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What causes painful urination with blood clots in it?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been experiencing flank pain with blood clots in my urine for the last few days. I consulted a specialist doctor and did a few tests. The urologist did not find anything conclusive. The initial diagnosis was that I had passed a kidney stone. The issue I am having is that the blood clots seem to get bigger, causing pain until I can pee them out. Do I need to consult the doctor again?

Kindly help.

Thank you.
Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

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Hello,

Welcome to icliniq.com.

I have gone through the reports you have attached (attachments removed to protect the patient's identity), and I agree with the treatment they have given you. However, it is very uncommon for anyone to keep on passing blood with clots in their urine many days after passing any calculus (unless they have a blood clotting disorder ). I would advise you to take the Flomax (Tamsulosin Hydrochloride) tablet for a week at least, as it will help to clear out the kidneys. Consult your specialist doctor, talk with them, and take medications with their consent. Please continue to drink two to three liters of fluids per day. If your hematuria does not settle within the next few days, I recommend going in for a cystoscopy and bilateral ureterorenoscopy to rule out any pathology missed by the contrast CT (computed tomography) scan.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 8, 2022
Reviewed At July 2, 2024

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Madhav Tiwari
Dr. Madhav Tiwari

General Surgery

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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