Hematuria and pain

[Michelle123]

Hi,

This is something that we didn't cover but came up in our discussion group, what could be some of the reasons for hematuria (visibly) and pain in the lower abdominal region?

Thanks

[suzy253, RN]

urinary tract infection, kidney stones, bladder cancer

[Michelle123]

Thanks. I was thinking along those lines...

[Daytonite, BSN, RN]

I am getting this information from pages 342 to 346 Signs & Symptoms: A 2-in-1 Reference for Nurses published by Lippincott Williams & Wilkins and only picking up the diseases that specifically say gross or macrohematuria is present:

• Appendicitis (occurs in 15% of the cases)
  
• Cancer of the bladder, primarily in men
  
• Trauma (injury) to the urethra, bladder or kidney which includes traumatic rupture or perforation
  
• Bladder or renal calculi. There may also be UTI present along with other cardinal signs
  
• coagulation disorders, i.e. thrombocytopenia or DIC (disseminated intravascular coagulation)
  
• all forms of cystitis (bacterial, chronic interstitial, tubercular, viral)
  
• Diverticulitis involving the bladder
  
• Subacute infective endocarditis due to embolization that has resulted in a renal infarction
  
• Glomerulonephritis
  
• Acute interstitial nephritis
  
• Polycystic kidney disease
  
• Prostatitis, often at the end of urination
  
• Acute pyelonephritis
  
• Cancer of the kidney; the classic 3 symptoms are
  • grossly bloody hematuria
    
  • dull, aching flank pain
    
  • a smooth, firm, palpable flank mass

  [*]Renal infarction

  [*]Acute renal papillary necrosis

  [*]Renal tuberculosis

  [*]Renal vein thrombosis

  [*]Sickle cell anemia due to congestion of the renal papillae

  [*]SLE (systemic lupus erythematosus when it involves the kidneys

  [*]Vaginitis that has spread to the urinary tract