What Causes Flank Pain And Elevated RBC Count In Urine?

Posted on Mon, 23 May 2016

Question: I have abdoinal pain in flanks and urine analysis indicates 8-10 RBC/hpf. Whaat is it

Answered by Dr. Ketan Vagholkar (36 minutes later)

Brief Answer:
Investigations for medical / surgical renal disease

Detailed Answer:
Hi,
Thanks for writing in.
Flank pain with RBC's in the urine suggests a serious renal issue warranting further investigations.
The various possibilities are
1. Stone disease
2. Nephritis
3. Complications in a degenerative renal cyst.
The suggested further course of action would be.
1. A detailed clinical evaluation for renal enlargement and renal angle tenderness.
2. Detailed renal function tests which include blood tests and urine examinatiom.
3. Ultrasound of the kidney/ ureter and bladder to rule aout any pathology in the renal tract.
I hope this answers your doubt.
Regards

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Ketan Vagholkar (18 hours later)

Thanks. Ultra sound is normal. Can it be mild UTI. If yes, what should I take now I.e. any antibiotic?

Answered by Dr. Ketan Vagholkar (1 hour later)

Brief Answer:
Antibiotics/ plenty of water/ investigations

Detailed Answer:
Hi,
Thanks for the feedback.
It is good to hear that the ultrasound is normal.
I would suggest the following.
1. A short course of antibiotics for 5 days. I would start Tab Norfloxacin 500 mgms twice a day for 5 days. You can get this prescribed by a doctor nearby.
2. Plenty of water.
3. Repeat serum BUN and creatinine.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ketan Vagholkar (1 hour later)

Thanks but the local doctor has prescribed Cefuroxim,250mg twice For three days. Is it okay?

Answered by Dr. Ketan Vagholkar (6 minutes later)

Brief Answer:
Cefuroxim is fine.

Detailed Answer:
Hi,
The prescribed medications are fine. You can continue with the medications. After completing the course you can get the investigations which I had advised done to confirm normalcy.
Regards

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Above answer was peer-reviewed by : Dr. Deepak