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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever, Chills, Kidney Pain. Blood In Urine. Flu Negative. Any Information?

It started about a month ago when I went to the ER for a 102 fever, chills, pain in kidneys all the way up to my neck, off and on sharp pain under rib cage, sore throat and cough/cold symptoms. I had been exposed to someone with pneumonia so I thought it was that. A chest x-ray showed no pneumonia. They had me give a urine sample and they found blood in it and told me I had a UTI. I was given a script for bactrim and had a bad reaction to it, my symptoms were worse and I had a headache and terrible joint pain where I couldn't turn my wrists very well. I followed up with a family practice dr and was taken off the bactrim for possible sulfate allergy. I gave another urine sample and still they found blood. The dr told me the ER sample I gave as well as hers did not show an infection and that I never had a UTI. I had 3 abdominal ultra sounds which showed 3 ovarian cysts and one had ruptured which they said was probably the reason for my symptoms. They also asked that I schedule a follow up ultrasound in 2 months to be sure the other cysts went away. So today I had the same exact symptoms as I did a month ago and figured another cyst was rupturing. I tried to stay at work but the fever, chills and kidney pain made it difficult to teach a bunch of 6th graders. I called my OB first to see if I should follow up with him if it was the cysts they found. But a nurse said if I was having kidney pain I should follow up with the family practice dr and that cysts would have lower abdominal pain -which I don't have. I went back to the family practice doctor today and still there is blood in my urine. The tested for the flu and that was negative. Do you have any information for me? Should I schedule to see a urologist ? Thanks. 33 yr old woman
Mon, 22 Apr 2013
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General & Family Physician 's  Response
Hi, thanks for posting the question to H.C.M.C.
Ovarian cyst usually lies in groin (just above pelvis) on the both side of abdomen .
Kidneys on both side in lumber region , followed by ureter on both side from kidney, than they ( ureter) reaches in pelvis in urinary bladder from both side , than urine in bladder and from bladder passes through urethra at outside.
The rout of urine formation to passing outside is a different rout and nowhere ovarian cyst whether ruptured or as whole intermingle with urine , so pl make one thing clear in your's mind that the blood in the urine didn't relate at all with ovarian cysts.
Fever with chills , rigor, pain in kidney region all are indicative of some kidney ailment.
Since you are feeling pain in the abdomen with above mentioned symptoms the possibilities may be -
1. Renal calculus in one or both kidneys , however U/S of abdomen get but one more U/S required to highlight the K U B ( KIDNEY, URETER, BLADDER) region.
2 . Some infection of kidney ( initial stage) will not reveal in U/S . Might be pyelonephritis or Glomerulonephritis.
3. Any other disease of kidney.
Pl get blood test and urine culture and complete test.
So forget about pneumothorax but concentrate over the blood in urine.
Regards
Dr. HET
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

There is no doubt that you should see a Nephrologist or Urologist.
Blood in the urine needs further investigation - was it blood? - (it could be only haemoglobin or similar colour from another like porphyrins) / Were there pus cells? / Were there casts? / There are several causes; infection is one and is accompanied by pus cells too.
Intermittent episodes may point to possible stone... Ovarian cyst is an incidental finding and can not explain blood in the urine.

Take care
Wishing speedy recovery
God bless
Good luck
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Fever, Chills, Kidney Pain. Blood In Urine. Flu Negative. Any Information?

Hi, thanks for posting the question to H.C.M.C. Ovarian cyst usually lies in groin (just above pelvis) on the both side of abdomen . Kidneys on both side in lumber region , followed by ureter on both side from kidney, than they ( ureter) reaches in pelvis in urinary bladder from both side , than urine in bladder and from bladder passes through urethra at outside. The rout of urine formation to passing outside is a different rout and nowhere ovarian cyst whether ruptured or as whole intermingle with urine , so pl make one thing clear in your s mind that the blood in the urine didn t relate at all with ovarian cysts. Fever with chills , rigor, pain in kidney region all are indicative of some kidney ailment. Since you are feeling pain in the abdomen with above mentioned symptoms the possibilities may be - 1. Renal calculus in one or both kidneys , however U/S of abdomen get but one more U/S required to highlight the K U B ( KIDNEY, URETER, BLADDER) region. 2 . Some infection of kidney ( initial stage) will not reveal in U/S . Might be pyelonephritis or Glomerulonephritis. 3. Any other disease of kidney. Pl get blood test and urine culture and complete test. So forget about pneumothorax but concentrate over the blood in urine. Regards Dr. HET