NetWellness Urinary Disorders

Trace hematuria in 26yo male. Followup?

Mildred Lam MD — Tue, 15 Nov 2011 11:11:00 EST

Question: Recently, I suffered my first attack of atrial fibrillation with an unknown cause. Upon arrival at the ER, I gave a urine sample. I gave another sample the following day. Both results show trace amounts of hematuria. My cardiologist is suggesting I follow up with a nephrologist. Is it appropriate to . . .

Answer:

At this point, it's most appropriate for you to see a nephrologist (non-surgeon).

The initial questions that need to be answered are:

Is your kidney function (as measured by the blood tests BUN and creatinine) normal?
Is there any sign of kidney damag . . .
Ask an Expert: Mildred Lam MD, Urinary Disorders

Acute Cystis

Donald Bodner MD — Fri, 11 Nov 2011 11:11:00 EST

Question: I had Prostate Biopsy 3 mos ago. Encounterd urinary,and seminal bleeding for approx 40 days. I went for usual bloodwork one month later. wbc>30, but asympomatic. Two weeks later extreme hematuria, along with s/s of infection. Went to E.R. Resulsts from U.A. Cystitis (lower tract) Given Cipro 500m . . .

Answer: I would suggest that you follow up with your urologist to examine you and to ensure that the cystitis/prostatitis was adequately treated with the Cipro. A repeat urine test should also be checked to ensure that there are no longer red blood cells present and no further evidence of infection.

Ask an Expert: Donald Bodner MD, Urinary Disorders

Prominent Renal Pelvis in 25 Week Fetus

William DeFoor MD, MPH — Tue, 25 Oct 2011 13:10:00 EST

Question: Can you please let me know what does it means "prominent renal pelvis" which identified in 25 week fetus, in sonography test?

Answer: A "prominent renal pelvis" is one of the most commonly seen abnormalities on prenatal ultrasonography. It can range from a mild variation of normal with no long term consequences or in rare cases could indicate a blockage of the kidney. No prenatal intervention is typically indicated. A follow-up th . . .

Ask an Expert: William DeFoor MD, MPH, Urinary Disorders

Pain in Back Flanks & Pressure in Lower Abd

Mildred Lam MD — Sun, 16 Oct 2011 09:10:00 EST

Question: About once a week I expierence pain in my lower back(both sides) ans pain in teticles and lower abdomen (both sides). I urinate about every 25 - 30 minutes all day and my flow is strong and then weak. I urinate even more often as I drink water. I also experience being thirsty after getting up in the . . .

Answer: I cannot answer your questions for sure without knowing a little more information, such as your age, when the symptoms first appeared, and whether they are getting worse with time.

If you are over the age of 40, you may have an enlarged prostate gland, which can cause a weak urine . . .

Ask an Expert: Mildred Lam MD, Urinary Disorders

Burning Urethra After Urinating, No Bacteria

Ahmad Hamidinia MD — Sun, 09 Oct 2011 09:10:00 EST

Question: For the past 6 months I have had frequent UTI symptoms..every time I go to the Doctors my urinalysis comes back clean (no blood, no bacteria). I have been on antibiotics about 9 times and it just keeps coming back. Most of the time the burning happens withing seconds after urinating and doesn`t stop . . .

Answer: Urinary tract infection is defined by symptoms and also urine culture and analysis. Symptoms do suggest infection but tests do not support the disease. You need to see specialist such as a urologist or gynecologist.

Ask an Expert: Ahmad Hamidinia MD, Urinary Disorders

Turp Surgery on Blood Thinners?

Lee Ponsky MD — Wed, 21 Sep 2011 21:09:00 EST

Question: Presently I have all the classic symptoms of BPH and am considering having a turp procedure. My urologist also agrees that I should have a turp, however I have read extensively about bleeding problems occurring post op. My question is, as I am taking blood thinners for atrial fibrillation, is t . . .

Answer: There are some newer vaporization technologies that may be options for you while on blood thinners, however the blood thinners will still raise your risk of bleeding even with these procedures. You should discuss some of these newer vaporization techniques with your urologist.

Ask an Expert: Lee Ponsky MD, Urinary Disorders

Soreness after passing 3mm kidney stone

Donald Bodner MD — Thu, 15 Sep 2011 17:09:00 EST

Question: I went to the ER due to severe right flank, back and right testicle pain. I had back aches the previous week so I was going to my chiro for that. At the ER a CT scan revealed a 3mm stone moving down the tube from my right kidney. Everything else in abdomen/pelvic ct was normal. 5 days . . .

Answer: After a stone passes, the pain may last for several days. You should continue to get better. It would be worth following up with your doctor. It may be worth checking to see if you are at increased risk to form another stone and what measures you can take to prevent stone recurrence.

Ask an Expert: Donald Bodner MD, Urinary Disorders

Pain in Flank Area

NetWellness Staff . — Thu, 08 Sep 2011 09:09:00 EST

Question: My son is 7 years old. Sometimes he had pain in left flank. Through ultrasound the impression are as such- 1. MESENTERIC LYMPH NODES. 2. URINARY BLADDER FINDING ARE S/O ? CYSTITIS. Further evaluation and clinical correlation is suggested. Doctor suggested us to admit my chid in hospital for 4-5 days . . .

Answer: Thank you for visiting NetWellness. This question would be better answered in the Urinary and Genital Disorders (Children) topic. Please look in that topic for an answer to your question.

Ask an Expert: NetWellness Staff ., Urinary Disorders

Lower Belly Pain and Urge to Urinate

Donald Bodner MD — Wed, 13 Jul 2011 11:07:00 EST

Question: Hello, occasionally I will feel like I want to urinate but there is nothing left and I feel pain in my lower belly and have the urge to urinate and go and sit on the toilet every five minutes until the urge/pain goes away, i`ve had this since i was a teenager and it doesn`t happen very oft . . .

Answer: I am uncertain the exact etiology of your symptoms. Mild inflammation of the urethra or prostate can give similar symptoms and can reoccur. I would suggest that you be seen and examined by a urologist.

Ask an Expert: Donald Bodner MD, Urinary Disorders

Puss Cells in Urine

Donald Bodner MD — Sun, 03 Jul 2011 23:07:00 EST

Question: I am 20 years male just recovered from an STD (Gonorrhea). I had a course of antibiotics (cifloxcin for 7 days and citralk syrup for 7 days). After 1.5 weeks I went for my urine test. It showed everything normal except puss cells amounting (2-3)/HPF and Epithelial cells amounting (0-1)/HPF . . .

Answer: You should follow up with your treating physician to ensure that you are completely recovered. It is difficult to say for the urinalysis alone.

Ask an Expert: Donald Bodner MD, Urinary Disorders