Oncology (General Cancer)/UTI


Hello Dr. Higby,
I know the question I am about to ask you is not of your field but I have written to you about my BC so I figured maybe you could give me your insight on this too. I have a history of nephrolithiasis which started about 10 yrs ago. I used to get about one attack a year. But for the past three years I have been ok. I just recently started experiencing some pain, I guess at the urethral level, but the odd thing is that just before i get the urge to go I get this weird sensation, more like pain in the palm of my hand, which is only relieved after i have urinated. Ive checked this up but have found nothing to explain the connection between the pain and the urgency. I also feel a heaviness in my bladder which makes me feel like I need to go to the bathroom when i really dont. I forgot to mention this to my oncologist last visit, because this had started before my traetments. Just wanted to know if you have ever heard of a similar case. There were no urologists or nephrologists on this site for questions. Thank you.

It's very hard for me to find a relationship between pain in the palm of the hand and urination. Given your pelvic symptoms, though, I'd want to have a good evaluation, including, perhaps, a CT of the pelvis and a good urinalysis.  You might also want to have a "post voiding residual" test to see if the bladder is functioning properly.  It's vaguely possible that you might be dealing with a neuropathy (that could possibly explain the hand/bladder problem) or there may be metastatic disease in the bones, that possibly could explain some of your symptoms.  In any event, I don't want to frighten you, but the best thing is to get these things checked out.  If I were your doctor I would treat each symptom separately and look for separate causes of the hand pain and the bladder symptoms.  They may be related, but if they are, I can't think of a way without further tests.  Please keep me posted.  

Oncology (General Cancer)

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Donald Higby, M.D.


I can answer almost all questions related to the treatment and natural course of most kinds of cancer, especially cancers of prostate, colon, lung and breast.


I have been a practicing medical oncologist for 36 years, and have been chief of service at a major medical center for 25 years. I've also done research in cancer treatments.

American Society of Clinical Oncology

New England Journal of Medicine American Journal of Medicine Journal of the American Society of Clinical Oncology Hematology Transfusion Medicine

MD, Stanford University Internal Medicine residency, St. Louis University School of Medicine, St. Louis, MO Medical Oncology Fellowship, Roswell Park Cancer Institute, Buffalo, NY

Awards and Honors
America's Best Physicians, last 14 years

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