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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Hematuria?

I am 52 years old. i have a trace of blood inmy urine and bladder spasms. I have had urine test, Ultra sound, and Ct scan all neg. The urologist did a hydrodistntion of the bladder and only found spasms. I have presure on my bladder, vagina, side of thighs and butt. What can this be?
posted on Fri, 14 Mar 2014
Twitter Mon, 10 Apr 2017 Answered on
Twitter Tue, 11 Apr 2017 Last reviewed on
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General Surgeon,  's  Response
Hi, I had gone through your question and understand your concerns.
Well, if ct and ultrasound were negative and there is still bleeding from the bladder then you need to do cystoscopy for further evaluation since this is the only way to evaluate inside the bladder. Also, you need to be sure that blood comes in urine since it may be coming from vagina or rectum and in this case cause ma not be related to urinary tact. LAstly, it may be sign of urethritis or urinary infection which would not be seen on imaging tests. Your other symptoms are suggestive of infection and it would be good to have empiric antibiotic therapy with ciprofloxacin for 1 week to see if this will help.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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How To Treat Hematuria?

Hi, I had gone through your question and understand your concerns. Well, if ct and ultrasound were negative and there is still bleeding from the bladder then you need to do cystoscopy for further evaluation since this is the only way to evaluate inside the bladder. Also, you need to be sure that blood comes in urine since it may be coming from vagina or rectum and in this case cause ma not be related to urinary tact. LAstly, it may be sign of urethritis or urinary infection which would not be seen on imaging tests. Your other symptoms are suggestive of infection and it would be good to have empiric antibiotic therapy with ciprofloxacin for 1 week to see if this will help. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.