Category Archives: Hematuria

I have Granulomtosis with Polyangiitis which damaged my kidneys. I have stage 3 kidney disease. I have been well for a few years now and kidney function hangs between 50% and 60%. I have noticed on my weekly urine checks that I have non-hemolysed hematuria. There is no protein, is this something I should be concerned about?

Blood in the urine (hematuria) can be seen in kidney disease caused by Granuloamtosis with Polyangiitis (also called ANCA associated Vasulitis). The interpretation of blood in the urine must be done in light of other testing including blood tests for … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Hematuria, Kidney-Related Health Questions, Nephrologist

Are you going to put up any information regarding Loin Pain Hematuria Syndrome on the website here since it’s a rare kidney disease? I’m a patient with LPHS and was hoping to find more information from your website but found nothing. I’ve been suffering with this for seven years. Besides pain medication and the auto transplant surgery what else can be done to help with the pain? I can’t afford the auto transplant surgery, insurance considers it experimental. I know after a certain amount of time the pain medication will no longer work for me. What else can I do to control the pain, and have quality of life? Thank you for your time and help. Sincerely.

Loin Pain Hematuria Syndrome (also known as Nutcracker syndrome) is a relatively rare kidney disease associated with blood in the urine and intermittent episodes of pain that can be very difficult to manage. The cause of the problem is not … Continue reading

Posted in Ask the Doctor, Hematuria, Kidney-Related Health Questions, Nephrectomy / One kidney

Dear Doctor, I am 61, male. Ultrasound showing 1.7 cm cyst parapelvic, symptoms haematuria many years, upper abd pain, tired, frequent urine, ultrasound ordering Doctor is not bothering to look into. Living in Canada. Thanks , regards.

In my experience, a parapelvic cyst is a benign finding on an ultrasound, but I am a nephrologist and do not have experience in the surgical treatment of kidney cysts.  The question that you ask is a urological question.  A … Continue reading

Posted in Ask the Doctor, Hematuria, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Urological Issues

My CT scan in 2016 incidentally showed a developmental anomaly of a circumaortic left renal vein. Also the scan showed that I have a couple of small unidentifiable but “typically benign” lesions (one on each kidney). My recent GFR was 57 (I am having it retested to confirm the accuracy of the number). My question: is it possible for a circumaortic left renal vein to cause CKD? I also feel that I should have another CT scan since it has been three years since my scan. Thank you

The renal vein that encircles the aorta does not cause any kidney disease.  There is a syndrome of having the left renal vein trapped between the aorta and the superior mesenteric artery that is associated with blood in the urine … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Hematuria, Kidney-Related Health Questions

I am a 63 year old female and have had trace blood in my urine in the past year. There was no protein found and had a kidney/bladder ultrasound last April which was normal, no issues found. Had bloodwork last week and my Creatinine was 1.04 and eGfr 57. Bun/creatinine ratio was 13 normal. I don’t have high blood pressure or diabetes. Total cholesterol is 204, HDL 57, LDL 128, Glucose 100. BP 124/80. I have been on Prilosec 40 mg daily for several years. I stopped taking it over a week ago. I’ve read where test results should be looked at for 3 consecutive months before a diagnosis of CKD is considered. Should I get retested next month to see if my numbers improve or should I go ahead and see a kidney doctor?

I see none of the risk factors for chronic kidney disease (CKD) except for the blood in your urine (hematuria). You are correct. In order to make a specific diagnosis of CKD, we suggest that you have retesting in order … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Hematuria, Kidney-Related Health Questions, Nephrologist

Hello! I’m 48, no major health issues (I am post menopausal, hypothyroidism, but no diabetes, no hypertension). I do have thin basement membrane nephropathy. My GFR has been consistently low for several years 40’s-50’s. Last was 44 and creatinine was 1.3. All other labs have been fine and I’ve just started seeing a nephrologist. 1.) Should I be concerned to where I need to alter my diet or make any other lifestyle changes? I want to do everything I can to not let this get any worse. And 2.) Is this considered stage 3 chronic kidney disease yet all other labs are normal? And last 3.) Could this be a cause of a general feeling of malaise and poor appetite at times? Thank you so very much!!!

