What Causes Blood In Urine While Having Waldenstrom's Disease?

Posted on Sun, 1 Jan 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 1 Jan 2017 Answered on

Wed, 25 Jan 2017 Last reviewed on

Question : I have had a cat scan that reveals blood in my urine, blood spots in my bladder and scarred walls of the bladder. Have an enlarged abdomen and heaviness, plus pain in lower part of belly or in pelvic area. My blood pressure seems to be running higher than normal. I am a breast cancer survivor for 6 yrs. now. Have Waldenstroms disease and on coumadin for blood clots in the lungs 2 times. Am waiting for an appt with a urologists. Can you advise anything? Thankyou.

Answered by Dr. Saddiq Ulabidin (1 hour later)

Brief Answer:
Need cystoscopy

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had gone through. Based on the history you have shared, it needs to be evaluated on cystoscopy after a detailed evaluation by the urologist. Meanhwile get clotting profile done including Pt, aptt and bleeding time etc. Also get complete blood count for platelets and urinalysis repeated to see blood cells or casts in urine.

Meanwhile OTC analgesics like acetaminophen and anti spasmodic like drotaverine can be used for symptomatic relief for heaviness and pressure symptoms in lower abdomen. Also drink more water and fluids.

For blood pressure control repeated blood pressure review and charting, salt restriction and suitable antihypertensive like angio tension receptor blocker or calcium channel blockers e.g.amlodipine can be used.

Wishing you a speedy recovery. Hope this has answered your query, If you have any more questions, feel free to ask. Regards.

Above answer was peer-reviewed by : Dr. Prasad