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I am 56 years. I cannot hold urine, leakages take place.Frequency of passing urine in morning hours 20- 30 minutes interval.If i take a nap in day hours then in the evening time frequency of passing urine is 20- 30 minutes.At night also I have to get up from bed to pass urine for 2-3 times, sometimes more.The day I don't take any nap or rest in daytime I get a goodnight sleep without any urge to pass urine.My BP 140/80. Fasting sugar 105. Hb 13.2 %. Presently I am facing ED problem, feeling no urge of sex inspite of stimulating.This problem of frequently passing urine I am suffering since my school days.Last USG report shows normal size of prostate, Bladder and Kideney, pre & post void was normal. what should I do ? what medicines should I take ? What further investigations should I go for ? Thanks
The presence of red blood cells in the urine is called hematuria. If there are sufficient red cells, the urine turns to a bright red, pink or cola shade. Frequently, the urine looks totally ordinary because there is insufficient blood to change the colour. In this situation, the condition is called 'microscopic' hematuria.
The most common causes of hematuria are given below:
- Urinary tract infection (UTI)
- Kidney stones
- Tumours in the kidney or bladder
- Exercise: In this case, the blood is produced in the urine after strenuous activity. It is more commonly experienced by male patients.
- Injury: Traumatic damage to any part of the urinary tract, from the kidneys to the urethral opening, can cause hematuria.
The symptoms of hematuria vary depending upon the condition. These are as follows:
- Glomerulonephritis: If the glomerulonephritis is not serious, it may not show any signs. If the symptoms do show up, they can cause swelling, particularly in the lower furthest points(the thighs, legs, feet, and toes), decreased urine, and hypertension.
- Kidney or bladder infection: Symptoms rely on the site of the diseaseand can even cause extreme pain on one side of the lower back, fever, chills, nausea with vomiting, and pain in the bladder.
- Prostate infection: There can be pain in the lower back or in the region between the scrotum and rearend. Pain with discharge, blood in the semen, andfever and chills can also occuronce in a while.
- Tumour in the kidney or bladder: Most kidney and bladder problems develop without bringing about any pain or uneasiness. At the point when side effects build up, abdomen pain may be persistent.
- Kidney stones: When a kidney stone gets attached to the ureters, it can bring about extreme pain in the back, side or crotch, with nausea and difficulties in urination.
Based upon the suspected cause of hematuria, some of the treatments may include the following:
- Urine culture: In this test, a urine sample is extracted and examined to check whether bacteria has developed. This test is used to find a case of a kidney or bladder disease.
- Computed tomography (CT) of the kidneys, ureters and bladder: For most cases,a CT scan is conducted. This helps in viewing the internal organs and finding the areas that may have been affected by the condition. It also shows the extent of the damage and the spread of the disease so that a proper treatment plan may be laid out.
- Ultrasound: This test uses sound waves to create images that can show whether or not a kidney mass is a non cancerous. This method can also be used to find out whether or not there are any kidney stones, which may be causing hematuria.
- Cystoscopy: In this test, the specialist embeds an adaptable telescope into the urethra and passes it into the bladder to investigate the bladder lining for tumours or different issues.