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What Are The Causes For Gross Haematuria?
What are common causes for gross hematuria (blood clots in urine ) for males at the age of 27? UTI screening was negative. CT scan was negative for stones. Symptoms include random attacks (occurring once or twice a month) in which pressure on lower abdomen and near prostrate causes urge to urinate and to defecate. Of the half dozen attacks I have had over the last year and a half, at only one time did I urinate blood clots. Should I be worried about bladder or kidney cancer? Any help?
Tue, 21 Apr 2015
Hi there,
Causes of Gross heamaturia are multiple and are categorized depending on the age of patient. In middle aged to elderly the most worrying should be cancer and should be ruled out on imaging (Ultrasound or CT scan) and IVU. Overall infection and stones in the urinary system are the most common causes. In young patients especially male IgA nephropathy, which can only be diagnosed by renal biopsy, is a common cause of recurrent heamaturia. In IgA nephropathy there is usually a preceding history of upper respiratory tract infection. At your age cancer is a very remote possibility but still ruling it out by cystoscopy would be worthwhile. I would personally suggest a Urine R/E followed by Renal biopsy in your case. Other cause include cysts and renal infarction which are very remote given the history and investigations.
Wish a quick recovery and happy day,
Dr. Nauman Wazir
Causes of Gross heamaturia are multiple and are categorized depending on the age of patient. In middle aged to elderly the most worrying should be cancer and should be ruled out on imaging (Ultrasound or CT scan) and IVU. Overall infection and stones in the urinary system are the most common causes. In young patients especially male IgA nephropathy, which can only be diagnosed by renal biopsy, is a common cause of recurrent heamaturia. In IgA nephropathy there is usually a preceding history of upper respiratory tract infection. At your age cancer is a very remote possibility but still ruling it out by cystoscopy would be worthwhile. I would personally suggest a Urine R/E followed by Renal biopsy in your case. Other cause include cysts and renal infarction which are very remote given the history and investigations.
Wish a quick recovery and happy day,
Dr. Nauman Wazir
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