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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Hematuria And Hypertension?

Hi, it was discovered I had hematuria at my routine gyn exam, and mild hypertension. Referred to my family dr who repeated and found microscopic and dipstix +. No gross hematuria noted. Sonogram showed bilateral cortical thinning of kidneys. Did cmp, sed rate, cbc, 24 hr urine for Protein and creatinine....all perfectly within normal limits, What is the renal cortical thinning from? Dr said it might be congenital? but wants to send me to urologist for cysto, but during this time, I was also diagnosed with breast ca and she wants me to have breast sx first? What do you think ?
Thu, 29 Jun 2017
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Cardiologist,  's  Response
In the search for blood in the urine, the first goal is to find its source, the kidney or the tubes that drain it. There are inherited reasons for the kidney to allow red blood cells out but the more common source is in the drainage system. That is why your doctor is calling for a urologist. The ultrasound shouldn't be considered in isolation. It is impossible to know what it means until all other evidence is in. It is just one part of that evidence. Your doctor seems to have placed concerns about your breast first and this seems appropriate. Cancer caught early may be curable. An accurate diagnosis is crucial. I would follow the advice that you've been given.
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What Is The Treatment For Hematuria And Hypertension?

In the search for blood in the urine, the first goal is to find its source, the kidney or the tubes that drain it. There are inherited reasons for the kidney to allow red blood cells out but the more common source is in the drainage system. That is why your doctor is calling for a urologist. The ultrasound shouldn t be considered in isolation. It is impossible to know what it means until all other evidence is in. It is just one part of that evidence. Your doctor seems to have placed concerns about your breast first and this seems appropriate. Cancer caught early may be curable. An accurate diagnosis is crucial. I would follow the advice that you ve been given.