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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Blood In Urine A Sign Of Recurring Crohn's Disease?

My daughter is a crohn's sufferer, diagnosed 12 months ago. She is on immunosuppressants and suffers repeat bladder infections. The crohn's itself is under control (we think) but today she is in pain again with an urgent need to pass water and there has been blood in her urine which has been absent with previous infections. She has mentioned her illness to doctors when getting treatment for "water infections" and they have been fairly dismissive of a link to crohns. The problem is we do not know what to expect if a flare-up occurs. Could this latest symptom (blood in her urine) be a symptom of flare-up or should we stop being concerned and assume it is another water/bladder infection? I would like her to go to A&E and get it checked but don't want to touble doctors unnecessarily.
Thu, 28 Jun 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

If Crohn's disease is active, it can result in very varied presentations. If under control and is quiescent it will not trouble much. Stress is one of the most common instigator for the activation. Chances of fistula formation is high. Kindly get urine routine done, get an ultrasound or ct scan with contrast to look for any connection between bladder and bowel. Yoga and meditation helps in getting the stress under control.

Hope I have answered your query. Let me know if I can assist you further.
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Is Blood In Urine A Sign Of Recurring Crohn's Disease?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If Crohn s disease is active, it can result in very varied presentations. If under control and is quiescent it will not trouble much. Stress is one of the most common instigator for the activation. Chances of fistula formation is high. Kindly get urine routine done, get an ultrasound or ct scan with contrast to look for any connection between bladder and bowel. Yoga and meditation helps in getting the stress under control. Hope I have answered your query. Let me know if I can assist you further.