[45F] Episodes of Hematuria with Unexplained Weight Loss

What might be happening

Based on the information you provided, the possible causes for your symptoms could include:

• Urinary Tract Infection (UTI): UTIs can cause blood in the urine, although they are usually also associated with other symptoms such as pain or burning during urination, frequent urination, and lower abdominal pain.

  • Treatment typically involves antibiotics prescribed by a doctor.

• Kidney Stones: These can cause blood in the urine, but are usually also associated with severe pain in the back or side, and frequent urination.

  • 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.

• Medication Side Effects: Certain medications, including some over-the-counter drugs and supplements, can cause blood in the urine. In your case, it's possible that the medroxyprogesterone acetate could be related, although this is less likely.

  • Treatment would involve discussing with your doctor whether the benefits of the medication outweigh this side effect, and whether there are any alternative medications you could take.

• More serious conditions: Blood in the urine can sometimes be a sign of more serious conditions, such as bladder or kidney diseases, or cancer. These conditions are less likely in your case, given your age and the fact that you have no other symptoms, but they cannot be ruled out without further testing.

  • Treatment would depend on the specific condition, but could involve medication, surgery, or other therapies.

What you can do

Given that you've already had a CT scan and cystoscopy which found nothing, it's possible that the cause of your symptoms is not serious. However, you should still follow up with your doctor, especially if you notice the blood in your urine again. They may want to do further testing, or refer you to a specialist for further evaluation.

In the meantime, you can:

1. Drink plenty of water to help flush out your urinary system.
2. Avoid any medications or supplements that you think might be causing your symptoms, unless they have been prescribed by your doctor.
3. Keep a symptom diary, noting any changes in your symptoms, when they occur, and what you were doing or eating at the time. This could help identify any patterns or triggers for your symptoms.

What you should look out for

You should seek immediate medical attention if you:

• Notice a large amount of blood in your urine, or if the blood is accompanied by clots.
• Experience pain or burning during urination, frequent urination, or a strong urge to urinate.
• Have severe pain in your back or side.
• Develop a fever or chills.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for a formal diagnosis and treatment.