An Approach to Hematuria

[@Munieq]

You are AWESOME! Hematuria was always a confusing differential for me, now everything seems to have fallen into place. Thank you!!

[@dmmice2344]

I have gross hematuria due to kidney stones and having stents put in both kidneys because I have stones in both kidneys. I was hospitalized about a month ago because one of the stones got stuck in the ureter causing a blockage and an infection which led to sepsis. I was told if I waited 12 more hours I wouldn’t be here today. It was a real scary situation that changed my life quite a bit. I have to go for surgery to get the stones taken out I hope I will be okay!

[@emq1455]

Hope you're okay now.

[@kathybowlin7174]

Praying for safe surgery and a speedy recovery..God bless you and keep you in his loving embrace..

[@NATURE-qk3vz]

God bless you

[@sunlulyal5937]

Easy, clear, and informative approach, Brilliant!. Thank you doctor

[@MikeBirkhead]

Thanks! My mother has had hematuria for over a year. Her presumptive diagnosis has been “blood thinners” and although she’s on Apixiban (which does not require INR), I’ve told her that isn’t a diagnosis unless they actually prove that her INR is supratherapeutic. Anyhow, I forwarded your video to her so she can see that blood thinners isn’t even in your differential. Hoping she’ll seek a second opinion.

[@act2.371]

How's ur mom now, after 2 years

[@MikeBirkhead]

@@act2.371 She no longer shares her medical information with me… I try not to pry. I know she’s in a lot of pain, but I’m waiting for her to come around.

[@Dr_Dubey]

@@MikeBirkhead Are you a doctor ?

[@Mr_3raqi]

Sadly the textbooks do refer to this, even with blood thinners, patients with risk factors (age) should be evaluated further Hope she's doing well!

[@claudiahansen4938]

Love your main chart , very precise and comprehensive. Husband has gross hematuria.

[@nazranuhman9222]

The most common cause of hematuria that I see is related to anticoagulant therapy ! Thank you !

[@d.davidson534]

Thank you. This popped up into my recommendations just when I needed it. Brilliant!

[@sarahmina1442]

Thank you for the great synthesis! 🍀🙏 I find it difficult to make a diagnosis from a single physical exam finding or symptom. The approach of thinking retrospectively I mean.

[@sepehralaie6716]

Thank you Dr Eric,you are awesome

[@gregoryglavinovich9259]

good speaking style. not too fast nor to slow. Not boring, yet interesting. and important stuff

[@menpagnaroat1269]

Thank you very much again, Dr. Eric for another practical lesson.

[@howtomedicate]

Again amazing video!

[@medihacks9074]

I appreciate how clearly you provide information as well as providing well written information. Is this written information available for download?

[@hemandas5360]

Best in all videos and book especially in etiology 👍👍👍👍

[@sunving]

Thank you Dr Strong , good lecture , I got a quick review , so wonderful.

[@GB-wb8ck]

Very informative, thanks 🙏

[@eugene1939]

thank you. just started primary care and needed a quick reference!

[@minhtuevo908]

Excellent Doctor, thank you very much!

[@MSDOGS1976]

Six months ago I had a UTI with a little visible blood and antibiotics cleared it all up. But due to my senior status they did an in office scope and also got a ct scan. Both showed thickened walls with inflamed looking veins. So the dr prescribed more antibiotics and said lets look at it again in 6 months. Just so happens I passed more blood right before my appt. So he scheduled another scope this time in the hospital for a biopsy. Many years ago my liver enzymes went out the roof and I was diagnosed with an autoimmune problem and prednisone cleared it up. My urologist said it could be something similar with my bladder but cancer is always possible. So in a couple of weeks I get to go through this ordeal. I hope it's not the big C.

[@Mr_3raqi]

Could you update us on what happened next please? What was the cause? Hope it's not the big C

[@MSDOGS1976]

@@Mr_3raqi It ended up being cancer but a 'low grade' type that was non-invasive. I received 6 weeks of BCG Imunnothearpy which is supposed to be highly effective with this type of cancer. I've had 2 scopes since and both look clear of the cancer. So hopefully no more treatments but will have many more scopes for observation purposes over the next few years. But my urologist feels good about my case and I feel very fortunate to this point too. Thanks for asking.

