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Asymptomatic Gross Hematuria, Lower Pelvic Discomfort, Urine Incontinence, Stomach Pain. Cause?
a 60 yr old indian woman, had diarrhea (treated with antibiotic cifran oz 500mg - twice daily for 5 days) .....then 5 days after diarrhea gets cured .. there is a sudden onset of asymptomatic gross hematuria (visible blood with urine, continued for 10-12 hrs) with lower pelvic discomfort , urine incontinence and stomach upset. but no abdominal pain . or fever. i am non diabetic, non smoker, non alcholic. (occasionally suffering from indigestion). never had gross hematuria before. ...following tests were done: USG of lower abdomen : clear. Urine Culture shows : e_coli bacteria KUV X-RAY : clear Routine urine report shows: RBC plenty (prior to medication) ------------------------------------------------------------------------------- ---- the following medicine were given till 5 days ---------- Antibiotic Tablet GLEVO 500mg once daily (bed time) Tablet PAUSE 500 mg (thrice daily for 6 days) Tablet Urispass ----------------------------------------------------------------------------------------------------------------- After 2 days of medication , a routine urine analysis was done, where RBC was 2--3 hpf. ------------------------------------------------------------------------------------------------------------------ after 3 days of medication my gross hematuria symptoms are not present now. ****************** please suggest what caused this gross hematuria ?
Wed, 28 Nov 2012
hi, by studying your case history 2 things come to my mind
1. tuberculosis of the bladder
2. urinary bladder malignancy/ ca cervix
also there might be a chance of severe urinary tract infection but your reports are not suggestive.
kindly get a gynaec opinion in person and also evaluate for tuberculosis.
1. tuberculosis of the bladder
2. urinary bladder malignancy/ ca cervix
also there might be a chance of severe urinary tract infection but your reports are not suggestive.
kindly get a gynaec opinion in person and also evaluate for tuberculosis.
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hello madam,
Your symptoms may not be attributed to be asymptomatic hematuria since you had pelvic discomfort and urine incontinence.You are 60 year old and i presume you are menopausal.Its common to get infection and inflammation of urinary bladder at this age due to atrophic changes and its called cystitis.However its a good thing that you got yourself well evaluated and soughted out the problem
All the best
Your symptoms may not be attributed to be asymptomatic hematuria since you had pelvic discomfort and urine incontinence.You are 60 year old and i presume you are menopausal.Its common to get infection and inflammation of urinary bladder at this age due to atrophic changes and its called cystitis.However its a good thing that you got yourself well evaluated and soughted out the problem
All the best
I find this answer helpful
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