Hematuria, (Blood in Urine) A Simple Guide to The Condition, Related Diseases And Use in Diagnosis of Diseases
By Kenneth Kee
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About this ebook
Hematuria is blood in the urine.
Two types of blood in the urine exist:
1. Gross hematuria. - Blood that can be seen in the urine
2. Microscopic hematuria - Blood that cannot be seen in the urine, except when examined with a microscope,.
Red discoloration of the urine can have various causes:
1. Red blood cells
Microscopic hematuria (small amounts of blood, can be seen only on urinalysis or light microscopy)
Macroscopic hematuria (or "frank" or "gross") hematuria
2. Hemoglobin (only the red pigment, not the red blood cells)
3. Myoglobin in myoglobulinuria
4. Porphyrin in porphyria
5. Betanin after eating beets
6. Drugs such as Rifampicin and Phenazopyrine
Diagnosis of Blood in the Urine:
Most people with microscopic hematuria do not have symptoms.
People with gross hematuria have urine that is pink, red, or cola-colored due to the presence of red blood cells (RBCs).
Even a small amount of blood in the urine can cause urine to change color.
In most cases, people with gross hematuria do not have other symptoms.
However, people with gross hematuria that includes blood clots in the urine may have pain.
The urinary system is made up of:
1. 2 Kidneys
2. 2 Ureters
3. Bladder
4. Urethra
The normal urinary system has one goal only and that is to filter the 200 liters of blood so that its waste material is discharged through the outside though the 2 kidneys as 1.5 liters of urine and its distributing system of 2 ureters to the bladder.
The bladder stores urine until releasing it through urination.
When the bladder empties, urine flows out of the body through a tube called the urethra at the bottom of the bladder.
Mild Hematuria can be caused by:
1. Menstruation,
2. Vigorous exercise,
3. Sexual activity,
4. Viral illness,
5. Trauma,
6. Infection, such as a urinary tract infection (UTI).
More serious causes of hematuria include
1. Ureteric or kidney or bladder stones
2. Cancer of the kidney or bladder
3. Inflammation of the kidney, urethra, bladder, or prostate—a walnut-shaped gland in men that surrounds the urethra at the neck of the bladder and supplies fluid that goes into semen
4. Polycystic kidney disease—an inherited disorder characterized by many grape-like clusters of fluid-filled cysts that make both kidneys larger over time, taking over and destroying working kidney tissue
Some causes of blood clots in urine:
1. Blood clotting disorders, such as hemophilia
2. Sickle cell disease—an inherited disorder in which RBCs form an abnormal crescent shape, resulting in less oxygen delivered to the body’s tissues, clogging of small blood vessels, and disruption of healthy blood flow
Hematuria is diagnosed with:
1. Urinalysis
2. Blood kidney function
3. Biopsy
4. Cystoscopy
5. Kidney imaging tests
Hematuria is treated by treating its underlying cause.
If no serious condition is causing hematuria, no treatment is needed.
Hematuria caused by a UTI is treated with antibiotics.
TABLE OF CONTENT
Chapter 1 Hematuria
Chapter 2 Disease Diagnosis
Chapter 3 Kidney Stone
Chapter 4 Cystitis
Chapter 5 Cancer of Kidney
Chapter 6 Cancer of Bladder
Chapter 7 Glomerulonephritis
Chapter 8 Polycystic Kidneys
Chapter 9 Hemophilia
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hematuria, (Blood in Urine) A Simple Guide to The Condition, Related Diseases And Use in Diagnosis of Diseases - Kenneth Kee
Hematuria,
(Blood in Urine)
A
Simple
Guide
to
The Condition,
Related Diseases
And
Use in Diagnosis of Diseases
by
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2012 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
to my wife Dorothy
and my children
Carolyn, Grace
and Kelvin
This book describes the Hematuria (blood in urine) and the Its Use in Diseases Diagnosis such as Glomerulonephritis, Polycystic Kidneys, Cystitis, Cancer of bladder and kidney, Kidney stones and other Diseases which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Chapter 1
Hematuria
Just last week a male patient of 55 years complained of severe right upper back pain and hematuria. His urine showed presence of obvious blood which was confirmed by a multiple dip stick.
The most common cause for this is a ureteric stone which becomes stuck in the ureter and causes pain through the back pressure of urine blocked by the offending stone.
He was given pain killers of the morphine type and antispasmodic to relax the smooth muscle of the urinary system. He was then advised to go for a KUB (kidney-ureter-bladder) X-ray of the abdomen or an MRI of the abdomen to exclude firstly stones and cancers or tumors of the urinary tract.
It is important to note whether he is taking any anti coagulant as these drugs can cause bleeding from the thinning of the blood.
Happily the X-rays and MRI only showed the presence of the stone stuck in the upper part of the ureter and no evidence of cancer.
Unfortunately the stone is stuck at the upper part of the ureter and will take a longer time to it to come out by conservative treatment which consists of 3 liters of water daily and painkillers to relieve pain. An antibiotic may be given if there is possible urinary tract infection due to retention of urine behind the stone. Avoid the use sulphonamides, rifampicin and phenazopyrine.
Happily for him there is less pain with the treatment and the pain appears to have