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What causes blood in urine?

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Posted on Mon, 20 Apr 2015
Question: Hello Dr
I have seen a urologist on referral from my com. I have been having microscopic blood in urine. Although I have no history of any uti at all, this urologist has ordered a critical scan and wants to do a urethral dilation. The urinalysis from his office is no back yet. I am uncertain how to proceed on this. Please advise. I am a 64 year old female. Thank you.



doctor
Answered by Dr. Muhammad Ahmad (1 hour later)
Brief Answer:
I would need some info.

Detailed Answer:
Hi,

Welcome to Health Care Magic,

I am Dr.Muhammad Ahmad, I have read your message and will try to help you in best possible way.

I would like you to give me some more info in this regard.

Here i will ask you some questions to guide our conversation.

1) Is there any other symptom like pain in pelvis etc?

2) Do you have ANY other medical condition?

3) Do you use ANY medicine?

4) Any history of trauma?

5) Are you sexuallt active?

6) Any history of diabetes?

7) Any family history of cancer.



Waiting for your input.

Dr.Muhammad Ahmad

M.B.B.S

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (43 minutes later)
Thank you for your reply. Here are the answers to the questions you asked:
1. No other symptoms, no pain. Only the microscopic blood in urine found during a routine urine culture.
2. High blood pressure, managed with Lisinopril
3. Lisinopril, Naproxin for occasional pain.
4. No trauma.
5. Not sexually active
6. No history of diabetes
7. No family history of cancer

My PCM referred me to this urologist as a matter of erring on the side of caution. She said it was probably nothing. I have seen the culture results and during the last three, each were smaller and smaller in terms of amounts detected, and also it took a longer and longer time in culture to detect them.

I worry because this referred clinic is an adjunct to a medical school. I really don't want to be watched by students and have a procedure that is not for my benefit, but rather for their learning experience. I look forward to your candid response, XXXXXX
doctor
Answered by Dr. Muhammad Ahmad (5 hours later)
Brief Answer:
It doesn't seem to be anything serious.

Detailed Answer:
Hi,

Thanks for writing back,

According to your history and description of the way things happened.

In my opinion there should not be a big problem.

It can be some odd small kidney stone or some subclinical ulcer which might be causing blood in urine.

Yes there is one worst scenario that is a bladder cancer , this causes silent hematuria ( blood in urine) but this is rare and in your case doesn't look much likely.

But In my opinion your problem is not a serious one.You will be fine.

But I too would suggest you to visit a urologolist just as a precautionary measure.

As long as getting seen by students is concerned, you can ask authorities that you don't want this . You have the right to refuse a checkup by any doctor.

Wish you thr very best of luck and health.

Stay blessed.

Regards.

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

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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What causes blood in urine?

Brief Answer: I would need some info. Detailed Answer: Hi, Welcome to Health Care Magic, I am Dr.Muhammad Ahmad, I have read your message and will try to help you in best possible way. I would like you to give me some more info in this regard. Here i will ask you some questions to guide our conversation. 1) Is there any other symptom like pain in pelvis etc? 2) Do you have ANY other medical condition? 3) Do you use ANY medicine? 4) Any history of trauma? 5) Are you sexuallt active? 6) Any history of diabetes? 7) Any family history of cancer. Waiting for your input. Dr.Muhammad Ahmad M.B.B.S Resident M.D.