The medical opinions and advices contained in this blog are those of the respective authors and should serve as guides. The patient themselves have the final decision with what to do to their health.
IMPORTANT: To ask for medical opinion, send your message by email here

Thursday, March 25, 2010

Dugo sa ihi (Bloody urine)

Tanong: I might ask for your advice now. You see, I went to Asian Hospital here in Alabang which is very near to my office. Unfortunately, the urologist is out of the country the other one will come tom pa. So I went to Alabang Medical Hospital which is a 7pesos (present jeepney fare) away from here. Kaso sa Saturday pa raw ng hapon. Waaah! Feeling ko nauubusan na talaga ng health professionals d2. Enwey I have a bad liquid withdrawal this morning, it happened sa last part ng pag ihi ko. I dunno if this something to do with our inuman last night medyo naparami ang San Mig Lights at pulutan. Sisig, inihaw na baboy, buttered chix, tokwa’t pig, saka inihaw na mixed seafoods. Sobrang jingle na jingle ako pag gising ko. So, na pwersa ata at nagkaroon ng blood withdrawal. It seemed I hurt my urinary tract at 6 o’clock location ng bottom ng tube ko. Then I urinated again when I arrived here in the office. Ok na naman uli. Enwey, I took Aspirin muna since yun lang available dito sa table ko and walang gamot sa clinic namin kasi pinagbawal ng safety na. Pero at 10 in the morning meron na naman uli blood. So I went to the hospital wala naman nangyari kasi walang mga doctor. I took antibiotic muna 500 mg Amoxycillin at wala pa rin doktor available upon follow up sa near hospital here. So may I ask for your advice. Tnx.

Sabi ni Nanay: Ang pag-inom ng maraming tubig (mahigit 8 baso sa isang araw) ay makatutulong upang malinis ang iyong pantog. Ang mga tinatawag na natural diuretics ay mga pagkain o mga sangkap na nagtatanggal ng toxins, manas o tubig sa katawan. Ang mga sumusunod ay halimbawa nito: green tea, repolyo, carrot, litsugas, kamatis at sambong.

Magpatingin agad sa manggagamot kapag may dugo sa ihi. Isangguni ang mga sintomas lalo na kung may lagnat, madalas at mainit na pakiramdam tuwing iihi, pagsakit ng tiyan, likod o gilid, o hindi makaihi.

Doctor's Advice: Based on your story, the first thing that I think you are suffering from are urinary stones. This may explain painful and difficulty in urination. Urinalysis and sometimes an ultrasound may be necessary if intractable. Since this may be an on and off event, prescription of antibiotics and pain relievers will afford temporary relief. At best, try to avoid salty foods and alcoholic beverages that may aggravate the situation. You may take ofloxacin and hyoscine-paracetamol for pain (full prescription withheld).

Before taking these medications, it would be good if you would do a urinalysis. This urine test does not need a prescription. You may request it from any laboratory. Please inform me of the results, ok?

Tanong: Here’s the result of my urinalysis conducted at Manila Doctors, and had gone to a urologist. He made a referral for ultrasound. Since I am busy I’ll check within this week para maka undergo ng ultrasound. Tentatively, schedule ko on Thursday. Wala naman siya iba in-advise, just to drink a lot of water, go din siya if ever I drink San Mig Light, and be sexually active din daw. Even though I ask for any medication he just give me for pain kaya I prefer to continue your advised med. Right now, clear naman ang urine ko except once yesterday morning na parang binatak na naman siya after I disposed off my liquid pero me konting konting blood sya. Pero when I continue drinking water fine na naman sya until this morning.

PHYSICAL EXAMINATION
color: DARK YELLOW
transparency: CLOUDY

MICROSCOPIC EXAMINATION
leukocytes: 0-2/HPF
RBC: 8-10/HPF

By the way, I read your blog column last night. It’s a great idea. Marami ka matutulungan for sure. Mabuhay ka! God bless and thank you!

Doctor's Advice: The urinalysis result confirmed my initial suspicion of stones. The lack of pus cells in the urine indicates that there is no concomitant infection. Nonetheless, the antibiotics that you are now taking will avoid infection, just in case. As I mentioned before, a scan will localize the stone and will give information on its size and number, should they be visible. Just follow your urologist's advice and I am sure that you will be well. Keep me informed please.


View original post here
allvoices

3 comments:

  1. hi doc. im 30 bisexual male, i had my 1st time anal sex mdyo masakit kaya di ko na pinatuloy, after the sex i noticed that there's a blood (hematuria) in my urine, is it normal ba? hope you can help me medyo bothered na ako. thank you.

    ReplyDelete
  2. hi doc. im 30 bisexual male, i had my 1st anal sex pero masakit kaya di ko tinuloy, after that i noticed na may blood sa urine ko. Would just like to ask if that is normal? if not, what will i do? hope you can help me. thans

    ReplyDelete
  3. @Junel: Ang hematuria o bloody urine ay hindi kailan man normal. Ilan sa sanhi nito ay impeksiyon sa ihi o urinary tract infection (UTI), bato sa pantog o urinary stones, o problema sa prostate. Mangyaring magpakonsulta sa iyong manggagamot o sa isang urologist upang masuri ang pinagmumulan ng dugo sa iyong ihi at mapayuhan ng tamang solusyon.

    ReplyDelete