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What does blood in the urine indicate as per the attached reports?

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Posted on Fri, 4 Dec 2020
Question: Dear Doctor

I am sending you this email regarding about my brother Urological problem. He is passing blood drop while urinating just last on last two or three drop. I have attached Urine lab test report and CT scan report as well with this email. Please spare some time and have a look on these reports. My family is in under depression. Please Doctor. Tomorrow he is going for cystoscopy and bioxy test. I just wanted to know if there is anything to worry about.

Please Doctor i will be very great full to you if you can take some time and read my email

Waiting for your response.

Taha

i am still waiting for your reply doctor.
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:

Endoscopic Examination aand Biopsy will confirm the diagnosis.

Detailed Answer:

Hello,

Based on the facts that you have posted few drops of blood that your brother is passing in urine and the report of CT Scan finding suggests it to be due to mostly inflammatory process in the bladder (Cystitis).

However, the final diagnosis can be confirmed only by biopsy and histopathological findings.

Do not worry both these conditions can be treated.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (11 minutes later)
thank you very much for your reply Dr P.T XXXXXXX . I have got few more question related to CT scan report . As they mention in that report there is thick wall on bladder. Could you please tell me with your experience what that could be ? I can understand that with doing further test its hard to tell anything yet but with your personel experience what do you think about that ?

and do you think it can be that bad disease ? i am sorry but i am afraid i cant take that name i hope you can understand where my point is . doctor said that they will do cystoscopy as well
doctor
Answered by Dr. Dr. P. T. Patil (9 minutes later)
Brief Answer:

Thickening of the bladder wall is a common finding in the inflammatory process.

Detailed Answer:

Hello,

Thickening of bladder wall is a common finding in any pathology involving bladder may be it is inflammatory process called Cystitis or neoplasm benign or malignant and final answer can be confirmed only by doing biopsy of bladder .

Please do write after you get the biopsy report. I would certainly glad to guide you about further treatment.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (37 minutes later)
thank you Dr XXXXXXX i will certainly update you after i get biopsy report. but what i checked neoplasm and malignant is another name of that disease. i am sorry but i am in really in great depression after this on top he is only 27 years old.
doctor
Answered by Dr. Dr. P. T. Patil (4 minutes later)
Brief Answer:

Have a patience for few more days

Detailed Answer:

Hello,

You badly need to allay your anxiety .It is not going to change the situation .What you need at this stage is boldness and courage to face the situation as it comes to your way .

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (5 minutes later)
Thank you Doctor XXXXXXX i will send you more reports as soon as i get.

Hello Dr XXXXXXX

cystoscopy and biopsy is done. they found a tumor in bladder they tumor is big inside. and biospy report will come after 1 week. and they admit my brother i dont know for what reason ? i am now more worried Dr . Do you have any answers for my questions
doctor
Answered by Dr. Dr. P. T. Patil (10 hours later)
Brief Answer:

Wait for histopathological report of tumor .

Detailed Answer:

Hello,

Please wait for the histopathological report of a tumour to come whether it is benign or malignant.

I shall be able to guide you regarding further modality of treatment on going through the report.

Please have the courage to face reality.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (12 minutes later)
i am sure you can understand my situation, sorry if i am bothering you too much, first the urologist said its cyst inside then they took a tissue of that and then send it to lab, then they said its tumor but we cant say anything at the moment
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:

You have to wait till you get the report.

Detailed Answer:

Hello,

You have to wait till you get the biopsy report till then you have to try to allay your anxiety .

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (9 hours later)
hello doctor XXXXXXX

i have attached another file Dr this was procedure taken today. they didnt do any biospy they did cystoscopy and trubt. and took that mass out through lasser out from the bladder. and then they sent some to lab to check.

and now my brother is not feeling any pain but urine colour is different because of blood.

Dr XXXXXXX what do think about this procedure did my Dr took the right step by removing that mass out from the bladder ?

Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:

Your Urologist has followed the right approach by a resecting tumour.

Detailed Answer:

Hello,

The primary aim in treating any a tumour in the bladder is to resect a tumour and send it for histopathological examination which reveals whether a tumour is benign or malignant.

The further treatment depends upon the nature of tumor ,grade of the tumor, whether it is confined to bladder mucosa or invaded bladder muscles or surrounding structure .All these facts will be revealed in Histopathological report.

As regards urine mixed with blood it is normal to have bled stained urine for 3-4 days after resecting any tumor .It will go away within 4-5 days.

Await for HP report and do write if you need any suggestions. Calm down yourself. Believe that no one can change the situation that your brother is going through.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (11 minutes later)
hopefully by monday he will be discharge. Dr what will you suggest for a diet in this case?

and that picture which they made in that report does that have anything to do with this situation? can you tell me anything if you know about that picture
doctor
Answered by Dr. Dr. P. T. Patil (27 minutes later)
Brief Answer:

The picture is a diagrammatic representation of the size of a tumour.

Detailed Answer:

Hello,

We always draw a picture of a tumour seen during the endoscopic examination so that we can recollect the size and extent of a tumour That is the routine practice followed by all surgeons or Urologist.

There is no conclusion to be drawn from the picture nor it signifies any relevance.

Hope I have answered your query.

Take care

Regards,
Dr P. T. Patil, Urologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Dr. P. T. Patil

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What does blood in the urine indicate as per the attached reports?

Brief Answer: Endoscopic Examination aand Biopsy will confirm the diagnosis. Detailed Answer: Hello, Based on the facts that you have posted few drops of blood that your brother is passing in urine and the report of CT Scan finding suggests it to be due to mostly inflammatory process in the bladder (Cystitis). However, the final diagnosis can be confirmed only by biopsy and histopathological findings. Do not worry both these conditions can be treated. Hope I have answered your query. Let me know if I can assist you further.