What Does Solid Material In Urine Stream Indicate?
 
                                    
                                    
                                          
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                                           Mon, 10 Feb 2014
                                           
                                        
                                        
                                        
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                                                Mon, 10 Feb 2014
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Wed, 5 Mar 2014
                                                
                                                
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                                            Question : Hello,
I previously corresponded with a nephrologist (Dr Bansal) through Healthcare Magic.  The doctor I have seen at the Urgent Care clinic here in Los Angeles recommended I go see an urologist.  While I was very happy with Dr. Bansal's answers, I thought I would reach out this time to an urologist.
I have had cloudy urine on and off since November.  Dipstick tests have been positive for blood, but both micro blood labs I have done are negative for blood.  I have included my most recent blood & urine lab results below.  (All results were within normal range.)
Almost three weeks ago, I had solid material come out with my urine stream.  It looked like small, soft yellow finger-shaped pieces, a strange black thread and a very tiny hard black speck. I have included a photo. These were sent to a lab.  The lab said the yellow pieces were "ground substance" and that the rest was "bladder debris."  But my urgent care doctor had no idea what that means diagnostically.  So I need an expert's opinion.
Could you please advise?
Thank you & namaste
 XXXXXXX 
RECENT TEST RESULTS
Comprehensive Metabolic
Glucose 91
BUN 16.0
Creatinine .8
BUN/Creat ratio (calc) 20
GFR (calc) 106
AST(SGOT) 15
ALT (SGPT) 22
Alkaline phosphatase 59
Bilirubin, total .2
Calcium 9.7
Sodium 141
Potassium 4.0
Anion gap (calc) 14.0
Chloride 104
CO2 27
Total Protein 6.8
Albumin 4.6
Globulin 2.2
A/G Ratio (calc) 2.1
Urinalysis w/ Rfx micro
Color Yel
Appearance Clear
pH 7.0
Sp Grav 1.021
Leuk Neg
Nitrite Neg
Urobil .2
Protein Neg
Blood Neg
Ketone Neg
Bilirub Neg
Glucose Neg
                            
                                    Brief Answer:
Stone disease
Detailed Answer:
Dear Sir,
All your symptoms as well as the abnormal lab tests were because of stone in the ureter. What you have passed out is a small stone alongwith organized clot. There is nothing much to worry and you need to get ultrasound of the kidneys to confirm that you don't have any other stone.
Take care
Sincerely
Rajiv Goel
                                    
                                    
                                    
                                    
                                    
                             Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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