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OT Docs and Nurses... Urology question.

Posted on 4/15/16 at 2:03 pm
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:03 pm
Asymptomatic Microhematuria?

Noticed blood tinged pee a few days ago (3-4). I am a nurse so I know that needs checking. I've had kidney stones twice the second could not pass but was lodged and pain free. Only reason I found that was passing a good bit of blood.

Not an idiot so I went to my GP. Still trace to moderate blood in urine. No longer visible to laymen. Had my CT scan. Worried I had another large stone. Nothing... ?

I DO have a left renal cyst (2.8cm) and stones IN the right kidney. Non-obstructive. My urologist is great but his office is massive and shitty. Called but waiting. While I stew over this until I can see the guy. What can it be?

1.Can a renal cyst periodically cause blood?

2. Can the stones in the kidney rattle around in the renal pelvis and cause the bleeding?

Got Tylenol with Codeine that I don't need. Got Flomax I don't want to take as there is nothing in the ureter, and I am concerned that Flomax may cause a sleeping dog stone to move and begin to bark. Already took Cipro on my own even though the UA is clean. Blood only. Negative protein. Negative Leuk Est.

What is the next step? With my second stone I got the cystoscopy and finger in the arse for prostate (I am 43). Cancer not likely as I am 43 and no family history.

I'm going to see my Uro regardless just wanted to pose these questions to the esteemed panel here. I know there are nurses and docs on this board all the time.

No recent trauma. I did start working out again, but I ain't exactly blowing shite up to the point of "runners hematuria".

Thanks in advance.

IB4 AIDS.

IB4 Prayers

IB4 Stop putting dick in mens asses.
Posted by Parallax
Member since Feb 2016
1449 posts
Posted on 4/15/16 at 2:05 pm to
A nurse practitioner will get to the bottom of this.
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120175 posts
Posted on 4/15/16 at 2:05 pm to
Yes stones in your kidney can cause bleeding.

Probably not the cyst.

Persistent bleeding you need cystoscopy.

If negative you need a CT IVP

ETA oh youre only 43? Stop being a pussy
This post was edited on 4/15/16 at 2:07 pm
Posted by DrTyger
Covington
Member since Oct 2009
22325 posts
Posted on 4/15/16 at 2:08 pm to
It's the stone.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:12 pm to
quote:

Probably not the cyst.



Heard both on this issue. Yes and no?

quote:

Persistent bleeding you need cystoscopy.



Man! I don't wanna. that lidocaine jelly don't do shite.

quote:

If negative you need a CT IVP



Had this last time. IV contrast CT. Is it a different protocol than just a IV contrast CT Abd/Pelvis? Timing of the injection to images? I can't recall what I had as my idiot mind had already raced to bladder cancer.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:14 pm to
quote:

It's the stone.




Just to remind its there? waiting.... "One day fricker"...

Largest stone seen in kidney was 6mm.

My last one that was surgical was 1CENTImeter!
Posted by CadesCove
Mounting the Woman
Member since Oct 2006
40828 posts
Posted on 4/15/16 at 2:14 pm to
Posted by MrSpock
Member since Sep 2015
4328 posts
Posted on 4/15/16 at 2:16 pm to
quote:

Asymptomatic Microhematuria?



Does not equal blood tinged pee.

Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:17 pm to
quote:

CadesCove




and


HELLS NAW. It needs to stay where it is. I drink water like a bastard. LSU Tervis sitting by me as I type this.
Posted by Parallax
Member since Feb 2016
1449 posts
Posted on 4/15/16 at 2:17 pm to
You have hematuria, a history of renal stones and documented renal stones on a recent CT. This is 99% likely to be the cause.

I hope you aren't in the medical field; otherwise, you're pretty dense.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:21 pm to
quote:

Does not equal blood tinged pee.



Correct.

It is what I have NOW. It is not what I had 4 days ago. It was visible. It now looks normal. Dipstick says no though.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 4/15/16 at 2:25 pm to
quote:

You have hematuria, a history of renal stones and documented renal stones on a recent CT. This is 99% likely to be the cause.


Non obstructive. In the renal pelvis. I rarely see this in the ER. Only classic stone presentation with hematuria and the stone dance. I honestly was unsure if stones within the renal pelvis caused bleeding.

quote:

I hope you aren't in the medical field; otherwise, you're pretty dense.



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