisms causing this infection and antibiotics to which they are sensitive to.
2)
Ultrasound scanning of abdomen to find out any lesion in the
kidney or bladder.
3)Plain C.T scan of the
urinary system and C.T scan with Intravenous Contrast.to rule out any mass lesion in kidney or bladder.
4) If needed he may decide to get endoscopic examination of bladder(
Cystoscopy).
5) Complete Haemogram with coagulation profile.
Further treatment will be decided by him depending upon results of these tests and final diagnosis.
Hope I have answered your query. If you have any more questions please feel free to ask me I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
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