8yo son - blood in urine

On Wed, 17 Aug 2005 22:20:07 -0400, ted rosenberg
wrote:

NO
Beets and strawberries can not cause it

As Jeff later demonstrated, he was right, and you are wrong, at least
about beets.

Most common is kidney stones, but lots of other possibilities - most not
good.

Wrong. This is a child. Hematuria in a child is often benign; kidney
stones are very uncommon. And how often do you see kidney stones
presenting as PAINLESS hematuria anyway?

Take him to a urologist as fast as possible - unless the blood
increases, or he has fever, he should not need to go to an ER

Aha! At last! The advice that almost always eventually appears in any
thread: Get thee to a specialist at once! Don't waste time with a
"regular" doctor!

Do you really think urologists want, let alone have time, to see every
child with acute gross hematuria? Does it really take a surgical
specialist to order a urinalysis? Wouldn't it save everyone a lot of
time and trouble to start with the primary care physician, especially
one who already knows the child and whom the family already knows and
trusts?

PF

On Thu, 18 Aug 2005 23:10:30 GMT, "Jeff"
wrote:

"CWatters" wrote in message
...

One other possibility is extreem exercise. I read somewhere that if you
take
off on a long walk (say 30 miles+) and really push yourself it's possible
for the body to start start breaking down and produce blood in the urine.
Never been there myself though.

Actually, it is myoglobin, which is similar to hemoglobin (it is a protein
that stores oxygen in the muscles). It tens to turn urine brown, rather than
red.

Wrong. Exercise-induced hematuria (benign) to which CWatters refers is
true gross or microscopic hematuria, not myoglobinuria (not benign, as
this would imply substantial rhabdomyolysis!).

PF

On Sat, 20 Aug 2005 15:04:20 -0400, ted rosenberg
wrote:

wrote:
I would take him to his doctor nonetheless. A urinalysis is cheap and
reassuring, if everything turns out normal. If there is a problem,
this quick and easy urinalysis might give you and your son the chance
to detect and treat a problem early, when it is small, rather than
later, when it is more serious.

Uh Mark - It would seem to me that blood in urine usually gets an IVP.
A kidney stone or bladder tumor would not show up on a urinalysis unless
it was actively bleeding at the time.

Uh, no, one day of painless hematuria in a healthy child does not
"get" an IVP. You simply find out how much football or soccer he had
played that day and repeat the urinalysis in the morning 2 weeks
later.

PF Riley wrote:
On Wed, 17 Aug 2005 22:20:07 -0400, ted rosenberg
wrote:


NO
Beets and strawberries can not cause it


As Jeff later demonstrated, he was right, and you are wrong, at least
about beets.

No, Jeff did not

he made some uncorroborated statements. And he ids WRONG. Beets do not
cause the appearance of blood din urine

Most common is kidney stones, but lots of other possibilities - most not
good.


Wrong. This is a child. Hematuria in a child is often benign; kidney
stones are very uncommon. And how often do you see kidney stones
presenting as PAINLESS hematuria anyway?


Take him to a urologist as fast as possible - unless the blood
increases, or he has fever, he should not need to go to an ER


Aha! At last! The advice that almost always eventually appears in any
thread: Get thee to a specialist at once! Don't waste time with a
"regular" doctor!

Do you really think urologists want, let alone have time, to see every
child with acute gross hematuria? Does it really take a surgical
specialist to order a urinalysis? Wouldn't it save everyone a lot of
time and trouble to start with the primary care physician, especially
one who already knows the child and whom the family already knows and
trusts?

PF

--
"...in addition to being foreign territory the past is, as history, a
hall of mirrors that reflect the needs of souls observing from the present"
Glen Cook

"ted rosenberg" wrote in message
eenews.net...


PF Riley wrote:
On Wed, 17 Aug 2005 22:20:07 -0400, ted rosenberg
wrote:


NO
Beets and strawberries can not cause it


As Jeff later demonstrated, he was right, and you are wrong, at least
about beets.

No, Jeff did not

he made some uncorroborated statements. And he ids WRONG. Beets do not
cause the appearance of blood din urine

I never claimed beets caused the appearence of blood in the urine. Rather,
beets can cause urine to be red. Red urine is not the same thing as blood in
the urine (hematuria).


Most common is kidney stones, but lots of other possibilities - most not
good.


Wrong. This is a child. Hematuria in a child is often benign; kidney
stones are very uncommon. And how often do you see kidney stones
presenting as PAINLESS hematuria anyway?


Take him to a urologist as fast as possible - unless the blood increases,
or he has fever, he should not need to go to an ER


Aha! At last! The advice that almost always eventually appears in any
thread: Get thee to a specialist at once! Don't waste time with a
"regular" doctor!

Do you really think urologists want, let alone have time, to see every
child with acute gross hematuria? Does it really take a surgical
specialist to order a urinalysis? Wouldn't it save everyone a lot of
time and trouble to start with the primary care physician, especially
one who already knows the child and whom the family already knows and
trusts?

Not to mention that doctor who has the job of coordinating all the medical
care of the child. If the child is going and seeing specialists that the
regular family doctor or pediatrician doesn't know about, how is the care
going to be coordinated? The family doc or pediatrician can recommend a good
pediatric urologist. In many health plans, the family doc or pediatrician is
required to make the referral. Finally, if there is something serious going
on, the family doc or pediatrician can get the ball rolling a lot faster
than the family without the help of the pediatrician or family doc,
including getting the child seen by the urologist that day if needed or even
admitting the child to hospital.

Jeff


PF

--
"...in addition to being foreign territory the past is, as history, a hall
of mirrors that reflect the needs of souls observing from the present"
Glen Cook

"PF Riley" wrote in message
...
On Thu, 18 Aug 2005 23:10:30 GMT, "Jeff"
wrote:

"CWatters" wrote in message
...

One other possibility is extreem exercise. I read somewhere that if you
take
off on a long walk (say 30 miles+) and really push yourself it's
possible
for the body to start start breaking down and produce blood in the
urine.
Never been there myself though.

Actually, it is myoglobin, which is similar to hemoglobin (it is a protein
that stores oxygen in the muscles). It tens to turn urine brown, rather
than
red.

Wrong. Exercise-induced hematuria (benign) to which CWatters refers is
true gross or microscopic hematuria, not myoglobinuria (not benign, as
this would imply substantial rhabdomyolysis!).

Thanks. I assumed it was muscle breakdown that was occurring. It turns out
is blood from the kidneys or bladder.

Jeff

PF

On Tue, 23 Aug 2005 02:22:17 -0700, PF Riley
wrote:

Uh, no, one day of painless hematuria in a healthy child does not
"get" an IVP. You simply find out how much football or soccer he had
played that day and repeat the urinalysis in the morning 2 weeks
later.

I might add that this, of course, would be appropriate if the
remainder of the history, physical exam, and urinalysis are
unremarkable. Also, a urine culture would be helpful.