
Have Hematuria. Having Pain In Abdomen Near Belly Button And Frequent Urination. What Test Should Be Done?

Your question is a very good one and I will work on providing you with some information and recommendations.
As far as imaging studies go I believe a CT scan is the most superior way to evaluate the abdomen and pelvis given your history. Right now MRI has not been proven to be superior.
Also there is no over-the-counter urine cytology kicked at this point. This is something that your doctor what would need to request. You could potentially discuss this with a urologist to see if they have a different opinion.
FISH is another highly specialized and very expensive test which is not available over-the-counter. Again this would need to be requested by your doctor. This is a relatively new way of urinary diagnostics and is not paid for by all insurance plans.
I would encourage you to get the CT scan performed. There is not a very high dose of radiation associated with a single CT scan. If you have some type of occupational exposure then I would advise you to make sure that is quantified in some degree for future reference.
I can appreciate that you're dealing with a very stressful situation. I look forward to helping you with further recommendations. If you have additional concerns please let me know.
Sincerely,
Dr. Robert


This information comes from the very best source, actual clinical settings. This is all reported in this publically available article accessable on the internet:
Radiation Dose Associated With Common Computed Tomography Examinations and the Associated Lifetime Attributable Risk of Cancer XXXXXXX Smith-Bindman, MD; Jafi Lipson, MD; XXXXXXX XXXXXXX BA; Kwang-Pyo XXXXXXX PhD; Mahadevappa XXXXXXX MS, PhD; XXXXXXX Gould, ScD; XXXXXXX Berrington de Gonza ́lez, DPhil; XXXXXXX L. Miglioretti, PhD(REPRINTED) ARCH INTERN MED/VOL 169 (NO. 22), DEC 14/28, 2009 WWW.WWWW.WW 2085
©2009 American Medical Association. All rights reserved.
In this case I cannot argue that there is some degree of radiation exposure from that CT scan. Keep in mind however that the physicians are trying to understand better the anatomy of what is going on inside your body. I would much rather have you exposed to some degree radiation in order to find a cancer which is treatable rather than avoid the test and have you deal with the consequences of widely metastatic disease.
I would not classify this as a huge amount of radiation.
If you feel that this amount of radiation is not acceptable I cannot change your mind along those lines. I would urge you to have a long discussion with your oncologist to see what they might recommend as a potential alternative.
Thanks again for submitting your question.
Dr. Robert

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