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Urology/Erythrocytes in urine

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Question
Hello, I am 44 year old male and I go to the VA Hospital.  The other day I had some lab work done and this included a urine sample.  I got a letter from my doctor stating I needed to make an appointment to see her because some of my labs where off (she included a copy of the lab work).  I made the appointment which will be on February 4th (It can be difficult to get in to the VA).  One of my labs that was abnormal stated:  ERYTHROCYTES   30-40 High
So I understand this means I have blood in my urine which I have had a small amount before.  they did a uroscopy and found nothing.  So my question for you is what could be causing it to get worse and what will they be looking at this time.  It is very scary

Answer
John:

Most of the time, we don't find a specific cause for the blood.  But we need to check because of the risk of stones, tumors and cancers.  Without a specific known cause, it's obviously impossible to determine why it is getting worse.  Check with your urologist and follow his advice.  Remember, better to be safe than sorry!  

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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