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What Casues Blood In Urine With Flank Pain?
Question: I had a ct scan which revealed thickening of my bladder wall. I have small amount of blood in my urine. My blood work was normal and not infection or stones. I have flank pain which can't be explained. A cyst was found on my liver and small lesions. Also, abnormal pelvic fluid was found. I also have colitis, not ulcerative. Should I be aggressively seeking the cause of all this things individually or think about cancer being the root of them all. I am extremely uncomfortable with lower pelvic discomfort to flank pain and lower back pain as well.
Brief Answer:
Most likely infection, unlikely cancer.
Detailed Answer:
Welcome to the forum.
Blood in urine with associated pain is suggestive of infection in the urinary tract and cancer is unlikely, as cancer is painless until advanced.
The fact that CT has shown only thickened wall and not clear cut mass is also suggestive of urinary tract infection.
Flank pain could be due to infection of the kidneys called pyelonephritis.
If you can load the report of CT , I CAN COMMENT BETTER.
Fluid in the pelvis is suggestive of pelvic inflammatory disease, which again should respond to antibiotics.
The next step would be to give mid-stream urine sample for culture and sensitivity tests; start on empirical antibiotics and change over to the correct antibiotic based on the culture report.
Till such time, supportive treatment in the form of bed rest, intravenous fluids , pain killers and fever medicines (tylenol-acetaminophen) should help.
Hope i am clear.
Kindly write back for doubts if any,
Sincerely,
Most likely infection, unlikely cancer.
Detailed Answer:
Welcome to the forum.
Blood in urine with associated pain is suggestive of infection in the urinary tract and cancer is unlikely, as cancer is painless until advanced.
The fact that CT has shown only thickened wall and not clear cut mass is also suggestive of urinary tract infection.
Flank pain could be due to infection of the kidneys called pyelonephritis.
If you can load the report of CT , I CAN COMMENT BETTER.
Fluid in the pelvis is suggestive of pelvic inflammatory disease, which again should respond to antibiotics.
The next step would be to give mid-stream urine sample for culture and sensitivity tests; start on empirical antibiotics and change over to the correct antibiotic based on the culture report.
Till such time, supportive treatment in the form of bed rest, intravenous fluids , pain killers and fever medicines (tylenol-acetaminophen) should help.
Hope i am clear.
Kindly write back for doubts if any,
Sincerely,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I only have preliminary report.
But what it is saying I don't understand.
Impression:
Increased fluid in normally- distended small bowel, non- specific thickening but commonly seen with and or ileus enteritis.
Apparent non-specific thickening and indistinct separation of the tissue plans between the inferior bladder wall, adjacent vaginal walls, anal mucosa, and adjacent perineum. Options for further imaging assessment include contrast- enhanced pelvic MR. Recommended direct visualization when clinically appropriate to exclude malignancy.
No obstructive or infectious uropathy.
Subtle irregular thickening along the base of the bladder, inseparable from the anterior vaginal wall, etiology unclear. Apparent abnormal thickening of the inferior vaginal walls, anal mucosa, and adjacent perineum without clear separation of the their tissue planes. These findings are inadequately evaluated by unenhanced CT.
I had two CT scans
Urinalysis was negative for infection.
But what it is saying I don't understand.
Impression:
Increased fluid in normally- distended small bowel, non- specific thickening but commonly seen with and or ileus enteritis.
Apparent non-specific thickening and indistinct separation of the tissue plans between the inferior bladder wall, adjacent vaginal walls, anal mucosa, and adjacent perineum. Options for further imaging assessment include contrast- enhanced pelvic MR. Recommended direct visualization when clinically appropriate to exclude malignancy.
No obstructive or infectious uropathy.
Subtle irregular thickening along the base of the bladder, inseparable from the anterior vaginal wall, etiology unclear. Apparent abnormal thickening of the inferior vaginal walls, anal mucosa, and adjacent perineum without clear separation of the their tissue planes. These findings are inadequately evaluated by unenhanced CT.
I had two CT scans
Urinalysis was negative for infection.
Brief Answer:
Most probably SEROSITIS---------------
Detailed Answer:
Welcome back.
I can comment better now.
Since there are findings in other organs too, other than bladder - your physician - preferably internist - has to look for a common cause, usually inflammatory ( most probably serositis), mainly because pain is main symptom.
So the bladder does not need to be addressed as a separate entity.
Get well soon.
Regards,
Most probably SEROSITIS---------------
Detailed Answer:
Welcome back.
I can comment better now.
Since there are findings in other organs too, other than bladder - your physician - preferably internist - has to look for a common cause, usually inflammatory ( most probably serositis), mainly because pain is main symptom.
So the bladder does not need to be addressed as a separate entity.
Get well soon.
Regards,
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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