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Dr. Andrew Rynne

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What causes intermittent right-sided flank pain and hematuria?

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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 2853 Questions

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Posted on Mon, 28 May 2018 in Urinary and Bladder Problems
Question: 42 y/o w/m with intermittent right flank pain and Hematuria that resolves with hydration. No history of HTN.
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Answered by Dr. Bonnie Berger-Durnbaugh 39 minutes later
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Detailed Answer:
Hello XXXXXXX

While hematuria can be from a number different things in a man, this could be a kidney stone. Other causes include possible urinary tract infection and yes, dehydration can cause flank pain sometimes too, and vigorous exercise can cause hematuria. In addition there are more rare reasons for this such as inflammatory kidney diseases (including autoimmune causes) and masses.

But since there is hematuria, it must be checked out to see what the cause is.

I recommend you go in to be seen. They will do an exam and collect a urine specimen at the clinic, and can do a dipstick test to get some basic information such as whether there are signs of bacteria. The urine should also be sent to a lab for complete urinalysis and possibly culture. And then a "KUB" (kidneys-ureters-bladder) X-ray can help provide information too, such as if there is a stone. Stones often contain calcium which makes them visible on X-ray. An ultrasound might be indicated and urology consult if these things don't sort it out.




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