Is Blood in Urine and Dizziness Normal with a Double J Stent?

Q: Is Blood in Urine and Dizziness Normal with a Double J Stent?

Hello： The likelihood of anemia caused by hematuria is very low, unless the bleeding results in a significant volume of blood clots. <br>Additionally, the use of anticoagulants may lead to bleeding that could reach the level of anemia. <br>The reason for placing a double J stent

Is it normal to have persistent hematuria and dizziness with a double J stent in place?

Dear Doctor: Last time, I inquired about the suitability of undergoing extracorporeal shock wave lithotripsy, and I have received an answer (#129900), thank you.
Recently, during several consultations, the physician has requested that I first get an X-ray.
Previously, it was mentioned that there was still one stone remaining, and I was advised to undergo extracorporeal shock wave lithotripsy (which is why I had the previous inquiry).
In the interval between my two consultations after the inquiry, I passed a 0.7 cm stone, and I was relieved that I would not need to undergo "extracorporeal shock wave lithotripsy." However, during this visit, the physician stated that the latest X-ray showed three stones that have not yet been expelled.
Why is there such a significant difference between the two X-rays? The physician, noting my reluctance to undergo extracorporeal shock wave lithotripsy, suggested monitoring for a month to see if the stones will pass on their own.
The issue is that the double J stent left in place during my last ureteroscopic surgery to remove stones has been in my body for nearly a month.
During this time, I have experienced faint dark red hematuria almost every time I urinate, and I also feel somewhat dizzy.
Could it be that the hematuria is excessive, leading to anemia and dizziness?

FreeShow, 60~69 year old female. Ask Date: 2017/11/14

Dr. Du Shixi reply Urology

Hello: The likelihood of anemia caused by hematuria is very low, unless the bleeding results in a significant volume of blood clots.
Additionally, the use of anticoagulants may lead to bleeding that could reach the level of anemia.
The reason for placing a double J stent is to facilitate urine drainage and prevent obstruction in the kidneys.
As for the differences in X-rays, it is possible that the stones overlapped, or in the first X-ray, the stones appeared as a single fragment if they were fragmented.
To aid in the passage of stones, it is important to ensure adequate fluid intake.
Sufficient urine volume is necessary to help expel the stones.
Wishing you good health.

Reply Date: 2017/11/14

More Info

Experiencing blood in urine (hematuria) and dizziness after the placement of a double J stent is not uncommon, but it does warrant careful consideration and monitoring. A double J stent, also known as a ureteral stent, is often placed to facilitate urine flow from the kidney to the bladder, especially in cases of obstruction due to kidney stones or other conditions. While it serves an important purpose, the presence of the stent can lead to some complications, including hematuria and discomfort.

Firstly, it is important to understand that mild hematuria can be a normal side effect of having a double J stent in place. The stent can irritate the lining of the urinary tract, leading to minor bleeding. This irritation can result in urine that appears pink or reddish, especially after urination. In many cases, this blood is not significant and may resolve as the body adjusts to the stent. However, persistent or heavy bleeding should be evaluated by a healthcare professional.

Regarding dizziness, it is less common for dizziness to be directly caused by the presence of blood in the urine. However, if the hematuria is significant enough to lead to a decrease in red blood cells (anemia), this could potentially cause symptoms such as dizziness or lightheadedness. Anemia occurs when there is not enough hemoglobin in the blood to carry adequate oxygen to the body's tissues. In the context of your situation, if you are experiencing daily blood in your urine, it is advisable to monitor for other symptoms of anemia, such as fatigue, weakness, or paleness.

The discrepancy in the number of stones seen on X-rays can also be perplexing. Factors such as the positioning of the stones, the timing of the imaging, and the potential for stones to fragment or shift can all contribute to differences in imaging results. It is not unusual for stones to appear differently on successive X-rays, and sometimes stones may be obscured or overlap with other structures.

In your case, since you have been experiencing daily hematuria and dizziness, it is crucial to communicate these symptoms to your healthcare provider. They may recommend further evaluation, which could include blood tests to check your hemoglobin levels and assess for anemia, as well as imaging studies to monitor the status of the stones and the stent.
In summary, while mild blood in urine and dizziness can occur with a double J stent, persistent symptoms should not be ignored. It is essential to maintain open communication with your healthcare provider, who can provide guidance tailored to your specific situation. Staying well-hydrated is also important, as adequate fluid intake can help flush out the urinary system and may assist in the passage of stones. If symptoms worsen or if you experience significant changes in your condition, seek medical attention promptly.

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