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Suggest Treatment For Hematuria

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Posted on Wed, 21 Jan 2015
Question: i have five days until urology appt. New patient. Gross hematuria diagnosed from ER visit. Managing ok. Do I want clots or not. Drinking water constantly seems to keep clots away.
doctor
Answered by Dr. V. Sasanka (35 minutes later)
Brief Answer:
Needs investigations

Detailed Answer:
Hi,
You certainly need to get some tests done. An ultrasound exam of kidneys and bladder,i.e. KUB, an X-ray of KUB, analysis of urine with culture and sensitivity, urine for cytology and a basic clotting and bleeding parameyrs test.
In the meantime, continue to take plenty of fluids which as you have discovered will hopefully keep urine free of clots.
Once the reports are available, we will be in a position to guide you better.
Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. Sasanka (9 minutes later)
I failed to mention that CT scan at hospital showed mass on bladder. Thank you for your advice on keeping clots away. Should be able to manage until exam.
doctor
Answered by Dr. V. Sasanka (6 hours later)
Brief Answer:
That explains

Detailed Answer:
Hi,
CT is usually good at picking up bladder lesions, and if it has indeed shown a mass, then you should be prepared for a cystoscopy and biopsy or a transurethral resection of bladder tumor. Urine cytology assumes more importance now and can be done straightaway.
Regards.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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Suggest Treatment For Hematuria

Brief Answer: Needs investigations Detailed Answer: Hi, You certainly need to get some tests done. An ultrasound exam of kidneys and bladder,i.e. KUB, an X-ray of KUB, analysis of urine with culture and sensitivity, urine for cytology and a basic clotting and bleeding parameyrs test. In the meantime, continue to take plenty of fluids which as you have discovered will hopefully keep urine free of clots. Once the reports are available, we will be in a position to guide you better. Best wishes.