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What Causes RBC In Urine?
Question: I have just received full blood panel results and urinalysis. Blood work normal, except bilirubin was a bit high - 1.7 with reference range of .3-1.4. I may have been a bit dehydrated. My urine sample was small. It yielded trace blood with 4-5 RBC on 0-3 scale. I am very scared about bladder cancer. I have no UTI history. I do have painful ovulation and lower abdominal pressure that is obvious during urination when I am ovulating. It is the same every month lasting for a few days and disappearing after ovulation. I have had several normal pelvic ultrasounds for this issue. I did take daily aspirin for both of my pregnancies and am concerned that the use of aspirin has put me at risk. I have a 5 and 2 year old. Please advise. I repeated blood drawn and urine specimen today and had doctor order a cytology. Do I need a cytoscopy? I am very afraid.
Brief Answer:
Bladder cancer is rare
Detailed Answer:
Hello dear,welcome to healthcaremagic.I understand your concern.
In my opinion the urinary tract infection is the most common cause of RBC in urine.Other causes of RBC in urine are TB bladder and bladder cancer.
As you said you are dehydrated there is chance of formation of small calculi which injure the urinary tract leading to bleeding and there by RBC are seen in urine.These micro calculi are not seen in imaging.
There is no chance of bladder cancer risk with aspirin.Infact there is evidence based study conducted in XXXXXXX aspirin decreases the risk of bladder cancer.
Bladder cancer is rare and it is associated with risk factors like smoking,exposure to aniline dyes,petroleum dyes,chemical dyes etc.
So dont worry.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr.srilatha
Bladder cancer is rare
Detailed Answer:
Hello dear,welcome to healthcaremagic.I understand your concern.
In my opinion the urinary tract infection is the most common cause of RBC in urine.Other causes of RBC in urine are TB bladder and bladder cancer.
As you said you are dehydrated there is chance of formation of small calculi which injure the urinary tract leading to bleeding and there by RBC are seen in urine.These micro calculi are not seen in imaging.
There is no chance of bladder cancer risk with aspirin.Infact there is evidence based study conducted in XXXXXXX aspirin decreases the risk of bladder cancer.
Bladder cancer is rare and it is associated with risk factors like smoking,exposure to aniline dyes,petroleum dyes,chemical dyes etc.
So dont worry.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr.srilatha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi. Thank you.,I'm still very worried because I do not have a UTI. Could there be in known cause or is bladder cancer most likely if not UTI?
Also, my mother smoked in our family home for the first 18 years of my life. I am now 45.
Finally - I know that stopping aspirin therapy increases heart attack risk. Could it be the same is doing it for 9 months and stopping?
Also, my mother smoked in our family home for the first 18 years of my life. I am now 45.
Finally - I know that stopping aspirin therapy increases heart attack risk. Could it be the same is doing it for 9 months and stopping?
Brief Answer:
Smoking is a risk factor for bladder cancer
Detailed Answer:
Hi there
good day
thanks for providing important information.
in my opinion negitive UTI is a important point.
since your mom is a smoker you might be considered as a passive smoker.
A passive smoker is one who closely associated with smoker and inhale the smoke along with smoker.
in that senario asymptomatic haematiria should be delt with high index of suspension.
cytology study of bladder can detect cancer in very early stages.
A kind of starting stage of cancer called as carcinoma in situ can be cured completly with simple treatments only.
so I suggest you to consider checking for bladder cytology and also Pap smear for cervix cytology.
Hope I am able to satisfie your query.
feel free to discuss further
regards
Dr srilatha
Smoking is a risk factor for bladder cancer
Detailed Answer:
Hi there
good day
thanks for providing important information.
in my opinion negitive UTI is a important point.
since your mom is a smoker you might be considered as a passive smoker.
A passive smoker is one who closely associated with smoker and inhale the smoke along with smoker.
in that senario asymptomatic haematiria should be delt with high index of suspension.
cytology study of bladder can detect cancer in very early stages.
A kind of starting stage of cancer called as carcinoma in situ can be cured completly with simple treatments only.
so I suggest you to consider checking for bladder cytology and also Pap smear for cervix cytology.
