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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Lower Back Pain, Dark Urination And Blood Spotting?

Ive been experiencing lower back pain, feeling like I cant empty my bladder, dark colored urine and cramps in lower abdominal. Sometimes I get a sharp stabbing pain in my left side usually lasting about a half an hr but isnt excruciating. This has been going on for about 2 months but ultrasound tests on my bladder and ovaries are clean as was my urine test. The last 2 days how ever ive notive a tiny, tiny amount of blood when I wipe after urinating. It happened once last night and once tonight. A Followed by tiny little brown/tan something on the toilet paper. When i last visited my ob she said she didnt feel like it was kidney stones because im not in excruciating pain, however Im am beginning to think it might be. We lost my mom a little over a year ago due to metastatic cancer of the bladder after years of dealing with uti s and stones. I have also a history of chronic uti s tho I havent had.one in about 2 years.
Mon, 30 Mar 2020
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General Surgeon 's  Response
Hello,

Though the symptoms of lower back pain, dark urine and blood spotting are strongly suggestive of calculus in the urinary system, the negative ultrasound report raises concern about the same. In my clinic, after clinical examination, I do favor investigation with CT scan with intravenous urograffin contrast to get best visualisation of the urinary system.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Severe Lower Back Pain, Dark Urination And Blood Spotting?

Hello, Though the symptoms of lower back pain, dark urine and blood spotting are strongly suggestive of calculus in the urinary system, the negative ultrasound report raises concern about the same. In my clinic, after clinical examination, I do favor investigation with CT scan with intravenous urograffin contrast to get best visualisation of the urinary system. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon