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What Causes Right Sided Pelvic Pain?

Posted on Thu, 17 Aug 2017

Question: I had minor side pain on right side by pelvic area ,I went had ct scan and renal ultrasound and it was normal so in 3 days I take a cystocopgy I have clear urine it doesn't burn ,I have appetite, no nausea no vomiting, no shortness of breath but I have micro hematuria, I went back to er last night just worried something has spread but doctor said ct would have been seen if it was a mass ,please help I'm going crazy I'm 41 years old no family history of this ,my blood work looks fine doctors said last night

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Vasculitis

Detailed Answer:
Hi there

Thanks for the query

Do you have hypertension or Diabetes?

Any history of vasculitis?

Since your CT scan and ultrasound are normal you don't need to worry.

There are other causes of micro haematuria like systemic hypertension and vasculitis.

Do get tests for Serum CRP level, Blood urea, Serum creatinine, Urine 24 hour protein, XXXXXXX levels, ESR.

This will help narrow down the diagnosis to vasculitis if it exists.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr.Aashish Raghu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (42 minutes later)

Yes I have hypertension no diabetes also I take 3 blood pressure meds hydrochlorothiaz, metropol, lisinapril

Answered by Dr. Aashish Raghu (7 minutes later)

Brief Answer:
Blood pressure under control?

Detailed Answer:
Thanks for your reply.

This could be a feature of hypertension. Do get the tests done as mentioned to be clear about this situation and not have any missed diagnosis.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (44 hours later)

I had 3 test u mentioned execp the 24 he urine i have no symptoms but a weak stream no burning no nausea or vomiting or diaria I had a negative ultrasound and ct scan my doctor thinks it's coming from my bladder (gross hematuria) please o please help me dr. I get my cystocopgy done tommrw please tell me what this could be something minor

Answered by Dr. Aashish Raghu (2 hours later)

Brief Answer:
Gross haematuria?

Detailed Answer:
Don't worry just yet. Let's take this situation step by step.

Gross haematuria can signify tumour in the bladder though there are other causes like bladder infection.

Do get the cystoscopy to confirm the finding and get treated accordingly. Just try to remain calm and composed and keep yourself well hydrated.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (30 minutes later)

What about bladder stones or any other non dangerous things I have no infection please list other non dangerous possibilities my primary doctor said my blood works looks good ,and we doctor's as well because I've been racking my nerves for the last week please list some non fatal factors please

And the abdominal ct and the renal ultrasound would have seen something major please both were negative

Answered by Dr. Aashish Raghu (18 hours later)

Brief Answer:
Non fatal causes of gross haematuria

Detailed Answer:
Bladder stones can cause gross haematuria, so can cystitis, worm infestation, erosions, urethral injuries or inflammation.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Remy Koshy