[@Mr_3raqi]

@@MSDOGS1976 awesome, man 😁 glad you're okay

[@MSDOGS1976]

@@Mr_3raqi Thanks.

[@HafizahHoshni]

Awesomely informative and perfectly explained! Thank you so much! 😊😊 14/9/2019

[@geofryotieno4318]

You always do a great job😊👍

[@ÅquiI4]

The Best and Awesomeeeeeeeee Whoahhhhhhhhhh. 👍👍👍👍👍👍👍🐅🐅👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍

[@sunving]

Thank you Dr Eric Strong

[@SamLule-oo4gi]

Thanks for clear explanation

[@adnane627]

What is the CK and CBC at 10:20?

[@donnelljefferson4161]

LIKE TO HAVE THIS CHART DOWNLOADABLE!!!

[@RasishSubedi]

Dr. Eric its been a while you havent uploaded notes on your google drive.. it would awesome if you do again 😁

[@Cork_UO]

I have had microscopic hematuria for decades. It comes and goes and they have never found a cause for it. My new Urologist wants to possibly do another cystoscopy since it's been 15+ years since my last one. I really don't want to have that again because my first urologist was an asshole and it hurt.

[@sandraredmond4812]

I had one and it did not hurt at all. Quick and easy

[@karenishness1]

I drank a gallon of distilled waters a day and went fruitarian. No coffee or tea. Problem gone for years.

[@jensfbay1]

thank you, Dr. Strong! clearly explained

[@bigboy1503able]

I have urine strips to check for ketones since I was doing keto , I thought so I would get like plus 2 for blood, and I went to see a urologist and they never found nothing, got me a bit anxiety , so yea it should be from dehydration and exercises !

[@witness2thetrueth]

Gross hematuria is an understatement of what I have. I pee big clots of what I've been told is coagulated blood but it looks more like chunks of my kidney....very meaty. I do have kidney cancer and I've had an embolization on my kidney to stop the bleeding but it's made everything much worse .

[@karenishness1]

I had that and was passing kidneystones. When I adhered to a strict plant based diet with no coffee or tea and a gallon of distilled water a day it all went away. Fresh green coconut water eased the cold sweats and spasms. No more pain.

[@aishaadams9975]

@@karenishness1 Hi Did u urinate blood nd wht did u use plse

[@karenishness1]

@@aishaadams9975 For years while I was eating meat and drinking coffee, tea, and alcohol, I would pee meaty chunks like this lady says, and it was hellishly painful. The doctors put me on septra and bactrim but it always came back. Like I said, eating a whole plant diet and drinking a gallon of distilled water a day made it leave and also my capacity to hold urine doubled. Which means calcification left.

[@priyadarshini5477]

very clear explanation. can you do it for proteinuria.

[@khalilelaj4840]

I am à clinical pathologiste, since five years I have microscopic hematuria, today after five years I test it again, I hade more than 500 hundreds of dysmorphic and normal RBC mean mixed form, I have in sign and symptoms, except varicocelle ,which was operated one year back,,, also creatinineurie was 5 times higher than the normal values, few crystals also seen. I don’t know what shall I do, how to find the sources, five months back I have done CT scan abdominal for lumbar back pain which didn’t show any malignancy, my age is 35 years old. I don’t know what to do, I don’t know the life expectancy for glumerulonephritis, Any guide ¿ Thank you.

[@DrAdnan]

I can never get kidney pathologies sorted out in my head (particularly nephrotic/nephritic syndromes) :(

[@howtomedicate]

Samething for me!

[@sarahmina1442]

Check out Medcram video series about nephrotic/nephrotic Sd.

[@berg6964]

Very good! Thank you Sir

[@ellenbaker3782]

Scenario question for you.. (I come across this quite a bit.) Patients who present to urgent care for UTI symptoms, UA looks like a UTI, but then culture comes back negative... I'm understanding that at that point you would look at the patient's risk factors to determine whether they need cyscoscopy. Would bring a 45 year old female be enough of a risk factor? (Age) If not, what about a 45-year-old female who has had pelvic irradiation (xrays of her hips)? A male with no other risk factors? Thanks in advance!

[@tammys8547]

Yes! Same questions! An answer would be greatly appreciated!

