Abdominal Pain and Blood in Urine: A Guide for Parents

Abdominal pain in the colon and stomach accompanied by slight hematuria?

Dear Dr.
Lin,
My daughter has been suffering from persistent pain in her colon and stomach.
In January of this year, she also experienced hematuria.
Subsequently, she underwent examinations at Chang Gung Memorial Hospital's gynecology department, which included blood tests and urinalysis.
During the follow-up appointment to review the results, the doctor informed us that the blood tests indicated a possible tumor, but the location was unknown.
The urinalysis did not reveal any abnormalities.
At that time, I forgot to mention the issue of mild hematuria during the consultation with the doctor.
I am concerned that this oversight may lead to a misdiagnosis and result in her seeing the wrong specialist.
I kindly ask for your assistance in further analyzing my daughter's symptoms and advising which specialty she should consult to more effectively identify and address her issues.
Thank you for your help.
Note: My daughter has been working at a gas station for over two years.

Ms. He, 30~39 year old female. Ask Date: 2016/02/26

Dr. Lin Minghui reply Gastroenterology and Hepatology

1.
If there are issues with the colon and stomach, it is recommended to see a gastroenterologist.
2.
You may refer to the blood test results, such as the presence of tumors in certain sections.
3.
Urine tests can be monitored; for females, there may be hematuria around the menstrual period.
Wishing you good health.

Reply Date: 2016/02/26

More Info

When it comes to understanding abdominal pain and the presence of blood in urine, it is crucial to approach the situation with a comprehensive understanding of potential underlying conditions. Given the symptoms described, including persistent abdominal pain and a history of hematuria (blood in urine), it is essential to consider various medical specialties and diagnostic pathways.

Understanding the Symptoms
1. Abdominal Pain: The abdominal pain your daughter is experiencing could stem from several sources. Common causes include gastrointestinal issues such as gastritis, peptic ulcers, or inflammatory bowel disease. However, given the history of blood in urine, it is also important to consider urological causes, including kidney stones, urinary tract infections (UTIs), or even more serious conditions like tumors in the urinary tract.

2. Blood in Urine: Hematuria can be indicative of various conditions, ranging from benign to serious. It can result from urinary tract infections, kidney stones, trauma, or tumors in the kidneys or bladder. The fact that your daughter has experienced this symptom warrants further investigation, especially since it was noted in conjunction with abdominal pain.

Recommended Medical Specialties
Given the complexity of the symptoms, it would be prudent for your daughter to consult with the following specialists:
1. Gastroenterologist: Since she has been experiencing abdominal pain, a gastroenterologist can evaluate her gastrointestinal tract. They may recommend tests such as an endoscopy or colonoscopy to assess for any abnormalities in the stomach or intestines.

2. Urologist: Given the history of blood in urine, a urologist should also be consulted. They can perform a thorough evaluation of the urinary system, including imaging studies like an ultrasound or CT scan, and possibly a cystoscopy to visualize the bladder and urethra.

3. Oncologist: If there is a suspicion of a tumor based on blood tests or imaging, an oncologist may need to be involved for further evaluation and management.

Diagnostic Approach
1. Imaging Studies: Both ultrasound and CT scans can provide valuable information about the abdominal organs and urinary tract. These imaging modalities can help identify any masses, stones, or other abnormalities.

2. Urinalysis: A comprehensive urinalysis can help determine the presence of blood, infection, or other abnormalities in the urine. If hematuria persists, a more detailed evaluation may be necessary.

3. Blood Tests: Blood tests can help assess kidney function, liver function, and check for any markers that may indicate malignancy or infection.

Conclusion
In summary, your daughter’s symptoms of abdominal pain and blood in urine are concerning and warrant a thorough evaluation. It is essential to consult both a gastroenterologist and a urologist to ensure that all potential causes are investigated. Early diagnosis and treatment are crucial, especially if there is a possibility of a serious underlying condition. Encourage your daughter to seek medical attention promptly, as timely intervention can lead to better outcomes.

Similar Q&A

What to Do If You Experience Blood in Urine: A Guide to Symptoms and Treatment

Hello Doctor: Recently, I have noticed blood in my urine, along with frequent urination (but only a small amount each time, and I have a constant urge to urinate). I am experiencing painful urination and urgency, and this has been going on for five days. It seems to have gotten w...

Dr. Chen Xiuyi reply Urology
Hello: Based on your description, acute hemorrhagic cystitis should be considered first. Antibiotic treatment is generally required, typically for 3 to 7 days. If symptoms persist, it is advisable to seek medical attention for a urinalysis or bacterial culture. During this time, ...

Understanding Blood in Urine: A Guide for Parents of Young Girls

Hello Doctor: My daughter is 9 years old and recently told me that she feels pain while urinating (but there is no frequency of urination). After visiting the urology department at a teaching hospital, her urine test results showed hematuria (Blood+1), while everything else was n...

Dr. Gu Qingxian reply Pediatrics
Regarding your letter, I understand that your daughter has had mild hematuria for a long time and has undergone a renal ultrasound, which returned normal results. Additionally, her immune function is also normal. Therefore, it can be inferred that the mild hematuria is not caused...

Understanding Lower Abdominal Pain and Blood in Urine Symptoms

Hello doctor, I noticed severe pain in my lower right abdomen tonight, and when I went to the bathroom, I found blood in my urine. What could this be a symptom of, and what tests should I undergo at the hospital?

Dr. Xu Weikai reply Urology
Steve: Hello, I suspect it is most likely a urinary tract stone. I recommend the following tests: 1. X-ray examination: to determine the presence of stones, as well as their location, shape, and size. 2. Urinalysis. 3. Renal ultrasound. Sincerely, Dr. Hsu Wei-Kai, Director of Uro...

Understanding Hematuria in Children: Causes, Concerns, and Next Steps

Hello: My son is four years old and four days ago he had a sore throat with inflammation and fever, for which he received medication. Later, he experienced pain during urination, and after going to the hospital for a urine test, it was found that there was hematuria (blood in uri...

Dr. Tu Xiuhong reply Urology
Hello Margaret: Your son is experiencing pain while urinating, which may indicate a urinary tract infection. Symptoms such as a cold, fever, and urinary tract infection can all lead to hematuria (blood in urine). It is advisable to take your son to the hospital for a medical eval...