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What Causes Blood In Urine?

Posted on Tue, 22 Sep 2015

Question: pool of blood in toilet after husband pees, been 2 urologist all is well w/exception of cyst in bladder..called dr.givens ..reports show no infection and nurse says it could be coming from somewhere else?? stands when pees
....thank you, XXXXXXX and XXXXXXX XXXX

Answered by Dr. Matthew J. Mangat (2 hours later)

Brief Answer:
Blood in urine is abnormal and needs treatment for stopping it.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.
Blood in urine is always abnormal. We have to find the source of bleeding.
Once the cause for bleeding is known, treatment is decided.
Certain tests will be needed to locate the source of bleeding.
A bladder cyst as such, doesn't usually cause bleeding.
He will need to have blood creatinine, sugar, coagulation profile and urine culture testsed. The profile includes BT, CT, PT, platelets and INR.
Then he will need to do a CECT (contrast enhanced CT) scanning.
Once these reports are available, further treatment can be decided.
He should drink 8-10 glasses liquids daily.
Wish him well.

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

Follow up: Dr. Matthew J. Mangat (15 hours later)

dear DR....THE UROLOGIST HAS ALREADY RUN ALL OF THOSE TESTS...THEY TOLD ME ,DUE TO THE LARGE AMOUNT OF BLOOD THAT WAS ONLY VISABLE IN THE TOILET, THAT I WOULD HAVE SEEN IT AS CLEAR IN THE DROPS THAT LANDED OUTSIDE BOWL "IT HAS TO BE COMING FROM SOMEWHERE ELSE" WAS THIER RESPONSE. THAT LEAVES ONLY HIS PENIS..CAN YOU TELL ME WHHAT THAT CAN MEAN SO I CAN DO SOME HOMEWORK ON IT? THANK YOU SO MUCH. XXXXXXX AND XXXXXXX XXXX

Answered by Dr. Matthew J. Mangat (2 hours later)

Brief Answer:
Kindly send a copy of routine tests and CT scan.

Detailed Answer:
Hi again.
Kindly send me a copy of the urine culture, blood and CT scan reports.
Then, i can advise and give you an expert opinion.
For a diagnosis, these reports are essential.
Wish you good health.

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

Follow up: Dr. Matthew J. Mangat (1 hour later)

we did not understand this either, this dr. did not order a contrast catscan. simply a reg. catscan..its labor day weeekend, & we dont have our printer rt now, ergo...will contact and pick up report tuesday the 8th and mail them promptly. will this cost us anymore money 4 u to do this for him?

Answered by Dr. Matthew J. Mangat (38 minutes later)

Brief Answer:
Kindly consult an Urologist only.

Detailed Answer:
Hi XXXXXXX
There's a great difference between a plain and a contrast CT scan.
A contrast CT scan only, can highlight the entire urinary tract, and hence give very accurate information, regarding kidneys, urinary tubes from kidneys to bladder, and bladder. If there's a growth, stone, or similiar cause for the bleeding, it will be seen, very clearly. Also, it'll give information about function of the two kidneys.
Even the bladder cyst may have a growth inside it, and be a cause for the bleeding.
So you see, we must find out, exactly, the cause of the bleeding.
Then only, one can advise proper treatment, to stop further bleeding.
A plain CT scan is an incomplete study, which doesn't reveal much information.
You must consult an Urologist only.
Wish you well.

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