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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hematuria?

I recently had a physical and my urine came back with an rbc of 3-6. The doctor had me retake it and it was in the 26-100 category. In the last 3 years, i ve had blood in my urine at these appointments and have had 2 cytoscopies that yielded no cancer, yeah. However, this is the highest blood count ever. My father and grandfather both had bladder cancer. I m going to urologist on monday, but I am scared. Should I be more concerned about this rbc in urine or could it be just a kidney stone or something?
posted on Mon, 21 Jul 2014
Twitter Sat, 20 Feb 2016 Answered on
Twitter Wed, 4 May 2016 Last reviewed on
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General Surgeon,  's  Response
Hello hope the answer helps you.As you mentioned in histroy about blood in urine with unremarkable 2 cystoscopies in last 3 years,since you didnt mention as are you a smoker in whom chances of bladder cancer is increased,plus you didnt mention profession sir as aniline,rubber,cable and dye industries worker are more prone to it.Also as far as blood in urine(HAEMATURIA)IS CONCERNED if painful could be urinary tract infection so better no worries at present but a check cystoscopy by urologist is a good safe option to do
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General & Family Physician,  Dr. Dholariya Sagar Jayantilal's  Response
Hello dear
Understand your concern.
Better to consult the urologist and get the proper investigations

Following are the cause of your problem:
Urinary tract infection, stone/ tumor of urinary tract/in bladder, Dehydration, Cystitis, Prostatitis or enlarged prostate

Do not worry, for safer side do following tests:

Urine : routine, microscopic and culture
Abdominal USG, cystoscopy, IVP study
KFT, CBC, ESR, PSA

Drink lots of fluids
Do not delay in empty the bladder
Take fruits like: orange, cranberry and pineapple,

Hope this may help you
Best regards
Dr. Sagar
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What Causes Hematuria?

Hello hope the answer helps you.As you mentioned in histroy about blood in urine with unremarkable 2 cystoscopies in last 3 years,since you didnt mention as are you a smoker in whom chances of bladder cancer is increased,plus you didnt mention profession sir as aniline,rubber,cable and dye industries worker are more prone to it.Also as far as blood in urine(HAEMATURIA)IS CONCERNED if painful could be urinary tract infection so better no worries at present but a check cystoscopy by urologist is a good safe option to do