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What Causes Bleeding From Urethra With A History Of Groin Injury?

Posted on Fri, 26 Aug 2016

Question: Hello Dr XXXXXXX my name is XXXXXXX and I am 52 yo..
I have just come from the restroom and noticed blood coming from my urethra but not in my urine that i can see with my eyes . It appeared as i was , for lack of a better term " milking the urethra during
the "shake" . I noticed the concentration of the blood increasing 4a I squeezed my scrotum and urethra
even-though the volume was less as I had previously done that.
I have a primary care physician and will go in for testing but would like an initial prognosos.
Thank you Sincerely

Dear Doctors, I failed to mention that at the time of the bathroom visit I
had also defecated with a fairly forceful repeated pushes not due to constipation as much as wanting to get it all out.
I apoloigise for the graphic detail ...
TY VM XXXXXXX

Dear Doctors I have also failed to mention that I recently (3/4 weeks ago)
have had a groin injury left side maybe pubic ramus/and,or femoral neck,athletic pubalgia and or abductor strain.
I have not been seen for this injury yet.
TY XXXXXXX

Dear Doctors I have also failed to mention that I just had(1 month) my colon cancer screening ( stool sample kit from Kaiser Permanente )
and it came out negative.
TY XXXXXXX

Answered by Dr. Matthew J. Mangat (54 minutes later)

Brief Answer:
Several causes for blood seen from urethra.

Detailed Answer:
Hello XXXX(XXX) and welcome to HCM.
As an Urologist,i can understand your concern.

If you've seen blood coming out from urethra,then do these tests,to know it's cause:
1. urine routine and culture.
2. blood routine,creatinine,LFT,RBS,platelets,BT,CT,PT and PTT.
3. Ultrasound scan -KUB, with residual urine and a TRUS.

The blood may be due to several causes,but the above reports will give us an idea.
According to the cause,an expert opinion and treatment advice can be given.
Why are you taking Tramodol thrice daily ?
It would good to know,how long you've been taking the listed medication.

Wish you well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Matthew J. Mangat (1 hour later)

Thank You Dr XXXXXXX for a prompt reply.
I've been taking Tramadol and all other pain meds for back and neck pain do to Arthritis
and mild scoliosis due to age and previous injuries do work wear and tear
over 20 years. This includes the Nortripiline for nerve aggravation,
TY, XXXXXXX Dance

Answered by Dr. Matthew J. Mangat (5 hours later)

Brief Answer:
High dose of analgesics being taken.Try least dose tolerated.

Detailed Answer:
Hi XXXX,

Frankly you should check with your doctor,if you need this dose.
Anyway get back with all the other reports.

Wish you good health.

Dr.Matthew J. Mangat.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar