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Doctors Lounge - Nephrology Answers
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| veggiegrower67
- Thu Oct 22, 2009 1:34 pm |
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i am a 40 year old female. In the past 6 months i have had 6 UTI'S on many of those occassions i have seen blood in my urine. On three occassions with the UTI i had severe pain lower right abdomen/lower right back. I have since seen a urologist and he has just recently done a CT with contrast. I am very nervous about this. He thinks possible infected kidney stone. I have also had a total hysto about 12 years ago due to severe endometrosis. To ease my mind could you give me your opinion what you think it could be.
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| Dr.M.Aroon kamath
- Sun Nov 08, 2009 11:03 am |
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 Hi,
The fact that you had pain associated with UTI's and gross hematuria, certainly would prompt a suspicion of urinary stone disease.
As far as endometriosis being a suspect, the odds are rather small.
The incidence of urinary tract involvement in endometriosis is estimated to be about 1%. of which vesical (urinary bladder)
involvement is the most common. Usually women in the 3rd or 4th decade of age are affected ,with a peak incidence between 30-35 years.
Cyclical haematuria(if present), would have pointed towards endometriosis.
It is better to wait for the contrast CT report, which hopefully will sort out the problem.
Best wishes!
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| veggiegrower67
- Thu Nov 26, 2009 7:49 pm |
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Thank you Dr. Kamath for your response. I did get results back of my CT it indicated that i had significant scarring of the right kidney? I have never had issues with my kidney's before until this past year. The urologist said that i must have had significant kidney infections as a child. In talking with my mother she said not to her knowledge had i ever had any issues as a child or young adult. The lower right quadrant pain as well as lower posterior back pain is still continuing. During the release of urine i experience most intense pain in lower right. The back pain is intermittent. I have just completed three months of antibiotics (cipro, macrobid and zythromicin). So far i have not had anymore UTI's. But i have not any clue why i have had this problem.
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