[64M] Experiencing Hematuria, Weight Loss, Fatigue, and Night Sweats

Patient Description

A 64-year-old male reports experiencing intermittent hematuria with brownish urine and clots, unaccompanied by pain, fevers, or chills, persisting for 2 months. The patient also describes significant night sweats occurring nightly, weight loss, and fatigue. There are noted changes in urinary stream and difficulty urinating. The patient has a smoking history and a pre-existing condition of Mitral Valve Prolapse (MVP), but no family history of cancer, no known allergies, and is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Bladder Cancer: This is a type of cancer that begins in the cells of the bladder. Most bladder cancers are transitional cell carcinomas (cancer that begins in cells that normally make up the inner lining of the bladder). Symptoms can include blood in the urine, pain during urination, and frequent urination.

    • Diagnostic tests for bladder cancer can include urine tests, imaging tests, and a cystoscopy. Treatment options can include surgery, immunotherapy, chemotherapy, and radiation therapy.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain during urination, pink, red or brown urine, and frequent urination.

    • Diagnostic tests for kidney stones can include blood tests, urine tests, imaging tests, and analysis of passed stones. Treatment options can include pain relievers, medical therapy, and sound waves.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Symptoms can include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, urine that appears cloudy, urine that appears red, bright pink or cola-colored — a sign of blood in the urine.

    • Diagnostic tests for UTI can include urine sample analysis, imaging, and using a scope to see inside your bladder. Treatment options can include antibiotics and pain relievers.

Please note that these are potential diagnoses based on the symptoms you've described, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek immediate medical attention. Here are some steps you can take:

  1. Make an appointment with your healthcare provider as soon as possible. If you can't get an appointment soon, consider going to an urgent care center or emergency room.

  2. Keep track of your symptoms. Note when they occur, how long they last, and any other relevant information. This can help your healthcare provider make a diagnosis.

  3. Stay hydrated and maintain a balanced diet. This can help your body fight off potential infections and recover more quickly.

What you should look out for

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

  • Severe pain in your back or side that won't go away
  • Blood in your urine
  • Fever and chills
  • Vomiting
  • Difficulty urinating or a complete inability to urinate

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important you speak to a healthcare professional who can take a full history and examine you in person.

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1 yr ago

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People Also Ask


What are the common symptoms of bladder cancer?

Common symptoms of bladder cancer include blood in the urine (hematuria), which may cause the urine to appear red or brown, frequent urination, pain during urination, and back pain. However, these symptoms can also be caused by other conditions, so it's important to consult a healthcare provider for an accurate diagnosis.


How can smoking history affect the risk of developing bladder cancer?

Smoking is a significant risk factor for bladder cancer. Chemicals in tobacco smoke are absorbed into the bloodstream and filtered by the kidneys into the urine, where they can damage the lining of the bladder and increase the risk of cancer. Smokers are several times more likely to develop bladder cancer compared to non-smokers.


What are the typical diagnostic tests for identifying kidney stones?

Typical diagnostic tests for kidney stones include blood tests to check for high levels of calcium or uric acid, urine tests to check for stone-forming minerals, imaging tests such as CT scans or X-rays to visualize stones, and analysis of passed stones to determine their composition.


How can night sweats and weight loss be related to urinary symptoms?

Night sweats and weight loss can be symptoms of various conditions, including infections, cancers, and other systemic illnesses. In the context of urinary symptoms, they may suggest a more serious underlying condition such as cancer or a chronic infection. It's important to discuss these symptoms with a healthcare provider for a thorough evaluation.


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