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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be Reason Behind Gross Hematuria?

Hello doctors I need help. My father recently urinated blood, not microscopic but a gross hematuria. We admitted him in a tertiary hospital, and they ordered UTZ and stonogram, but the sad thing is they found nothing in the results, there was no stone seen, but still they give the impression of renal stone, due to manifestations indicative of stone. If the stone was too small that it couldn't be seen on imaging studies, how come my father still have gross hematuria. Is it possible that a stonogram and an UTZ cannot detect stone? Or they have wrong diagnosis. My father occasionally passed out clots in the urine.
Fri, 27 Dec 2013
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Diabetologist 's  Response
yes it is possible that the ultrasound/sonogram/stonogram could not pick up the stone
that happens very commonly
they should probably go for an mri abdomen to confirm the diagnosis

other causes of heamturia are-
Infection of the urine stemming from the kidneys or bladder.
Trauma affecting any of the components of the urinary tract or the prostate
Renal (kidney) disease
Hematologic disorders involving the body's clotting system.
Medications that increase the risk of bleeding, such as aspirin, warfarin , or clopidogrel
Cancer anywhere along the urinary tract can present with hematuria.

an mri is useful cause it will help rule out other causes as well
best of luck
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What Could Be Reason Behind Gross Hematuria?

yes it is possible that the ultrasound/sonogram/stonogram could not pick up the stone that happens very commonly they should probably go for an mri abdomen to confirm the diagnosis other causes of heamturia are- Infection of the urine stemming from the kidneys or bladder. Trauma affecting any of the components of the urinary tract or the prostate Renal (kidney) disease Hematologic disorders involving the body s clotting system. Medications that increase the risk of bleeding, such as aspirin, warfarin , or clopidogrel Cancer anywhere along the urinary tract can present with hematuria. an mri is useful cause it will help rule out other causes as well best of luck