
What Does My Biopsy Test Report Indicate?

Treatment advised conforms to standard approach.
Detailed Answer:
Hello Denices and welcome to HCM.
As an Urologist, i can fully understand your anxiety.
Your kidney stones of 2mm and 4mm are not a cause of concern.
They'll flush out with 3 litres of fluids daily.
Bleeding is from the chronic inflammation in the bladder, as seen in biopsy report.
It's cause is difficult to pin point the other cause of chronic inflammation, as seen in the biopsy, but is seen in patients with Sjogren's syndrome. And that could be the most probable reason.
You're having hypercalciuria with hyperuricosuria as per your question.
The reports will be needed to confirm that.
Potassium citrate solution is being used to dissolve the stones.
Benicar is an anti-hypertensive medication,to control your blood pressure.
Vitamin D levels would have been checked, before giving vitamin D supplements.
Calcium loss is taking place in your urine, not blood.
That needs to be replenished.Hence, you're prescribed calcium supplements.
If the dryness is excessive in the eyes, you should consult an eye specialist.
Hope your doubts are cleared.
Feel free to ask any question,but in that case,do send your reports along.
Also treatment being taken for Sjogrens Syndrome.
wish you well.
Dr.Matthew J. Mangat.


Steroids is the cause for recurrent bleeding in urine.
Detailed Answer:
Hi Denices,
The steroids taken by you, could be the reason for bleeding in urine.
The steroids will delay any healing, in the congested area of bladder.
This would've been told you, by your doctor,who carried out cystoscopic biopsy.
Blood calcium levels are always checked simultaneously with uric acid levels.
The reports along with Vitamin D levels are needed.
Sjogren's syndrome treatment is advised, depending on your symptoms.
Chronic cystitis or inflammation, is seen in people with your condition.
Recurrent bleeding is part of the same condition.
Wish you well.
Dr.Matthew J. Mangat.


Treatment protocol and present
Detailed Answer:
Hi Denices,
That will be the best approach to your problem.
Your tests must include :
1. blood routine, creatinine,RBS,LFT,platelets,calcium,phosphorus and uric acid.
2. vitamin D level.
3. urine routine and culture.
4. 24 hours urine calcium,phosphorus and uric acid.
5. biopsy report.
Yes,get back with the treatment protocol, of Sjogren's syndrome,you're getting.
Wish you well.
Dr.Matthew J.Mangat.


MCH 26.6 L 27.0 34.0 pg
RDW(cv) 15.4 H 11.0 15.0 %
Vitamin D, 25Hydroxy, Total 21.7 L 30.1 100.0 ng/mL
Glucose 195 H 65 99 mg/dL
Protein, Total 8.3 H 6.0 8.0 g/dL
Alanine Aminotransferase 156 H 5 46 IU/L
Aspartate Aminotransferase 110 H 10 41 IU/L
Cholesterol 209 H ≤199 mg/dL
Triglyceride 154 H ≤149 mg/dL
VLDL Cholesterol 31 H ≤29 mg/d
continue same medication.
Detailed Answer:
Hi Denices,
You must continue same medication and repeat blood tests as advised.
The blood and urine routine tests as advised, have not yet been done.
It's important to assess the reports,to give an expert advice on treatment.
The present treatment prescription is mandatory.
If biopsy report isn't available,get a copy of the cystoscopy report.
You can contact me with the reports, for an expert opinion.
Drink 10-12 glasses fluids daily.
Dr.Matthew J. Mangat.


reports show cause for bleeding.
Detailed Answer:
Hi Denices,
I've gone through your reports.
The 24 hours urine calcium and uric acid levels are not there.
It shows the high blood sugar levels,seen in diabetics.
You should get your HbA1C done with a 2hours, post-prandial sugar tested.
Your hyperlipidemia is also seen.
You'll need to exercise and control your diet,avoiding fatty foods.
Whether a statin is needed, will be decided by your physician.
Your biopsy shows the congested areas, from where the bleeding could've come.
The other parameters are all normal.
Hope your doubts are cleared.
If you've any specific doubts, feel free to ask them.
Dr.Matthew J. Mangat.

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