Can there be no medical reason for blood in the urine (hematuria)?

Question

For approximately seven years I've had continuous 'traces' of blood in the urine, however, it has now escalated (in the past several months) to 'large amounts' of blood in the urine. I have a history of thyroid cancer (diagnosed in 95 at the age of 19) with the last recurrence and treatment in May of 2000. I've had numerous health problems including several benign tumors throughout my body. Had a workup 3 yrs ago with a Urologist - bladder looked good - I didn't want any further testing. Now going back to Urologist and he has ordered a CT Scan and Cytoscopy (SP??) to check for stones, cancer, etc. Said if negative would refer me to a Nephrologist for evaluation of kidney disease. Noticed lately I'm feeling bad - weak, dizzy, hands trembling, chest pain, abdominal pain, back pain, very odd severe shooting pains that feel deep in the trunk area. Can be a shooting pain from around the center of my back to rectum or in the front abdominal area to pelvic area. Very painful - feel faint upon

Answer 1

The most common reason for blood in the urine is a condition known as "benign hematuria"-- usually genetic caused by the filters of the kidney allowing red cells to get into the urine and since it is 'benign"-- usually no symptoms and not harmful.
(it's diagnosis is made after a work-up is negative and other family members have blood in there urine)

Another cause is a condition known as "hypercalcuria"-- in which too much calcium is passed into the urine (whcih can be measured) and the calcium irritates the filters resulting in microscopic blood in the urine (again usually no symptoms but can lead to kidney stones).

A further condition which can cause blood in the urine is a series of inflammatory conditions of the kidney ( glomerulonephitis) -- in these cases there is not only blood but also protein in the urine.
Also sometimes kideney function is impaired with a blood test and blood pressure can be elevated.
Somes Glomerulonephritis can be associated with symptoms
(similar to which you described) and sometimes people do not have symptoms with glomerulonephritis.

In conclusion-- just based on your history and that fact that you have "blood in the urine"-- it is dificult for me -a Nephrologist-- to determine if your symptoms are from a kidney 'disease' or some other medical problem (or stress).

If your urologist cannot determine a cause-- I would recommend a nephrologist to review the case and to determine if a kidney biopsy ( in which a piece of kidney is examined under a microscope to look for kidney inflammation) is indicated.

good luck

Answer 2

Don't worry too much. All you have to do is wait for the lab result and pray. Anyway, it's good that you took her to the doctor right away. The blood might be a symptom of an illness. Usually, blood in the urine is a sign of a urinary tract infection which happen to most children from 6mos to 3yrs old. Too much use of diapers can be a culprit, but there are also other causes like improper washing of the genital area, lack of water and salty foods. It can easily be treated by antibiotics depending on the degree of infection. usually if the infection is high, the RBC count and the WBC count or the pus cells is high. You can see it base on her urinalysis. Urine culture on the other hand is being done to also determine what kind of antibiotic should be given to her. It really takes days for the result. Of course anything irregular in the system means something is wrong but trust your doctor. This case isn't new to them and they know very well what kind of treatment should be given.

Answer 3

I don't know if this is the same because I had no prior medical issues. When I was about 23 I started having trace amounts of blood in my urine. I would get bladder infections sometimes, but whether or not I had one there were always trace amounts. This started worsening, so I went to a million specialists who said I was fine, nothing to worry about. At age 27 I experienced full blown kidney failure and it is permanent. Since then, dialysis and eventually a transplant. My doctors in hindsight say they should have looked at my kidneys sooner, but this is not common for someone so young.
Your symptoms sound like mine did before I was diagnosed. Your planned tests sound a lot like what I went through before I found out what was going on. If I had to do it all over again, I would of had my kidneys checked right away. It's not hard, a simple blood test. If caught before too much damage is done, there are a lot of ways to avoid End Stage Renal Disease.
Hopefully it's nothing like that, but GET YOUR KIDNEYS AND OTHER ORGANS FUNCTIONS CHECKED!
Good luck and my prayers are with you!

Answer 4

One of the key symptoms of renal cancer is actually painless hematuria (blood in the urine). If you are not having the symptoms of a urinary tract infection, it is possible that you have metastases of your cancer to your kidneys and surrounding areas - which would account for the pain. It's good that you're being evaluated, so you can seek treatment if it's positive. Other than that, there is always a medical explanation, even if your doctors don't know what it is.

Answer 5

Keep going to the tests, what a bummer. Good luck to you. No there is no reason for blood in urine that's just "the way it is".

Answer 6

My husband had those symptoms and it was not until they did a lot of testing that they found out he had abnormal growths in his kidneys. They said it was genetic and he has to keep going back to the urologist every 6 months for a check up to make sure his ureters do not get blocked.

Answer 7

Yes. Often there are traces for no apparent reason. However, since there is now a large amount it is good that you are getting a thorough work up. Maybe you have a kidney stone. I wish you good health & a quick recovery.

Answer 8

i also had the same problem urine in blood very often i will be going for a bladder scope soon. hope u will be fine

Answer 9

1

Answer 10

with your medical history and the symptoms you are having it dont sound good...