| Asymptomatic Microscopic Hematuria
Hi everyone,
I discovered microscopic hematuria in my urine about 5 years ago in 2012, This information was received during a pre work physical. At that time, I also had some blood work done. My bilirubin was measured at 2.3 mg/dL, other results were fine (including AST, ALT, white and red blood cell counts etc.).
I did not have any follow up testing done to look into the cause of this.
Now, it is 2017, I get another pre employment physical, I find that I have microscopic hematuria and my bilirubin is at 1.4 mg/dL in my blood test.
I realize that this was discovered before, now I am older, and feel a bit more responsible and concerned about my health than I once was, so I followed up.
First with some blood tests, creatinine, GFR, and BUN results are normal.
Next with Non-Gyn cytology. Results state negative for malignant cells, Bland urothelial cells present in a background of squamous cells and mixed inflamatory cells.
Next I had a CT of my abdomen and pelvis with and without contrast.
Multiple scattered subcentimeter hepatic hypodensities were observed. The results say they are too small to be characterized, but are likely "presenting cysts or biliary hamartomas".
Other results of the CT are normal (lower chest/lungs, gall bladder, pancreus, spleen, adrenal, gastrointestinal, urinary, bones, soft tissue etc.)
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So now I have these questions,
With the inflammatory cells in my cytology, my first thought was, maybe a UTI. But no abnormal bacteria indicative of a UTI was discovered (according to my doctor but she did not specify the species of bacteria that was present, only that the bacteria was not indicative of a UTI).
Could I have a UTI but bacteria not be present in my urine?
In regards to the CT scan, subcentimeter hepatic hypodensities present. Could this be early signs of cancer, even if malignant cells were not discovered during the cytology?
If I had kidney stones or a calcium buildup of a sort in my body, could that cause the microscopic hematuria, while simultaneously be non observable in the CT?
Even if the hypodensities were cysts, could one day they become cancerous in the same way that a mole on the outside of the skin can? And how many people have these cysts? Do they typically just go away, and if so, how long does it take for them to go away, or do they stay indefinitely?
Lastly, if it were "biliary hamartomas", would that be something to be concerned about?
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Has anyone ever experienced anything like this? Asymptomatic microscopic hematuria, and not be able to figure out the cause?
Thanks everyone, any opinions or ideas would be much appreciated. I suppose I typed this just to consolidate my own ideas as well.
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