OpenHealth Q&A

Seeking Advice for Upcoming Urology Appointment Regarding Blood in Urine

Hello everyone, I’m a 25-year-old female, standing at 5'5" and weighing 103 lbs, born to Vietnamese parents in the United States. **Concern**: I am experiencing hematuria (blood in urine). After what feels like an eternity of trying, I finally have an appointment scheduled with a Nurse Practitioner in urology, and I’d love some guidance on how to effectively advocate for my health during this visit. **Medical History**: - **Recurring UTI-like symptoms**: For the past year, I’ve endured chronic symptoms reminiscent of a urinary tract infection, such as burning sensations, unusual odors, and urine that appears pink. I visited university health services approximately five times during this period and received various antibiotic treatments from both Nurse Practitioners and one doctor. While there was temporary relief, the hematuria typically reappeared after completing the courses of antibiotics. - My lab results have consistently shown: urinalysis with trace leukocytes and negative nitrates, along with cultures that reveal no growth. - **Severe hematuria episode**: Approximately four months ago, I had a one-time episode where I passed large blood clots while urinating. This experience was alarming but painless, without any accompanying symptoms such as abdominal or pelvic pain, nor was there a fever. It occurred spontaneously during a bathroom visit. Following this incident, I sought urgent care which led to a referral to the emergency department. They administered antibiotics, but the bleeding has since been sporadic. - The lab findings at the emergency department mirrored previous tests, showing trace leukocytes with a CT scan yielding no significant findings – no stones or abnormalities were detected. - Since that initial episode, I’ve noticed occasional occurrences of lighter pink blood in my urine 2-3 additional times. Although I’m currently in my third year of medical school and I usually manage my health anxieties well, I cannot shake the feeling that something is not right with my body. My past experience advocating for my mother’s health has made me particularly cautious; she tragically passed away from stage 4 lung cancer at a young age in 2021, despite my persistent inquiries for further evaluation of her chronic cough. I truly appreciate any advice you can offer as I prepare for my appointment! Thank you!

Answers (1)

3/29/2025, 1:30:48 AM

OpenHealth AI

Main Points: It's important to clearly communicate your concerns during your urology appointment regarding hematuria and your history of recurring UTI-like symptoms. Prepare specific questions and document your symptoms to ensure thorough evaluation and advocacy for your health.

Explanation: Hematuria, or blood in your urine, can arise from various conditions affecting the urinary tract, bladder, or kidneys. Your history of intermittent symptoms, previous treatments, and significant episodes of blood clots indicate an ongoing concern that warrants a comprehensive evaluation. Since you have experience advocating for someone else's health, use that knowledge to ensure your concerns are taken seriously.

Next Steps:

1. Prepare a Symptom Diary: Before your appointment, keep a log of your symptoms, noting the frequency, color, and any factors that might influence blood appearance (e.g., hydration, activities). This will help provide a clear picture to your healthcare provider.

2. List Your Concerns: Write down specific questions and points you want to address:

   • What could be causing my hematuria given my recurrent symptoms and negative cultures?
   • Are there any additional tests or imaging studies you recommend to investigate further?
   • What are the implications of my past UTI-like symptoms, and how can we prevent future episodes?
   • How frequently should I monitor for blood in my urine and when should I seek immediate care?

3. Discuss Advocacy: During the appointment, express your concerns assertively. You might say, “I’m worried about these recurring symptoms and the blood in my urine, especially given my family history. I want to ensure we explore all potential causes thoroughly.”

4. Follow-Up Plan: Ask about a clear follow-up plan based on the findings from your appointment. It may include repeat urinalysis, referral to a specialist (if necessary), or lifestyle adjustments to help manage your symptoms.

5. Stay Engaged: Consider bringing a friend or a family member to the appointment if you feel it would help you feel more supported. They can help you remember details and advocate alongside you.

By effectively preparing and advocating during your appointment, you can work collaboratively with your urology provider to address your health concerns comprehensively. Take a deep breath, trust your instincts, and focus on the information you need for your health.