Womens Health

Blood in urine

I had blood in my urine test, so they took another test and it came back negative for bladder infection, but there are still blood cells in it. I can't see anything when I go, have no pain or urgency. My right side has a little pain way down but it's nothing. What could be wrong? I have to go back in a week for another urine test.

Blood in the urine can be due to infection, stones, non bacterial inflammation such as interstitial cystitis, bladder or kidney cancer or polyps or sometimes just unknown. Rarely endometriosis may cause blood in urine and of course trauma to the kidneys or abdomen.

How long has the pain been present and what is it like?

The pain is like a dull ache and kind of hurts in my back a little. It has only been for about a week.

It's difficult to say at this point what's going on. The next step is to repeat the urinalysis and possibly a urine culture as you have indicated is already scheduled.

If the nature of the pain changes, either getting worse or improving, that would also be a time to reassess and look at the urine specimen again. Sometimes these things do go away by themselves with us never knowing for sure what was going on.

The minimum you should have done at this point to investigate this is to have a kidney xray (IVP) and urine specimens sent times 3 for cytology looking for possible malignant cells.

If these studies are negative, then a cystoscopy (looking into the bladder) should be done. If that study plus the rest are negative, then the blood in the urine can just be followed.

Occult blood in the urine

I recently discovered that I have occult blood in my urine. Three separate urinalysis were done, all of which were positive for blood in the urine.

The numbers were about 3 times the normal number of blood cells in a normal reading. I have absolutely no symptoms of infection and no pain. I was referred to a urologist who performed a cystoscopy as well as X-Rays of my kidneys.

All the tests were inconclusive. Although I was relieved, I am still worried that no diagnosis could be made. Should I be seeking a second opinion? What else could this be? I am an otherwise healthy 29 year old woman.

Isolated hematuria (just red blood cells in the urine which I am assuming you have) is associated with bleeding from the urethra to the kidney. Common causes are stones, neoplasms, tuberculosis, and trauma.

A cystoscopy evaluates the bladder and urethra. It does not evaluate the ureters or kidney. The way to do this is by retrograde pyelography or arteriography. These are things you may discuss with your urologist. Are there any other medical problems such as diabetes?

Table of Contents
1. Urinary tract infections
2. Urethral syndrome
3. Blood in pee?
4. Treating urethral syndrome
5. Recurrent cystitis
6. Bladder feels full
7. Reasons for blood in pee
8. Kidney stones
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