Hello. I Am 34 Years Old. I Had Two Days

Posted on Thu, 13 Dec 2018

Question: Hello. I am 34 years old. I had two days of minor irritation when voiding. I was working and on call so planned to go to the doctor that third day. On day 3 I woke up and had gross hematuria. This only lasted for about 3-4 hours as I increased my water intake. I also had urgency. I went to urgent care and they diagnosed me with a UTI. I started antibiotics and all symptoms went away almost immediately. I got the urine culture result today and found out it was negative. I am still asymptomatic 5 days later. Do I need to follow up with a urologist due to having that gross hematuria? I am a little concerned now that the culture came back negative. Thank you.

Answered by Dr. Anders Mark Christensen (4 hours later)

Brief Answer:
No, you don't

Detailed Answer:
Hi Bsobolcrna,

You do not need to see a urologist. However, since you have had macroscopic blood in your urine and pain, I suggest you see your doctor for a urinalysis for blood. An ultrasound of your kidneys would also be sensible.

Hope this helps.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Anders Mark Christensen (13 hours later)

Thank you. I had a urinalysis as well as routine labs about a month ago and had no blood at that time with a normal creatinine. One year ago I had a bout of right upper quadrant pain which ended up being gastritis. I had an ultrasound of the kidneys at that time. Which was normal. Besides another urinalysis and ultrasound would you recommend any other follow up? Thanks again

Answered by Dr. Anders Mark Christensen (1 hour later)

Brief Answer:
Ultrasound of the liver

Detailed Answer:
Hi Again Bsobolcrna,

Right upper quadrant pain can be gallstone disease. I suggest the ultrasound includes a scan of your liver and gall bladder.

Best wishes.

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Above answer was peer-reviewed by : Dr. Prasad