[35F] With hematuria and associated urinary findings

What might be happening

Based on the information you've provided, possible diagnoses include:

• Urinary Tract Infection (UTI): This is a common condition where bacteria infect the urinary tract, causing symptoms such as blood in the urine and a high leukocyte count. UTIs can also cause bladder distension due to difficulty in passing urine.

  • Treatment typically involves antibiotics prescribed by a doctor.

• Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause blood in the urine and sometimes lead to UTIs. A low creatinine level may indicate decreased kidney function, which can be associated with kidney stones.

  • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.

• Bladder or Kidney Infections: These can cause blood in the urine, leukocytes in the urine, and bladder distension. They can also cause low creatinine levels and hepatomegaly (enlarged liver), although these are less common symptoms.

  • Treatment typically involves antibiotics and sometimes hospitalization if the infection is severe.

• Liver Disease: Hepatomegaly (an enlarged liver) can be a sign of various liver diseases, such as hepatitis or cirrhosis. Some liver conditions can cause low creatinine levels. While these conditions don't typically cause blood in the urine, they can cause changes in urination patterns.

  • Treatment depends on the specific liver condition and can range from lifestyle changes to medication to surgery.

What you can do

You should seek immediate medical attention. These symptoms could indicate a serious condition that needs treatment.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

• Severe abdominal or flank pain
• Fever or chills
• Nausea or vomiting
• Difficulty urinating or extremely painful urination

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.