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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain In The Lower Abdomen And Blood In Urine Indicate?

Hello doctor, my son have a pain at the lower belly pack at the right side and have abdominal pain and blood is present in the urine after passing the urine, hehave fourteen years old , this problem starting from the last two days, what is this condition?
Mon, 8 Oct 2018
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General & Family Physician 's  Response
Hello,

You may be either having urinary infection or renal stones. Get a urine test done. Also a scan of the abdomen is required to see if there is urinary stone. If there is stone then following management is done.

Treatment is tailored according to the type of stone. Urine can be strained and stones collected for evaluation. Drinking six to eight glasses of water a day increases urine flow. People who are dehydrated or have severe nausea and vomiting may need intravenous fluids.
Other treatment options include:

1. Medication
Pain relief may require narcotic medications. The presence of infection requires treatment with antibiotics.

Other medications include:
i. Allopurinol for uric acid stones
ii. Diuretics
iii. Sodium Bicarbonate or sodium citrate
iv. Phosphorus solutions

2. Lithotripsy

Extracorporeal shock wave lithotripsy uses sound waves to break up large stones so they can more easily pass down the ureters into your bladder. This procedure can be uncomfortable and may require light anesthesia. It can cause bruising on the abdomen and back and bleeding around the kidney and nearby organs.

3. Tunnel Surgery (Percutaneous Nephrolithotomy)

Stones are removed through a small incision in your back and may be needed when:
i. The stone causes obstruction and infection or is damaging the kidneys
ii. The stone has grown too large to pass
iii. Pain cannot be controlled
3. Ureteroscopy

When a stone is stuck in the ureter or bladder, your doctor may use an instrument called a ureteroscope to remove it. A small wire with a camera attached is inserted into the urethra and passed into the bladder. A small cage is used to snag the stone and remove it. The stone is then sent to the laboratory for analysis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sanjay Kini
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What Does Pain In The Lower Abdomen And Blood In Urine Indicate?

Hello, You may be either having urinary infection or renal stones. Get a urine test done. Also a scan of the abdomen is required to see if there is urinary stone. If there is stone then following management is done. Treatment is tailored according to the type of stone. Urine can be strained and stones collected for evaluation. Drinking six to eight glasses of water a day increases urine flow. People who are dehydrated or have severe nausea and vomiting may need intravenous fluids. Other treatment options include: 1. Medication Pain relief may require narcotic medications. The presence of infection requires treatment with antibiotics. Other medications include: i. Allopurinol for uric acid stones ii. Diuretics iii. Sodium Bicarbonate or sodium citrate iv. Phosphorus solutions 2. Lithotripsy Extracorporeal shock wave lithotripsy uses sound waves to break up large stones so they can more easily pass down the ureters into your bladder. This procedure can be uncomfortable and may require light anesthesia. It can cause bruising on the abdomen and back and bleeding around the kidney and nearby organs. 3. Tunnel Surgery (Percutaneous Nephrolithotomy) Stones are removed through a small incision in your back and may be needed when: i. The stone causes obstruction and infection or is damaging the kidneys ii. The stone has grown too large to pass iii. Pain cannot be controlled 3. Ureteroscopy When a stone is stuck in the ureter or bladder, your doctor may use an instrument called a ureteroscope to remove it. A small wire with a camera attached is inserted into the urethra and passed into the bladder. A small cage is used to snag the stone and remove it. The stone is then sent to the laboratory for analysis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini