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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood Discharge In The Urine?

Blood in my urin for some years, but last year around this time I had a lot of pain in both of my sides, for weeks. Now here again I have the same pain in both sides, and lower back, and my sides feel sollown and in flamed. I am a 68 year old laby. Also I had a MRI last year and they found nothing, but a urin infection.
Thu, 28 Jan 2016
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Blood in urine needs to investigated aggressively because painless blood in urine in elderly is indicative of urinary bladder malignancy.
You have mentioned that you are experiencing pain on sides, however, it is not clear by your history which sides or what is the exact site of pain.
Pain in lower back may or may not be associated with blood in urine.
I suggest you to get urine examination for malignant cells.
In case of malignancy of urinary bladder, a number of malignant cells are exfoliated into the urine.
Urinary tract infection (UTI) can also lead to blood in urine, however, in UTI the amount of blood in urine is subtle and not gross.
In case there is evidence of infection in urine, I suggest you to get an urine culture to identify the causative organism.
If urine culture is positive, drug sensitivity needs to be done wherein most sensitive antibiotic is selected.
The lower back correlates with UTI. Treatment of UTI will cure the pain also.

Thanks and take care
Dr Shailja Puri


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What Causes Blood Discharge In The Urine?

Hello and welcome to HCM, Blood in urine needs to investigated aggressively because painless blood in urine in elderly is indicative of urinary bladder malignancy. You have mentioned that you are experiencing pain on sides, however, it is not clear by your history which sides or what is the exact site of pain. Pain in lower back may or may not be associated with blood in urine. I suggest you to get urine examination for malignant cells. In case of malignancy of urinary bladder, a number of malignant cells are exfoliated into the urine. Urinary tract infection (UTI) can also lead to blood in urine, however, in UTI the amount of blood in urine is subtle and not gross. In case there is evidence of infection in urine, I suggest you to get an urine culture to identify the causative organism. If urine culture is positive, drug sensitivity needs to be done wherein most sensitive antibiotic is selected. The lower back correlates with UTI. Treatment of UTI will cure the pain also. Thanks and take care Dr Shailja Puri