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What Causes Hematuria?

Posted on Wed, 22 Apr 2015

Question: hi doctor,
I am XXXXXX 26 years, Male
six month back i had a haemeturia, At that time my kidneys were showing bilaterally raised renal cortical echo.

and my creatinine level was 1 then. I got cured in a week, After that I started checking urine and blood in each two month,

Blood and protein are always absent in urine, and urine report is normal.

But my creatinine level increasing by 0.1 in each two months, Now it has been reached to 1.3. should i start any treatment.

Answered by Dr. Sandip Kabra (2 hours later)

Brief Answer:
You must see nephrologist at least once.

Detailed Answer:
Hi,
Welcome to health care magic,
As you said you had hematuria earlier for which you had taken treatment.
Causes of hematuria could be urinary tract infection or kidney infection like pyelonephritis or kidney/bladder stone or glomerulonephritis or injury to kidney.
Raised echogenicity means ability of various anatomical parts of kidney to generate echo signals on ultrasound examination.
In your case,there might be increased correlation between your raised echogenicity of kidney and chances of underlying kidney disease.
If your latest creatinine value is showing 1.3 result and if it is having increasing tendency,then you must consult nephrologist at least once for complete medical history and clinical examination to rule out kidney pathology.
Raised cortical echogenicity might be indicative of early renal parenchymal disease with your constant increasing creatinine level.
So,it would be better you must see nephrologist.
Thanks and Regards,
Dr.Sandipkabra

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Sandip Kabra (3 days later)

Hi Doctor,

Thanks for your kind reply.

As u advised I will be consulting a nephrologist.

But now I am out of my town for 3 week for job purpose. So I can not make it before April 20.

Please advise me what are the care to be taken for this 3 week time.

Or is it so crucial that I should consult doctor here? If the treatment nature is long then it will be a difficulty.

I am 26 old male 70 kg
I drink 3.5 to 4 liter water daily.
I do jogging for 20 mins daily.
I do not smoke, drink very rarely.
I eat non veg once in week.

Please advise what to be done to my lifestyle. should I start treatment right away consulting doctor after 3 week will be ok?

Thank you.

Answered by Dr. Sandip Kabra (52 minutes later)

Brief Answer:
It would be advisable that you book your appointment soon.

Detailed Answer:
Hi XXXXX,
Thanks for the query.

As we are suspecting early renal parenchymal disease,you should also check for your serum urea,albumin level,potassium,calcium and phosphorus level.
If they come within normal range then there will be no issue,you can also see nephrologist after weeks but it would be advisable that you book your appointment to doctor as early as possible.

Your current life style regarding diet and exercise (as stated by you) is good and you can continue with that but always take high protein with energy dense foods with restricted fatty foods specially saturated fats with low calcium and potassium enriched foods.

Thanks and Regards,
Dr.SandipKabra

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. Pradeep Vitta