Question regarding kidney failure or perhaps heart (BP) problems--would this cau!
Question: Question regarding kidney failure or perhaps heart (BP) problems--would this cause blood in urine!?
My dad's undergone several months of catastrophes here ever since he got West Nile last year (he had swelling of the brain and spent 5 weeks in hospital and luckily "fully" recovered) but they had put him on Dylantin as he had a raging fever and was having convulsions at the time!. They left him on this drug for almost a year but have weaned him off and I feel he need never have been on it so long since he never so much as had a twitch before any of that!.
Anyhow, it took him 6 months to go back to see the heart specialist and by then he was found to have congestive heart failure (the specialist had also put him on new meds in hospital for his heart during the West Nile thing!.!.!.but his GP messed him up and insisted she could control his meds but I pushed for the specialist) and all that time his BLOOD PRESSURE was NEVER under control!.
They kept piling med atop of med and as I said by the time he got to the heart specialist he was in heart failure!.
I just found out NOW (months later!) that he is suffering from kidney failure!. He also got a cut that turned into CELLULITIS and almost that flesh eating necrosis thing, and underwent 25 days of IV antibiotics!.
I realize it's a rare shot at someone medically qualified to answer this but what I'm trying to find out now is why he would be having blood in his urine!.
Is that cause of kidney failure!? Could it be due to his warfarin (which has often been high and poorly controlled but seems to be "normal" as of late) or could it be something worse!.
Seems he has problems with his prostate but no one has said the dreaded CANCER word yet!.
Next step is an ultrasound to look for kidney lesions but I'm wondering where this blood could stem from as his hemoglobin is at 100 (s/be minimum of 140) and his urine has been dark like this for months but no one ever said anything about it!. I just assumed the meds did it but now that I hear the words "kidney failure" I'm starting to worry!.
If this is due to kidneys how serious could that turn out to be!?
Thanks in advance to anyone with any info that might help!.Www@Answer-Health@Com
Anyhow, it took him 6 months to go back to see the heart specialist and by then he was found to have congestive heart failure (the specialist had also put him on new meds in hospital for his heart during the West Nile thing!.!.!.but his GP messed him up and insisted she could control his meds but I pushed for the specialist) and all that time his BLOOD PRESSURE was NEVER under control!.
They kept piling med atop of med and as I said by the time he got to the heart specialist he was in heart failure!.
I just found out NOW (months later!) that he is suffering from kidney failure!. He also got a cut that turned into CELLULITIS and almost that flesh eating necrosis thing, and underwent 25 days of IV antibiotics!.
I realize it's a rare shot at someone medically qualified to answer this but what I'm trying to find out now is why he would be having blood in his urine!.
Is that cause of kidney failure!? Could it be due to his warfarin (which has often been high and poorly controlled but seems to be "normal" as of late) or could it be something worse!.
Seems he has problems with his prostate but no one has said the dreaded CANCER word yet!.
Next step is an ultrasound to look for kidney lesions but I'm wondering where this blood could stem from as his hemoglobin is at 100 (s/be minimum of 140) and his urine has been dark like this for months but no one ever said anything about it!. I just assumed the meds did it but now that I hear the words "kidney failure" I'm starting to worry!.
If this is due to kidneys how serious could that turn out to be!?
Thanks in advance to anyone with any info that might help!.Www@Answer-Health@Com
Answers:
The top four most common differential for hematuria (blood in urine) are Urinary tract infection, cancer, stone, and glomerulonephritis!.
However, based on your history given, possible differential are benign prostate hyperplasia, glomerulonephritis, warfarin overdose!.
Benign prostate hyperplasia is an enlargement of the prostate!. Patient typically have problem to urinate because the prostate surround the bladder neck!. Enlargement of the prostate will cause an obstruction!. Patient typically have urinary symptoms like hesitancy, weak stream, dribbling, feeling of incompletely emptying, as well as nocturia (the need to urinate several times at night), urgency, frequency, etc!. When patient need to squeeze very hard to urinate, there is a chance that it will rupture a vessel, causing hematuria!.
I am not sure what is the cause of the renal failure your father has, but glomerulonephritis, one cause of chronic renal failure can cause hematuria!. Better ask your doctor why the patient have chronic renal failure!.
And last by not lest, warfarin overdose!. It is indeed very common to have warfarin overdose for patient with arrthymias!. I had seen it so many times in hospital!. They may have tendency to bruise, nosebleed, gum bleed, having tarry stool!. Some food and drug interaction can cause accumulation of warfarin, causing a condition called blood dyscrasia!. What we will do is to check his INR, a blood test to monitor his coagulation ability!. I am not sure the exact reason why your father is prescribed with warfarin, but typically INR should be kept in the range of 2-3
In summary, I will suggest, do some blood test like INR to see if it could be due to warfarin overdose, renal function test for his kidney function!. Urine test to look for any RBC cast (a marker for glomerulonephritis), evidence of urinary tract infection, and perhaps do a IVU to look for urinary stone!.
