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What Causes Blood In Urine?

Posted on Thu, 11 Sep 2014

Question: Hi I had pink urine last Sunday got blood and urine test at doctors they said urine sample was clear and blood but higher uric acid does the clear urine sample and them telling me kidneys are fine and working perfect prob rule out kidney stone and wot is the odd twinge in lower side

Answered by Dr. Sree Bhushan Raju (21 hours later)

Brief Answer:
no problem

Detailed Answer:
hi
pink urine can be due to blood in the urine which is the most common cause. I feel that the concoction which you have been taking also should be considered as the cause though its not listed among the causes. There are several rare causes of pink urine. But before labelling " some thing" as the cause, you need to rule out the common and most frequent causes. You better get the cystoscopic test etc as advised by the urologist and then stop the substances which you have been taking since a long time. After wards, if the occurrence of pink urine subsides, reintroduce the substances one after the another gradually over a period of one week ( one at a time) and see the color change in urine so that you can come toa conclusion.
The color of the urine is mostly decided by the substances in the urine which are imparted by the diet/ substances which we take. So, be assured that the pink color is mostly innocuous and might not be related to any major disease

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sree Bhushan Raju (4 hours later)

Thanks dr sree when the doctor dipped my urine pot in the practice he said there was microscopic blood but nothing else then when he sent it away he said it was all clear how can that be the same pot was used does the clear urine result mean there's no kidney stones yesterday I had blood in urine again and early this morning in bed a few little aches lasting a few seconds in left side and then fading away but nothing severe that u hear from most kidney stone sufferers urine isn't too bad today love to hear your expert opinion just to give me some ideas this is a great service thanks for your time ian

Answered by Dr. Sree Bhushan Raju (12 minutes later)

Brief Answer:
hi

Detailed Answer:
Blood in the urine can be gross ( which is seen) and microscopic ( only see under the microscope). As per your hisotiry, it was only microscopic.
Did you see blood in your urine ever? Did you get fever with chills ?

The most common cause of blood in urine is urinary tract infection. You need to get complete urine examination to see if those RBCs are dysmorphic or of normal shape. It differentiates the bleeding from kidney proper versus from the tract of urinary passage.

The stones need not be seen when you check in the ultrasound. It can be still there and makes scratches in the tract leading to blood in the urine and gets passed off by the time you check it up. High Uric acid can cause both I e. a stone and a pink urine. You need to get few tests related to this

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sree Bhushan Raju (52 minutes later)

Thanks no fever and chills but presume the pink urine was blood I've got high uric acid I would like to know how this causes blood in the urinary tract that might explain it but that wouldn't give me twinges in my side thanks so much for your time ian

Answered by Dr. Sree Bhushan Raju (2 hours later)

Brief Answer:
hi

Detailed Answer:

High uric acid content of urine precipitates at a certain PH of the urine which imparts a pink color to the urine. It doesn't depend on the value of uric acid in the blood alone and it happens in certain critical situation albeit transiently. I personally feel that the concoction of citric acid, vinegar etc is the one causing it and try to follow the method which I suggested.

What was the amount blood in urine i.e. no of red blood cells etc?
Were they dysmorphic and if so what percent of them are dysmorphic?

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sree Bhushan Raju (19 hours later)

Hi thanks I am going for tests starting Thursday but because I hav a spine problem I can't lie flat I'm ok for the ultrasound as they can prop me up for that but not sure about the urogram with XXXXXXX as its a flat X-ray table I rang and talked to the radiographer and he said no problem just try and if it can't be done he would write on sheet and ref it back to consultant he says should be ok as they hav many tests I'm getn the cystopic one later can u tell me will they be able and are there other tests so I don't have to lie flat thanks dr sree

Answered by Dr. Sree Bhushan Raju (24 hours later)

Brief Answer:
Hi

Detailed Answer:
is it really such a problem ? you can't avoid lying flat on the couch for such tests. still you can ask yours doctor performing the test to look at you and your convenient posture

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Sree Bhushan Raju (1 hour later)

Yeah unfortunately it is as I have curvature of the spine like kyphosis and I'm kind of scrunched up when I lie on such tables my back seems to be worse after any such episode thanks

Answered by Dr. Sree Bhushan Raju (4 minutes later)

Brief Answer:
Don't worry

Detailed Answer:
there can be a provision where urologist can tilt you in the table while performing the procedure according to your physical comfort. don't worry. it can be done

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Sree Bhushan Raju (2 days later)

Hi I've had urogram withe XXXXXXX and the ultrasound and I get cystoscope on Thursday with results but lady doing the ultrasound said there's a renal stone there about 1cm trouble is no one tells u any advice on what happens with that inside me day to day so I don't know anything about it there's no pain so far but wot if it gets stuck in ureter and so on and is there anything they can give me to try and break it up while I am waiting I'm worried as parents are going on hols for 2weeks so I'm on my own thanks dr sree

Answered by Dr. Sree Bhushan Raju (19 hours later)

Brief Answer:
dont worry

Detailed Answer:
A small stone of 1 cm is worth removal. It can be removed through a procedure or by ESWL depending on the location of the stone. A stone can come down on its way and may get stuck in the ureter. But, you don't need to worry as its is 1 cm and might get stuck much above and wont be much painful. The urologist will plan for removal afterwards once the location and size etc are confirmed by other investigations. You can get the " stone analysis " later to find out the the composition of the stone so that you can be better advised medically to prevent the recurrence of such a stone.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sree Bhushan Raju (2 days later)

Thanks so much sorry to go on a little dr sree so what will happen if it does get stuck and I'm on my own is there anything u can do to ease it they don't tell u anything to prepare u for which way it will develop can they float about a while at 1cm without getting stuck or crazy pain

Answered by Dr. Sree Bhushan Raju (25 hours later)

Brief Answer:
Removal required

Detailed Answer:
A stone of 1 cm will stuck in the tract above the ureter due to narrower path and it requires removal as depending on the location of the stone.

If stuck for longer time can damage the surrounding tissues due to recurrent trauma and can also obstruct the tract producing hydronephrosis(swelling of the kidney), which if prolonged can reduce the kidney filtering capacities.

So, I advise you to see an Urologist at the earliest and get the stone removed.

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari