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Pain In Rib. Urinating A Lot, Blood In Urine, Some Time Dark Some Time Light. Kidney Problem?
Hello, and thank you, I have had a pain in my left side kind of hard to explain where it is just under my left rib, I have been uriniating allot and one day I had a small amount of blood in my urine, not allot just a little bit on the paper. It is a sharp pain and sometimes it is really painful. Generally I feel well, I keep active but when the pain comes it is powerful and very painful, I urinate allot at night although i dont drink anything after 8 pm, sometimes my urine is darker yellow and sometimes does not look like it has any colour, sometimes not allow comes out, I am thinking it can be my kidneys?
Fri, 18 Oct 2013
How old are you?
does the pain radiates to your that side thigh?
Do you feel any dragging sensation in your left hypochondrium(below rib)
Do you have pale appearance(anemia and jaundice)
how is you stool.any constipation?diarrhoea? cramps? sounds with pain(borborygmi?
i suspect two things
1)spleen for darknening of urine explains but for that hemolysis needs to be ruled out, so do Blood smear , Full blood count, Retic count , serum LDH. serum haptoglobin, coombs test. MP test if you have any recent travel history.
and must do an ultrasound for spleenomegaly or renal calculi as it will help my both suspicions(next down narrated)
2)now the blood in the urine with painful micturition is a hallmark sign of renal stones. Boy you should clear out that possibility by an ultrasound, simple Digital x ray KUB. Intravenous pyelography, do a simple Urine Routine Exam too. i am sure it will help
mean while treat symptoms. Get antispasmodics, Analgesics, Drink alot of water, get some urine alkalizers, be on a soft diet.get some multivitamins if you are anemic and do the investigations to be out of the woods,
I will be here if you need me.
Regards
Dr Shafi Ullah Khan
does the pain radiates to your that side thigh?
Do you feel any dragging sensation in your left hypochondrium(below rib)
Do you have pale appearance(anemia and jaundice)
how is you stool.any constipation?diarrhoea? cramps? sounds with pain(borborygmi?
i suspect two things
1)spleen for darknening of urine explains but for that hemolysis needs to be ruled out, so do Blood smear , Full blood count, Retic count , serum LDH. serum haptoglobin, coombs test. MP test if you have any recent travel history.
and must do an ultrasound for spleenomegaly or renal calculi as it will help my both suspicions(next down narrated)
2)now the blood in the urine with painful micturition is a hallmark sign of renal stones. Boy you should clear out that possibility by an ultrasound, simple Digital x ray KUB. Intravenous pyelography, do a simple Urine Routine Exam too. i am sure it will help
mean while treat symptoms. Get antispasmodics, Analgesics, Drink alot of water, get some urine alkalizers, be on a soft diet.get some multivitamins if you are anemic and do the investigations to be out of the woods,
I will be here if you need me.
Regards
Dr Shafi Ullah Khan
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