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Urology  (Expert Forum)
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blood in urine and ultrasound
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

blood in urine and ultrasound

by junemommy17, Jan 29, 2007 12:00AM
About 2 weeks ago at my yearly gyn checkout I was told there was blood in my urine.  I have never noticed blood in my urine so it was seen under a microscope.  I was given an antibiotic to clear up any possible UTI. The day after I started taking the antibiotic I noticed pus in my urine.  I also had slight pain in my left flank. The pain was off and on and did not last long.  I went ahead and made an appt with a urologist.  The doctor took another urine sample to be sent off and ordered an ultrasound.  I had the ultrasound done today and the radiologist said my kidneys and bladder looked normal. She saw no stones. When I go the radiological report it said a slightly dilated right renal collecting system with no other abnormalities.  What does this mean?  Will I have to have other tests as a result of this?  I forgot to mention that I'm a 35 y/o female. Thanks!

by Kevin Pho, MD, Jan 30, 2007 12:00AM
This can be due to a kidney infection, or an anatomical variant.

I agree with the antibiotic treatment.  Repeating the ultrasound after the treatment course can be considered to see if the dilation resolves.

If there continues to be blood in the urine after antibiotics, a cystoscopy can be done to evaluate the bladder for any signs of cancer.

These options can be discussed with your urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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