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What Causes Asymptomatic Hematuria?

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Posted on Wed, 12 Nov 2014
Question: I was told that I have asymptomatic hematuria.how concerned should I be?i had a cerebral hemorrhage when I was 9.i'm now 65.
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Answered by Dr. Harshal Vora (35 minutes later)
Brief Answer:
Microscopic haematuria

Detailed Answer:
Hello welcome to HCM.
I have read your question and understand your concerns.
Asymptomatic haematuria is found actually in multiple conditions.
Usually if you don't find it by your own we called it microscopic haematuria, which is usually found in urine analysis only.
Usually this type of haematuria is found in primary kidney pathology but it is not necessary.
Therefore my advice to you is -

1. You need to do complete work to find out where is the cause of haematuria.
Ask your doctor for following investigations-
Urine culture and routine Micro (to see if any infection is there)
Sonography or CT scan of both kidneys and pelvic area to rule out any tumour or stone.
You might require cystoscopy(endoscopy of urinary bladder) if no cause will be found.
Lastly to know about kidney functions your doctor may advice you intravenous pyelography(it's a procedure to understand how the kidneys are functioning)
Serum kidney profile is obviously recommended.
2. Please also mentioned to your doctor whether you are taking any pain killers or blood thiners for a long time as they may cause haematuria.

3.So,until we find the cause of haematuria nothing much can be said, but usually it's a benign condition and subsides when the cause will also be cured. It's better to be concerned always but not to worry.

4 . It doesn't seems that your past episode of cerebral hemmorahge has any relevance in this matter.

Thank you.
I hope I have given you clearer idea.
If you want to show your reports or have any questions you may ask any time. We are always happy to help you.

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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Harshal Vora

Internal Medicine Specialist

Practicing since :2009

Answered : 321 Questions

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What Causes Asymptomatic Hematuria?

Brief Answer: Microscopic haematuria Detailed Answer: Hello welcome to HCM. I have read your question and understand your concerns. Asymptomatic haematuria is found actually in multiple conditions. Usually if you don't find it by your own we called it microscopic haematuria, which is usually found in urine analysis only. Usually this type of haematuria is found in primary kidney pathology but it is not necessary. Therefore my advice to you is - 1. You need to do complete work to find out where is the cause of haematuria. Ask your doctor for following investigations- Urine culture and routine Micro (to see if any infection is there) Sonography or CT scan of both kidneys and pelvic area to rule out any tumour or stone. You might require cystoscopy(endoscopy of urinary bladder) if no cause will be found. Lastly to know about kidney functions your doctor may advice you intravenous pyelography(it's a procedure to understand how the kidneys are functioning) Serum kidney profile is obviously recommended. 2. Please also mentioned to your doctor whether you are taking any pain killers or blood thiners for a long time as they may cause haematuria. 3.So,until we find the cause of haematuria nothing much can be said, but usually it's a benign condition and subsides when the cause will also be cured. It's better to be concerned always but not to worry. 4 . It doesn't seems that your past episode of cerebral hemmorahge has any relevance in this matter. Thank you. I hope I have given you clearer idea. If you want to show your reports or have any questions you may ask any time. We are always happy to help you.