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Cancer

Question
Posted by: Elaine | 2019/01/16

Q.

Kidney pain

my niere is seer voel soos iemand wat 'n blou kol druk party keer 'n steek pyn daar wys bloed in my uriene wat hulle gekweek het kan dit kanker wees

Expert's Reply

A.

Cancer expert
- 2019/01/17

Dear Elaine, in haematuria (the presence of blood in the urine), one’s kidneys - or other parts of the urinary tract - allow blood cells to leak into urine. It is important to see one’s doctor to find the real cause (there are several possible causes) so that a correct diagnosis can be made and the correct treatment instituted. Various problems can cause this leakage, including:

Urinary tract infections. These occur when bacteria enter one’s body through the urethra and multiply in the bladder. Symptoms can include a persistent urge to urinate, pain and burning with urination, and extremely strong-smelling urine.

Kidney infections (pyelonephritis). These can occur when bacteria enter one’s kidneys from the bloodstream or move from the ureters to the kidney(s). Signs and symptoms are often similar to bladder infections, though kidney infections are more likely to cause a fever and flank pain.

A bladder or kidney stone. The minerals in concentrated urine sometimes form crystals on the walls of the kidneys or bladder. Over time, the crystals can become small, hard stones.

The stones are generally painless, so one probably won't know one has them unless they cause a blockage or are being passed. Then there's usually no mistaking the symptoms — kidney stones, especially, can cause excruciating pain. Bladder or kidney stones can also cause both gross and microscopic bleeding.

Enlarged prostate. In men the prostate gland - which is just below the bladder and surrounding the top part of the urethra - often enlarges as men approach middle age. It then compresses the urethra, partially blocking urine flow. Signs and symptoms of an enlarged prostate (benign prostatic hyperplasia, or BPH) include difficulty urinating, an urgent or persistent need to urinate, and either visible or microscopic blood in the urine. Infection of the prostate (prostatitis) can cause the same signs and symptoms.

Kidney disease. Microscopic urinary bleeding is a common symptom of glomerulonephritis, an inflammation of the kidneys' filtering system. Glomerulonephritis may be part of a systemic disease, such as diabetes, or it can occur on its own. Viral or infections, blood vessel diseases (vasculitis), and immune problems such as IgA nephropathy, which affects the small capillaries that filter blood in the kidneys (glomeruli), can trigger glomerulonephritis.

Cancer. Visible urinary bleeding may be a sign of advanced kidney, bladder or prostate cancer. Unfortunately, one might not have signs or symptoms in the early stages, when these cancers are more treatable.

Inherited disorders. Sickle cell anaemia — a hereditary defect of haemoglobin in red blood cells — causes blood in urine, both visible and microscopic haematuria. So can Alport syndrome, which affects the filtering membranes in the glomeruli of the kidneys.

Kidney injury. A blow or other injury to one’s kidneys from an accident or contact sports can cause visible blood in the urine.

Medications. The anti-cancer drug cyclophosphamide and penicillin can cause urinary bleeding. Visible urinary blood sometimes occurs if one takes an anticoagulant, such as aspirin and the blood thinner heparin, and one also has a condition that causes the bladder to bleed. (MCH).

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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