Category Archives: Hematuria

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

My daugther has had lower left back pain for a month now. She’s had numerous urine and blood tests. She had a renal ultrasound that showed mild pelviclitsis in both kidneys. She’s having off and on pain that goes from her lower back to side with a low grade fever. She’s had blood in her urine via urine tests and urinalysis. We’ve seen a urologist and nephrologist- none of them are taking this seriously. Her pediatrician has now ordered an MRI to rule out a mass. Wouldn’t the renal ultrasound shown a mass or any type of cyst? My daughter has numerous food intolerances – could this have played a role in it? She’s had the mild pelviclisis since September 2017, but just started to have symptoms for the last month.

I am not familiar with the term “pelviclitsis.”  I am also not familiar with “pelviclisis.”  These are not standard medical terms.  I am not aware of any food intolerances associated with kidney disease.  The ultrasound examination should show any masses … Continue reading

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

Do yo know anything about Loin Pain Hematuria Syndrome? My son is 27 years old was diagnosed 10 years ago and we still can not find anyone to help him, he also has IGA a mild case. Thank You in advance Ps: all the doctors we have seen or spoke to have no idea what to do and say it’s too complicated they don’t want to see him again.

Loin Pain Hematuria Syndrome (LPHS) is a relatively rare syndrome associated with pain in one or both flanks and also associated with blood (usually microscopic amounts) in the urine (hematuria). The cause of LPHS is unknown and treatment is very … Continue reading

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

My son is 27 years old. About 10 years ago he was diagnosed with IGAN and Loin Pain Hematuria Syndrome. Within those 10 years we have been unable to find a doctor who wants to help him. We have been to numerous nephrologist and urologist and it seems like none of them want to take an interest in this because they say it is too hard to complicated and they do not want to mess with it . Could you please recommend a doctor for my son to get some help before we lose him because of the frustration of not being able to find a doctor that cares and wants to try to help his pain is on believable and I myself cannot handle this much longer and much less him.

Loin Pain & Hematuria (LPH) Syndrome does not have a treatment or a cure.  The most important thing to do is to avoid taking Non-steroidal Anti-inflammatory Drugs (NSAID’s) and maintain adequate hydration.  Pain medication is often tried but does not … Continue reading

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