Thin basement membrane disease usually causes blood in the urine (hematuria) but rarely causes progressive kidney disease. Hence, I am surprised by the low estimated glomerular filtration rate (eGFR). This would be classified as Stage 3 or 3b chronic kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, GFR, Hematuria, Kidney-Related Health Questions

Dear Doctor, While in the army in 1987 I had 2 Intravenous Pyelogram (IVP) using iodinated contrast dye. These tests were to look for a hematuria in my kidneys. I donated a unit of blood several times each year and in the fall of 1991 I was rejected as a blood donor because of high blood pressure. My height and weight and physical activity has always been good. I was treated for high blood pressure then for many years. I began to loose kidney function and went into End Stage Renal Disease the Summer of 2007. After 6 months of dialysis, I have now had a successful kidney transplant for nearly 11 years. The question I have is: has there ever been a link to IVP and kidney disease with the dyes used back in 1987? I believe the kidney disease caused my high blood pressure. Thank you.

As far as we know, contrast (dye) associated kidney disease is an acute injury and not a progressive chronic injury. Hence, we do not have any research that suggests that remote exposure to contrast is associated with chronic kidney disease … Continue reading

Posted in Acute Kidney Injury, Ask the Doctor, Chronic Kidney Disease, Hematuria, Hypertension/High Blood Pressure, Kidney-Related Health Questions

I a 48 year old caucasian male, diagnosed with Stage 3 CKD in 2017, biopsy confirmed IgAN in January of this year, was started on Prednisone and SoluMedrol for 6 months. With two more weeks of Prednisone treatment. For the first time in 18 months I have no Hemoglobin or RBC in my urine. However, my creatinine level has remained around 1.6 and my GFR is 47, it was 46 at the beginning of treatment in January. Is the resolving of hematuria (given no appreciable improvement in GFR) reason to celebrate? Or with no improvement in GFR has Prednisone not worked for me? I have not had an issue spilling protein, until I convinced my nephrologist to allow me to suspend Lisinopril for 2 months. Once I restarted the 10mg of Lisinopril my protein spillage resolved. I have read that hematuria and proteinuria are bad prognostic predictors for progression of IgAN towards ESRD. I remain hopeful with these resolved, however am confused why my eGFR or creatinine are not also showing improvement.

In the case of glomerulonephritis and in the specific case of Immunoglobulin A nephropathy (IgA nephropathy), once glomeruli have been destroyed by disease, it may not be possible to repair old ones and it is NOT possible to build new … Continue reading

Posted in Ask the Doctor, GFR, Glomerulonephritis, Hematuria, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney-Related Health Questions, Proteinuria

I believe that I have LPHS. It has been going on for a year and a half. I have been hospitalized numerous times and had test after test. The doctors won’t listen to me. I don’t know what to do. My life is reduced to nothing but pain.

The acronym LPHS, I assume, means Loin Pain Hematuria Syndrome. This is a relatively rare condition of unknown cause that is associated with microscopic amounts of blood in the urine (hematuria) and flank or loin pain that seems to come … Continue reading

Posted in Ask the Doctor, Hematuria, Kidney-Related Health Questions

Do you have any insight on Loin Pain Hematuria and its correlations with IGa Nephropathy?

Loin Pain Hematuria syndrome is a collection of symptoms that include microscopic and rare macroscopic blood in the urine (hematuria) associated with bouts of flank and back pain but the kidney is normal on biopsy. With IgA nephropathy, blood can … Continue reading

Posted in Ask the Doctor, Hematuria, IgA Nephropathy/IgA Dominant Glomerulonephritis, Kidney Biopsy, Kidney-Related Health Questions, Proteinuria