I Am A 31 Yr Old Female Who Seen Her

Posted on Sun, 3 May 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 3 May 2020 Answered on

Last reviewed on

Question : I am a 31 yr old female who seen her primary care doc this past thursday for blood in urine. she did blood work and a Ct. My labs and urinalsis all came back not good. I have attached all labs below. They set me up to get in to see hematology and urology but it wont be till next week some time. I just want to see what a hematology thinks about my labs. I have left flank pain but my spleen is enlarged to 17cm. My blood presure keeps spiking then coming down and I have no fevers. My temp has been 96-97 degrees. I have bad headaches that come and go and I have been sweating so much but i feel cold. I cant sleep because im misrable. I passed out Thursday while at the drs office but all my stats stayed steady. I have lots of blood in my urine and i dont urinate as frequent as normal. Today i started having numbness and pain in my arms and hands. I am extremly weak and cant exert any energy without feeling like i will pass out. I stay dizzy and light headed and my vision keeps geeting bad and then gets better. please let me onow if i can send you any other information.

Answered by Dr. Shailja Puri (15 hours later)

Brief Answer:
Investigation for presence of haemoglobin or red blood cells are required

Detailed Answer:
Hello.
Thanks for posting your query on Ask A Doctor forum.
I have gone through all the reports.
All reports are normal except for presence of blood in urine.
I would suggest you to get urine test for haemoglobin and routine urine microscopy.
It is important to know whether there is presence of red blood cells or haemoglobin in urine.
The cause and treatment for presence of red blood cells is different from that of presence of haemoglobin alone.
Kindly, post the report of both investigations for further interpretation.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Prasad