Hope I am able to satisfie your query.
feel free to discuss further
regards
Dr srilatha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My anxiety is now super high. A cytology is being performed. Is this most likely explanation for such small microhematuria?
Brief Answer:
There is nothing to be anxious
Detailed Answer:
hi dear
my aim is not to make you anxious
but it's a very very rare possibility only.
A haematiria with out any infection in urine we need to investigate and find the cause.
since most of your ultrasound reports are also normal it's better to go for further investigations like cytology.
taking asprin give you protection from cardiovascular events.
kindly wait for the report of cytology
as I told you cancer is a very very rare possibility but we need to investigate for haematiria.
regards
Dr srilatha
There is nothing to be anxious
Detailed Answer:
hi dear
my aim is not to make you anxious
but it's a very very rare possibility only.
A haematiria with out any infection in urine we need to investigate and find the cause.
since most of your ultrasound reports are also normal it's better to go for further investigations like cytology.
taking asprin give you protection from cardiovascular events.
kindly wait for the report of cytology
as I told you cancer is a very very rare possibility but we need to investigate for haematiria.
regards
Dr srilatha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. Seeing a urologist.
I am concerned about the link of semipermanent hair color and bladder cancer and childhood brain tumors. My OB assured me that hair color was safe. I only colored my hair one time in both pregnancies during trimester 3. I have colored during breastfeeding.
Please advise. I am concerned about my children and me.
I am concerned about the link of semipermanent hair color and bladder cancer and childhood brain tumors. My OB assured me that hair color was safe. I only colored my hair one time in both pregnancies during trimester 3. I have colored during breastfeeding.
Please advise. I am concerned about my children and me.
Brief Answer:
Hair colour is not a risk factor in your case
Detailed Answer:
Hello dear,goodday.I got your query.I understand your concern.In my opinion the semipermanent hair colour which is used is not a risk factor for bladder cancer and not going to affect your baby in any way.Because you have used it only a few times.And the dose you used is insignificant to cause any untoward
effects.It becomes a risk factor in those who use it continuously years together.So relax.Dont worry.As you are going to see a urologist however the cause of haematuria will be evaluated.
Hope this satisfies your query.
Best regards....dr.srilatha
Hair colour is not a risk factor in your case
Detailed Answer:
Hello dear,goodday.I got your query.I understand your concern.In my opinion the semipermanent hair colour which is used is not a risk factor for bladder cancer and not going to affect your baby in any way.Because you have used it only a few times.And the dose you used is insignificant to cause any untoward
effects.It becomes a risk factor in those who use it continuously years together.So relax.Dont worry.As you are going to see a urologist however the cause of haematuria will be evaluated.
Hope this satisfies your query.
Best regards....dr.srilatha
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I have colored my hair in and off for 10 years. Now is it a problem for my bladder or babies?
Brief Answer:
Chemical hair XXXXXXX is harmful
Detailed Answer:
Hi there
good day,
I can understand your concern.
in my opinion since there is insignificant exposure to hair XXXXXXX during your pregnancy time it will not cause any damage to your children.
As a general advise try to keep chemical hair XXXXXXX away.
as of now lots of research is going on in this hair XXXXXXX issue.
since many companies are using different combinations of chemicals it's very difficult to evaluate which among them is bad.
so as a general rule it's better to avoid chemical hair dyes completly.
My aim is not to make you tense but try to make you understand wats better for your health.
Hope you understand .
feel free to discuss further.
regards
Dr srilatha
Chemical hair XXXXXXX is harmful
Detailed Answer:
Hi there
good day,
I can understand your concern.
in my opinion since there is insignificant exposure to hair XXXXXXX during your pregnancy time it will not cause any damage to your children.
As a general advise try to keep chemical hair XXXXXXX away.
as of now lots of research is going on in this hair XXXXXXX issue.
since many companies are using different combinations of chemicals it's very difficult to evaluate which among them is bad.
so as a general rule it's better to avoid chemical hair dyes completly.
My aim is not to make you tense but try to make you understand wats better for your health.
Hope you understand .
feel free to discuss further.
regards
Dr srilatha
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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