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What causes blood in urine?

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Posted on Mon, 18 Jul 2016
Question: Hello Doctor, My friend is having blood when he urinates. He has been on Xarelto for almost 8 years from a blood clot. He is terribly scared. What do you suggest he do? He also has loose stools on a constant basis. Could this be related?

Could this be considered internal bleeding from Xarelto?
doctor
Answered by Dr. Matthew J. Mangat (4 hours later)
Brief Answer:
Blood in urine isn't normal.It needs to be investigated.

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

Blood in urine is not normal. We need to find out the cause for the bleeding.
Xarelto should be stopped,as it may delay the bleeding from stopping.
blood in urine is called hematuria.

His anxiety is understandable. In fact,it may even cause frequency of stools.
He has not written,why the Xarelto was being taken. Why did the clot develop.

He needs to get examined by an Urologist. Then get some tests done, like :
1. urine routine and culture.
2. blood routine,creatinine,PSA,RBS,LFT,platelets,BT,CT,PT,and PTT.
3. stool routine.
4. ultrasound -KUB,with residual urine,and TRUS.(trans rectal scan).
5. Uroflowmetry.
6. cystoscopy may be needed after seeing the reports.

After seeing these reports,the Urologist can advise on expert treatment.
You can send a copy of the reports here,for an expert opinion.
Ask him to drink about two liters of fluids daily.
kindly send information regarding other medication being taken.

Wishing him well.
Dr.Matthew J. Mangat.



With
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (20 hours later)
XXXXXXX was put on Xarelto about 7 years ago for a blood clot in his right leg. It has not be changed since 2009. He is concerned about this. I sincerely appreciate this service, and am overwhelmed that this is a legimitate site, so many are not !!!! I will be telling everone to use this service.

Here is a list of his medications as of this date: (he is going to see his doctor about his concern), but he is not a urologist. I have copied all the sugestions to follow and he is taking this seriously. Being 52, need to really watch out for ones health.

Medications:

METFORMIN:1000 MG TWICE DAILY
XARELTO: 20 MG AT NIGHT
LISINOPRIL: 40 MG AT NIGHT
METOPROLOLTART: 50 MG TWICE DAILY
CRESTOR: 20MG AT NIGHT
FLECAINIDE:100 MG TWICE DAILY
LANTUS: FLEX PEN 30 UNITS AT NIGHT
HUMLOG: FLEX PEN (FASTACTING) WHEN NEEDED
amLODIPine BESYLAT TAB 10 MG 1 TABLET BY MOUTH DAILY

Last ngiht about 6:00pm, he seen some maybe dried up blood when he urinated he seen some small pieces of something ( a kidney stone perhaps?) and since then the urine has been clean. There was no pain with urination. Should he still go to have all the test done as you suggested and he is not taking any more of the Xeralto until he speaks with his doctor on Monday. XXXXXXX has also been having some stomach discomfort and loose stools as you mentioned.

You are a GOD send, honestly, what a wonderful program this is. Again, there is nothing like peace of mind and though there are worries and concerns, you have given us both peace of mind and that is priceless. You are wonderful, caring and detailed and not just a quick short answer. It is a blessing to have found this service. Thank you doctor.
XXXXXXX Meadows
YYYY@YYYY
doctor
Answered by Dr. Matthew J. Mangat (15 hours later)
Brief Answer:
Tests needed to find cause for blood in urine.

Detailed Answer:
Hi XXXXXXX

Your feedback is very important to us.
As per your reply,Tom's having Xarelto,since he had a clot in the leg.
This clot is called a DVT.(deep vein thrombosis).

He has diabetes,hypertension,cardiac arrythmias and high cholesterol levels.
So he has to be careful,to prevent recurrence of the clot formation.

Now my advice was regarding,finding out cause for bleeding in urine.
Without reports,it'll be difficult to give an expert opinion.
You can add the test HbA1C and fasting lipid profile,to the other tests advised.

Once i see the reports,i can give you an expert advice.
Wish him well.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What causes blood in urine?

Brief Answer: Blood in urine isn't normal.It needs to be investigated. Detailed Answer: Hello XXXX and welcome to HCM. As an Urologist, i can understand your concern. Blood in urine is not normal. We need to find out the cause for the bleeding. Xarelto should be stopped,as it may delay the bleeding from stopping. blood in urine is called hematuria. His anxiety is understandable. In fact,it may even cause frequency of stools. He has not written,why the Xarelto was being taken. Why did the clot develop. He needs to get examined by an Urologist. Then get some tests done, like : 1. urine routine and culture. 2. blood routine,creatinine,PSA,RBS,LFT,platelets,BT,CT,PT,and PTT. 3. stool routine. 4. ultrasound -KUB,with residual urine,and TRUS.(trans rectal scan). 5. Uroflowmetry. 6. cystoscopy may be needed after seeing the reports. After seeing these reports,the Urologist can advise on expert treatment. You can send a copy of the reports here,for an expert opinion. Ask him to drink about two liters of fluids daily. kindly send information regarding other medication being taken. Wishing him well. Dr.Matthew J. Mangat. With