If the symptoms presist, despite all these investigation, a cystoscopy to have a look at his bladder for malignancy may be necessary!.
Good luckWww@Answer-Health@Com
However, based on your history given, possible differential are benign prostate hyperplasia, glomerulonephritis, warfarin overdose!.
Benign prostate hyperplasia is an enlargement of the prostate!. Patient typically have problem to urinate because the prostate surround the bladder neck!. Enlargement of the prostate will cause an obstruction!. Patient typically have urinary symptoms like hesitancy, weak stream, dribbling, feeling of incompletely emptying, as well as nocturia (the need to urinate several times at night), urgency, frequency, etc!. When patient need to squeeze very hard to urinate, there is a chance that it will rupture a vessel, causing hematuria!.
I am not sure what is the cause of the renal failure your father has, but glomerulonephritis, one cause of chronic renal failure can cause hematuria!. Better ask your doctor why the patient have chronic renal failure!.
And last by not lest, warfarin overdose!. It is indeed very common to have warfarin overdose for patient with arrthymias!. I had seen it so many times in hospital!. They may have tendency to bruise, nosebleed, gum bleed, having tarry stool!. Some food and drug interaction can cause accumulation of warfarin, causing a condition called blood dyscrasia!. What we will do is to check his INR, a blood test to monitor his coagulation ability!. I am not sure the exact reason why your father is prescribed with warfarin, but typically INR should be kept in the range of 2-3
In summary, I will suggest, do some blood test like INR to see if it could be due to warfarin overdose, renal function test for his kidney function!. Urine test to look for any RBC cast (a marker for glomerulonephritis), evidence of urinary tract infection, and perhaps do a IVU to look for urinary stone!.
If the symptoms presist, despite all these investigation, a cystoscopy to have a look at his bladder for malignancy may be necessary!.
Good luckWww@Answer-Health@Com
sorry to tell you but its serious,happen to my mother,my prayers be with you and your dad!.Www@Answer-Health@Com
Kidney failure is quite common!. Tthe kidneys filter every drop of blood in your body, and just about every disease imaginable ends up affecting the kidneys!.
Of course, the kidneys ALSO filter the excess water out of your system!. Congestive Heart Failure is actually just a collection of fluids around the heart -- caused by the failed kidneys!.
In most cases kidney failure cannot be reversed!. Your Dad has three choices:
1) Dialysis
2) Transplant
3) Death
Due to his currently weakened condition, it is unlikely that the doctor will consider a transplant at this time!. Dialysis is pretty much his only option!. Doing so may very well clear up the congestive heart failure!.
Your dad is very very ill! But there is still hope! You have said nothing about HOW BAD his kidney failure is!. Kidney failure is listed in percent or function, like 75% or 50% or 10% (100% is perfectly healthy)!. IF the doctor can clear up the disease (probably caused by the West Nile) AND keep his function about 25%, then he will live!.
If his kidney functions fall below 25%, the doctor will need to think about dialysis!. Dialysis needs to be done 2-3 times a week, at a special Dialysis Center, for the rest of his life!. Because this severely disrupts your life schedule, most dialysis patients go on immediate disability!. however, with dialysis your Dad will be able to function almost normally again!.
Transplant is an option, but it depends on the patient's age and general overall health!. MAYBE the doctors can get your Dad back up to a level healthy enough to undergo a transplant!. But then, it takes 2-3 years to find an organ donor!. In the mean time -- you MUST have dialysis!.Www@Answer-Health@Com
Of course, the kidneys ALSO filter the excess water out of your system!. Congestive Heart Failure is actually just a collection of fluids around the heart -- caused by the failed kidneys!.
In most cases kidney failure cannot be reversed!. Your Dad has three choices:
1) Dialysis
2) Transplant
3) Death
Due to his currently weakened condition, it is unlikely that the doctor will consider a transplant at this time!. Dialysis is pretty much his only option!. Doing so may very well clear up the congestive heart failure!.
Your dad is very very ill! But there is still hope! You have said nothing about HOW BAD his kidney failure is!. Kidney failure is listed in percent or function, like 75% or 50% or 10% (100% is perfectly healthy)!. IF the doctor can clear up the disease (probably caused by the West Nile) AND keep his function about 25%, then he will live!.
If his kidney functions fall below 25%, the doctor will need to think about dialysis!. Dialysis needs to be done 2-3 times a week, at a special Dialysis Center, for the rest of his life!. Because this severely disrupts your life schedule, most dialysis patients go on immediate disability!. however, with dialysis your Dad will be able to function almost normally again!.
Transplant is an option, but it depends on the patient's age and general overall health!. MAYBE the doctors can get your Dad back up to a level healthy enough to undergo a transplant!. But then, it takes 2-3 years to find an organ donor!. In the mean time -- you MUST have dialysis!.Www@Answer-Health@Com