What could be the cause of blood in my urine?

Question

Hello doctor,

I am a 30-year-old male. No smoker. A blood and urine test was done for me recently, and the blood test was all fine, but there was blood in my urine (Ur RBC 155 Cells/uL).

A more specific urin test was done afte,r still showing (66 Cells/uL) of which 97% are isomorphic and of which only two were white blood cells. Further, a CT urogram was done, where no stones were found or anything else suspicious.

What could be possible reasons? There are still a lot of other explanations, but cancer, right? What should be my next steps?

I do not know if any of the following things can be related: I have had a kind of cold for months already, but nothing serious. Mostly just a runny nose and a bit tired. I had my ankle hurt a month ago, and on and off, it still hurts and gets swollen again. I feel slight discomfort around my bladder and urethra, but mostly since I got these results, and maybe I'm just paying too much attention to that part now.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Firstly, the likelihood of any malignant cancer is less likely because you do not have risk factors, no symptoms, young age, and a normal CT urogram. Within a three-month period, the cancer would have increased in size and become detectable.

So you are probably having some benign cause and most probably some arteriovenous malformations, venous lesions, or small mucosal bleeds, calcium, and uric acid in urine.

The next step is your 24-hour urinary calcium and uric acid levels, and also urethroscopy and cystoscopy, which will complete the evaluation and usually yield the diagnosis in most cases. A urologist does these tests. You continue to drink plenty of water and liquids.

I hope this helps you.

Take care.