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How Is Hematuria Medically Treated?

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Posted on Thu, 6 May 2021
Question: micro Hemeturia red cells 2-3 before was 3-4
will upload other history
doctor
Answered by Dr. Dr. Prasad J (4 hours later)
Brief Answer:
Look forwards to urologist opinion...

Detailed Answer:
Hi,

I went through the details uploaded. In your history you have not mentioned any other bleeding tendency besides hematuria. Do you have any other bleeding tendency such as easy bruisability, gum bleeding, nasal bleeding, blood stained tools or others?

Further more, you have been advised to consult an urologist. Were you able to consult one?

For how long have you been suffering with increased urination? At this point, though urine reports don't reveal infection, I would like to get an urine culture done. Before considering bleeding tendency, in my opinion you should rule out infection through culture test and urological causes of bleed through urologist consultation. Ecosprin may be withheld for a few days if you continue to have microhematuria.

Hope this answered your question. Let me know if you have any other specific questions.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Prasad J (36 hours later)
Kindly Note I have sent all the report attach again enclosing, answer to your query
A)     I am not diabetic
B)     DRINK QUALITY SCOTCH 60 ML TO 120 ML SLEEPING TIME IN A 2 TO 3 TIME A WEEK, NO SMOKING
C)     URINE CULTURE REPORT IS POSITIVE ATTACH YEAR 2016 IS OLD BUT ALWAYS ALL MOST SAME SINCE LAST 2 YEARS ( URINE CULTURE REPORT
RED BLOOD CELLS 0-1 H.P.F, PUS CELLS 1-2 H.P.FM, EPITHELIAL CELLS 3-4/ H.P.G, GRAM SATIN NO ORGANISMS SEEN, COLONY COUNT NIL, BLOOD AGAR NO GROWTH, MAC CONKEYS AGAR : NO GROWTH , ORGANISM ISOLATED NO GROWTH)

D)     ULTRASOUND KUBP DONE NORMAL ALSO ENCLOSE REPORT , PROSTATE ALSO NORMAL
E)     SLIGHT FATY LIVER
F)     WHAT MEDICATION TO CONTROL TO TAKE? ( NOW I AM TAKING ECOSPRIN 75, STORVAS 40 AND REMIPRIL 2.5 MG
G)     I DO NOT DRINK VERY LESS QUANTITY OF WATER
H)     ALWAYS CONSTIPATION
I)     BESIDE HEMATURIA DO NOT HAVE ANY TENDENCY OF such as easy bruisability, gum bleeding, nasal bleeding, blood stained tools or others.
J)     SUFFERING WITH INCREASED URINATION DURING NIGHT TIME
K)     ALWAYS VERY LESS SLEEP NO EXERCISE OR WALKING ONLY SEATING JOB
L)     I HAVE DONE LEFT KNEE CARTILAGE OPERATION AND DR. ADVICE ALSO FOR RIGHT KNEE SINCE LAST 3 YEARS BUT DID NOT DID , HOPE IT MUST NOT BE THE CAUSE ? AS IN OPERATION WAS TOO MUCH BLEEDING AND TAKE LONG TIME TO CURE (Swelling) ALSO IF FAST WALK MY KNEE LOCKING
M)     NO FEVER OR LIKE ANY OTHER VERY NORMAL
N)     HAVE DIZZINESS, CONSTIPATION, JOINT PAINS , URIC ACID IN JOINTS
DUE TO URINE IN BLOOD MY SEX LIFE DISTURB AS AFRAID TO DO
THANKS IN ADVANCE
doctor
Answered by Dr. Dr. Prasad J (11 hours later)
Brief Answer:
I wish to know about urologist opinion...

Detailed Answer:
Hi

I feel you posted follow up details of another doctor here. I am glad to know that you do not have other bleeding tendency which makes me feel hematuria may be due to local causes. I see your cardiologist had asked for an urologist opinion. I wish to know if you had one. Urologist opinion will be helpful in planning further treatment. If you haven't had one, please consider visiting an urologist.

Regards

PS: I had reviewed the reports uploaded before answering your first question.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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How Is Hematuria Medically Treated?

Brief Answer: Look forwards to urologist opinion... Detailed Answer: Hi, I went through the details uploaded. In your history you have not mentioned any other bleeding tendency besides hematuria. Do you have any other bleeding tendency such as easy bruisability, gum bleeding, nasal bleeding, blood stained tools or others? Further more, you have been advised to consult an urologist. Were you able to consult one? For how long have you been suffering with increased urination? At this point, though urine reports don't reveal infection, I would like to get an urine culture done. Before considering bleeding tendency, in my opinion you should rule out infection through culture test and urological causes of bleed through urologist consultation. Ecosprin may be withheld for a few days if you continue to have microhematuria. Hope this answered your question. Let me know if you have any other specific questions. Regards