[58F] With hematuria, decreased urination, and flank pain

What might be happening

Based on the information you've provided, the following conditions may be causing your symptoms:

• Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. UTIs can cause bloody urine and flank pain. However, they are usually accompanied by other symptoms such as a burning sensation during urination and a strong, persistent urge to urinate, which you did not report.

  • Treatment typically involves antibiotics to clear the infection.

• Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause bloody urine and flank pain. The pain can come in waves and fluctuate in intensity.

  • 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.

• Kidney Infection (Pyelonephritis): This is a type of urinary tract infection that generally starts in your urethra or bladder and travels to one or both of your kidneys. It can cause bloody urine, flank pain, and decreased urine output.

  • Treatment typically involves antibiotics to clear the infection.

• Polycystic Kidney Disease: Given your family history, this inherited disorder in which clusters of cysts develop primarily within your kidneys could be a possibility. Symptoms can include bloody urine, flank pain, and decreased urine output.

  • Treatment focuses on managing symptoms and preventing complications.

Please note that these are possible explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

You should seek immediate medical attention given your symptoms. In the meantime, try to stay hydrated and avoid any foods or activities that seem to worsen your symptoms.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Intense pain in your back or side that won't go away
• Blood in your urine
• Fever and chills
• Vomiting
• Urine that smells bad or looks cloudy
• A burning sensation when you urinate

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.