Suggest Treatment For Blood In Urine Along With Anemia

Posted on Sun, 14 Jun 2015

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

Sun, 14 Jun 2015 Answered on

Mon, 6 Jul 2015 Last reviewed on

Question : Last question I'll ask please respond if you have experience with PNH DISEASE. please MA scared me saying they were running a test (flow cytometry ) for leukemia, lymphoma, and pnh because my labs came slightly anemic, and blood in urine. Don't see hemotologist for two weeks for results please help. based on my labs would any of these three match labs. No easy bruises, not a lot of bleeding, no brown or purple urine.
wrote down lab results took pictures. .....

Answered by Dr. Anil Parth Desai (47 minutes later)

Brief Answer:
The results do not seem suspicious for PNH

Detailed Answer:
Hi I did review your concern sir.
I also had a look of your reports and your previously asked questions.
Your urine report indicates moderate amount of blood and RBCs in light microscopy.
This means that Your urine has hematuria. It can be due to conditions affecting urethra, bladder, kidney or rarely idiopathic.
In PNH which means paroxysmal nocturnal hemoglobinuria, we find hemoglobin in urine from lysed rbc in plasma. hematuria is very rarely seen in PNH and only when it starts affecting kidneys.So PNH would be low on my differential diagnosis.

I would recommend tests for isolated hematuria that includes CT urography, cystoscopy and if needed renal biopsy.

I would assure you not to be stressed and get worried and be positive.

I hope this helps sir.
Please dont be stressed. Let me know if you have any more questions or concerns and I will try my best to help you.
Wish you all the best.
Sincerely,
Dr Parth Desai.

Above answer was peer-reviewed by : Dr. Yogesh D