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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Flank Pain, Increased Urgency Of Urination, No Burning. History Of Factor V, Renal Colic And Kidney Stones

Hello Dr. Grief. The past couple days ive been having really deep pulsating type pain on my right low flank side about a month ago i became coumiden toxic with an INR of 120 with similar pain accompanied by blood in my urine with similar pain. (this feels different/deeper and an increased urgency of urination is noted bit no burning or remarkable coloration) no stones, or infection was present last month via cat scan, CBC and urinalisis. Everytime have complained abut this discomfort and had the standard test i come back negative for stones. I have a history of Factor V, Kidney Stones , and Renal Cholic. Any idea what could be causing this ?
Mon, 2 Sep 2013
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Nephrologist 's  Response
Presence of a blood clot in urinary bladder is a possibility.
I think you should get a cystoscopic examination of bladder done by a urologist.
You can still have an atypical infection of urinary tract with fungus or tuberculosis etc. which would not be picked up on routine urine culture and need special cultures or detection by PCR (of urine sample) for tuberculosis.
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Flank Pain, Increased Urgency Of Urination, No Burning. History Of Factor V, Renal Colic And Kidney Stones

Presence of a blood clot in urinary bladder is a possibility. I think you should get a cystoscopic examination of bladder done by a urologist. You can still have an atypical infection of urinary tract with fungus or tuberculosis etc. which would not be picked up on routine urine culture and need special cultures or detection by PCR (of urine sample) for tuberculosis.