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Childhood-diseases

Question
Posted by: Jolly | 2004/10/05

Q.

Blood when urinating

Hi Doc
My son is 7 years old and since last week Monday there have been blood in his urine, but only late during the day. Early morning his urine seems to be fine but late afternoon it is bloody.

He went for a urine test and it came back with traces of Protein and a high quantity of some enzyme that apparently indicates liver problems. He was then send for a complete sonar of the kidneys, liver, pankreas, heart etc but it showed not problems. Next was blood tests of the liver functions as well as testing for Hepatitis A-C. All the tests came back normal. We took another urine sample in for testing but it was normal. In the meantime the problem persists. Today we went to a Urologist and he is now going to submit my son and send in a camera to have a look as well as administer a fluid-via a drip, that will show up on x-rays any problems.
My son is not experiencing pain or even looking sick, he eats normal etc. Furthermore we have not been in an area with infected water. He has also not been swimming in dams or anything.
can you perhaps help me with an answer to this problem?

Expert's Reply

A.

Paediatrician

There are many causes for blood in the urine, but it is important to exclude the ones that we can test for. The most important test would be the urine test, because looking at the type of blood cells in the urine can give an indication of where the blood is coming from. It is important that the doctors explain to you exactly what they have done so far and why they want to continue with the additional tests. Sometimes it may be worthwhile to just give it a week or two and then to re-evaluate, because their are some viral infections of the bladder lining that may cause blood in the urine. If it persists, it will require further evaluation.

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