Category Archives: Hematuria

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

I had a first time appointment with my doctor. She did a full set of labs. All came back OK other than Occult Blood 3+. For years a I’ve had microscopic blood in my urine. I have moved a lot so no further work up has been done. What does this mean exactly? It says negative 3+. How can I tell if it was done by dip stick or microscope? I have a follow up in a few weeks. Other high value was total cholesterol 224 and got D deficient. I also have high blood pressure. I’m in shape 49 years old and female.

Having blood in the urine is not normal.  In most cases, this is evaluated by a urologist initially.  The blood can be coming from anywhere in the urinary tract including the kidneys, ureters, or bladder.  If the urologist is unable … Continue reading

Posted in Ask the Doctor, Hematuria, Kidney-Related Health Questions, Symptoms and Side Effects

I am a medical school graduate working in Pediatrics. Concerned about my kidney issue. I am 29 years old weight 86kg and 5’11’ slightly elevated cholesterol, having gfr 87 which was 89.2 weeks back and 102 a year back. So do my creatinine was 0.8 a year ago now 2 weeks back 1 and now 1.02. The urinary creatinine level is 47. And one 1+ hgb in urine R/E. No family history of kidney diseases. But I am having BP variation in last one year 135/95 & 130/85. I am extremely worried about my condition. Kindly could please give me any suggestion /diagnosis..How bad it is?

The creatinine levels and estimated glomerular filtration rates (eGFR’s) that you describe are normal for a 29 year old.  The blood in your urine should be a concern.  I suggest that you have further testing with your physician.  I am … Continue reading

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

My son is 16 years old and has CP… Verbal but is in a power wheelchair. Has had red blood in his urine for the last two weeks. He has condom catheter so I see the color change and measure output daily. He has no pain,fever, or infection . Ultra sound showed no stones. Dr. Did a test and saw protine was present. She is waiting for a urologist to see him. Tells me nothing to worry about in the meantime continue to send him to school etc. Should I be more concerned! Or just wait it out?

I would agree that this is likely a urological problem and your son should be evaluated by a urologist.  Blood in the urine will also produce protein in the urine, so the protein in the urine is not likely coming … Continue reading

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

I have loin pain and intermittent haematuria. My GFR IS 71. Kidney CT neg apart from a cyst and Cystoscopy NAD. Exercise and walking exacerbates the loin pain which is intermittent in severity. Please advise. My Urologist hasn’t!

Loin Pain – Hematuria Syndrome is a very uncommon kidney disease that is of unknown cause.  The kidney seems to be normal in all other regards except for the blood in the urine (hematuria).  It is important to avoid non-steroidal … Continue reading

Posted in Ask the Doctor, Hematuria, Kidney-Related Health Questions, Medication and Kidney Disease, Symptoms and Side Effects