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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Hematuria?

57 yr old male. coumadin patient. Hematuria since last friday. went away for part of sat., back on sun., and now much less. Recent ceftin use for URI, stopped on Sun. Sonogram of kidneys, liver, spleen and bladder negative. CT of abdomen and pelvic area all negative. Cystoscopy, pathologist exam of urine and PSA are next. Your ideas on the cause of the hematuria?
Thu, 30 May 2019
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General & Family Physician,  's  Response
Hello,

Your CT scan report is negative as per mentioned history.

So organic cause seems less likely.

It can be an infection of urinary tract mucosa.
I suggest you investigate with urine routine microscopic examination and culture report.
Kindly revert back with reports once done.

If urine reports also negative than rule out bleeding disorder by PT, aPTT and BT estimation.

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

Regards,
Dr. Parth Goswami, General & Family Physician
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What Is The Cause Of Hematuria?

Hello, Your CT scan report is negative as per mentioned history. So organic cause seems less likely. It can be an infection of urinary tract mucosa. I suggest you investigate with urine routine microscopic examination and culture report. Kindly revert back with reports once done. If urine reports also negative than rule out bleeding disorder by PT, aPTT and BT estimation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician