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What Causes Brownish Stringy Discharge In Urine?

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Posted on Wed, 1 Apr 2015
Question: I have been having what I think is a kidney stone episode over the last few days. Today i pain and a few minutes later passed a brownish/red stringy thing in my urine. Doesn't seem to be a stone shaped.
doctor
Answered by Dr. T Chandrakant (32 minutes later)
Brief Answer:
Investigations as advised to get an exact diagnosis.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male / 61 visited the ER last week - Doctor thought of Kidney stone - not conclusive - last few days felt like kidney stones episode - today had a pain and passed brownish / red stringy thing in urine which does not seem to be a stone shaped.

The brownish / red stringy thing in the urine could have been a blood clot. This in turn can be due to a stone in the urinary system or an infection along the way.

I would have liked to know the details of the investigations done.
As also the treatment you must have been given by the Doctor at ER.
Any history of associated illnesses like diabetes or so ?

I would advise in such a situation the following, considering your age.
-Urine:Sample sent for culture and sensitivity, routine and microscopy.
-Blood,: CBC, Kidney functions like urea and creatinine.
-Ultrasonography of the whole abdomen, particularly the genito-urinary system.

These investigations would give sufficient idea about the actual problem.

In addition
IVP= Intravenous Pyelography
CT scan of the abdomen
and other investigations as may be necessary.
An opinion of an Urologist for clinical evaluation, actual physical examination including per-rectal examination for the prostate and seminal vesicles, Cysto-Urethroscopy to visualize the interior.
Treatment with an antibiotic if there is evidence of an infection.

Please attach the reports if you have, along with this query for me to assists you more.

hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications if you feel there is a gap of communication.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
I had urinalysis and blood work at the ER. Doctor didn't seem to think anything out to the ordinary. Gave me some hydrocodene for pain, but I only used a few. Doctor said to return if pain got worse. It has been better since, but the unusual discharge concerned me.

I uploaded a picture of the discharge. It was about 1/2 inch long. Urine is clear now.
doctor
Answered by Dr. T Chandrakant (8 minutes later)
Brief Answer:
Further investigations please.

Detailed Answer:
Thanks for the picture and the feedback.
The picture is showing most probably a blood clot.

You had urine analysis and blood work at the ER.
Further investigations like ultrasonography and others as suggested are very important to get a proper diagnosis. Please insist and get all the relevant reports.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Brownish Stringy Discharge In Urine?

Brief Answer: Investigations as advised to get an exact diagnosis. Detailed Answer: Hi. Thanks for your query. To recapitulate: Male / 61 visited the ER last week - Doctor thought of Kidney stone - not conclusive - last few days felt like kidney stones episode - today had a pain and passed brownish / red stringy thing in urine which does not seem to be a stone shaped. The brownish / red stringy thing in the urine could have been a blood clot. This in turn can be due to a stone in the urinary system or an infection along the way. I would have liked to know the details of the investigations done. As also the treatment you must have been given by the Doctor at ER. Any history of associated illnesses like diabetes or so ? I would advise in such a situation the following, considering your age. -Urine:Sample sent for culture and sensitivity, routine and microscopy. -Blood,: CBC, Kidney functions like urea and creatinine. -Ultrasonography of the whole abdomen, particularly the genito-urinary system. These investigations would give sufficient idea about the actual problem. In addition IVP= Intravenous Pyelography CT scan of the abdomen and other investigations as may be necessary. An opinion of an Urologist for clinical evaluation, actual physical examination including per-rectal examination for the prostate and seminal vesicles, Cysto-Urethroscopy to visualize the interior. Treatment with an antibiotic if there is evidence of an infection. Please attach the reports if you have, along with this query for me to assists you more. hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications if you feel there is a gap of communication.