[@Dr_Dubey]

Culture negative UTI are generally seen due to abuse of antibiotics

[@Mr_3raqi]

I think i have read elsewhere that All patients with gross hematuria with no evidence of glomerular cause should undergo cystoscopy

[@oyelolaobis]

A client with suspected renal cancer is admitted with complaints of hematuria.. further assessment of the client would most likely reveal the presence of …. Pls can someone answer this question

[@SKARTHIKSELVAN]

Thanks for your video.

[@ashmasl8179]

Thank u sir ,good information 🙂

[@ibrarhussain1720]

Thank you sir

[@d.k.borelli8267]

So gross hematuris is the one most likely due to cancer...I have the microscopic hematuria

[@StrongMed]

Yes, that's correct. However, microscopic hematuria should still be evaluated with a physician (which might only include a repeat UA in 4-6 weeks if the patient has no risk factors for cancer).

[@d.k.borelli8267]

@@StrongMed I appreciate that

[@shakilahmad3809]

Hay Dear D K Borrelli What's Your Peograss I Have Also Microscopic Hematuria 1-2 rbc And I am Very Scared Plzz Tell Me What's ur Prograss?

[@d.k.borelli8267]

@@shakilahmad3809 I'm fine, I went and got my cat scan and they told me it's a common thing. They just want to make sure it's not cancer related and the scams are pretty good at showing it. But mines came back normal. My doctor still wants a urologist to examine my urine, just to close the case, but it's not a requirement. I wish you luck, and let me k on how it goes

[@shakilahmad3809]

@@d.k.borelli8267 how much rbc came in ur report?

[@jatininti6153]

I have microscopic hematuria and I’m very scared. I’m only 12 and I’m honestly and very scared that I’m going to get cancer.

[@karenishness1]

I drink a gallon a day of distilled water but I am a grown up.

[@l--lllllll-POISON-lllllll--l]

Are you ok now buddy??? Please let us know

[@moshfeqkhan4576]

Dr Strong do u have hand outs of your lectures???

[@joerosendale7889]

What overall percentage of cases fall into the “idiopathic” realm?

[@ukidding]

cure or prevention?

[@hoss333]

Awesome!

[@sharonhassell4831]

I've had blood in the urine for some time. Appointment set for October 10. Scared..hope it's not that thing begins with c.

[@tayloradams372]

are u okay

[@sharonhassell4831]

Appointment been changed to Nice 15. Wish me luck

[@SleepandRelaxations]

This is great

[@EmergencyMedicineInIraq]

thank you

[@khursheedalam7872]

Thank you Very Much Sir

[@Wddisam]

Thanks 👍

[@alixalix7442]

Exercise can cause Hematuria?

[@StrongMed]

Yep! www.sportsmedtoday.com/exerciseinduced-hematuria-va-116.htm If you have access to it, there's a whole UpToDate article on exercise-induced hematuria

[@maesc2001]

Sounds like a job interview for Dr. House 😂

[@musamehdiyev4452]

Hello. I'm a 20 years old man and I've been having hematuria for almost a month. My urine color is dark brown. I don't feel any pain or burning when I'm peeing. My blood analysis is normal. Ultrasound and CT scan detect nothing. Anyone can help me?

[@belfiorebianco]

Visit a doctor please. Don't seek medical help on youtube.

[@uroz1787]

Cola color urine

[@uroz1787]

U myt have some liver disease....

[@IreneSee]

Thank you for posting so others can see what is happening, how are since?

[@dailyhiphoplive693]

I only have bleeding after ejaculation my doctor told me is nothing just like a bloody nose but I don't blow my nose in the vagina after I have an erection so why does he act like it just normal I have gross hematuria

[@dr.apurbapratihar]

11:21 ...for 3rd part.

[@lovellmavakala9258]

Blood from urethra is it haematuria or not ? In France it seems like urethra bleeding is not hematuria.. Any comments?

[@StrongMed]

I can't comment on difference in word usage between countries, but in the US, blood in the urine that was believed to be caused by urethral bleeding would definitely still be called hematuria.

[@lovellmavakala9258]

@@StrongMed Thanks

[@venkybly]

Tq

[@Praveenkumar-to8fs]

Good

[@mashisraeltictocklives2252]

Can the strenuous exercise you speak of be sex?

[@bsaralte3216]

what is strong medicine🤣

[@gregoryglavinovich9259]

thanks. I prefer the name Eric up there just before Strong Medicine.

[@dr.apurbapratihar]

09:31