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Urology/Blood when I urniate but no infection

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Question
I am 50 years old and have had my fair share of bladder infections but not overly so.  I had a complete hysterectomy 20 years ago.  I got what I thought was a kidney infection last Monday.  It hit really fast.  The pain when I urinated was so intense.  I was just a couple of hours into this ordeal when the blood started showing up when I urinated. I only noticed it though when I wiped and as the day progressed it got more noticeable each time.  I made an appointment to see my GYN the next day.  Early in the morning of the next day I got up to go to the bathroom and noticed that I neither bleed or hurt when I urinated.  I thought that maybe it was over.  I was wrong.  A few hours later it was back to the pain and bleeding.  The test results showed no trace of the blood in my urine at all.  Results did show that I have a vaginal bacterial infection.  I don't think the bacterial infection caused the bleeding.  I think the bleeding caused the bacterial infection.  I was put on antibiotics for a kidney infection but have now stopped that and am taking antibiotics for the bacterial infection.  The doctor has no idea where the blood came from and I don't either.  I am still burning in the vaginal area and not just when I urinate.  I am unsure if I should try to see a urologist or should I just wait and see if it happens again.  And where would the blood have came from?

Answer
Carlene:

I would recommend making the appointment with the urologist.  By the time you are able to see him, you will probably have had the vaginal issue treated and the urologist can then decide whether or not to do a complete hematuria workup or not.  This would include a Kidney CT scan and a cystoscopy (look into the bladder with a special scope) that are most likely to be negative but sometimes it's best to be sure.

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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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