General Discussion Triathlon Talk » blood in urine? Rss Feed  
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2006-06-30 8:15 PM

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Subject: blood in urine?

Sorry for the title and the content, but I hope others may have an exp. with this. 

I was suprised today to see the color of my urine pretty strange brown color...normally peek at it to see if I'm hydrating well.  Spoke to my husband who said it had blood in it. Went to the doctor, no infection, blood in urine is common with younger althletes (I'm 44 not younger) , could be kidney stones, or another condition with muscle breakdown. I had an EKG, went back to work and after work had some blood an another ua. No answers until Monday but if blood results were horrible I'd have been called by now.

So has this happened to others of you? Is it common to get it after hard workout/race? I did two sprint...one Sunday and one Thursday but not that outside of what I normally do. I hadn't heard of it before. 

A bit freaked out about it and really bummed that my 50 mile ride tomorrow is either off or shortened, am I sick or what?



2006-06-30 8:24 PM
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Subject: RE: blood in urine?
Endurance athletes (especially marathoners) will sometimes have blood in their urine, but more often it's a microhematuria (small amounts of blood), not frankly bloody as yours seems to be. I'm glad that you have seen a doctor, but further investigation is required into bloody urine (especially on repeat tests). This can include imaging studies such as CT scans. Talk to your doctor to see what further tests are needed.
2006-06-30 11:44 PM
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Subject: RE: blood in urine?
Hope everything is ok. Please let us know what the results are.

I had this happen a couple of different times when I was a teenager. It really freaked me out. In my case, it was kidney stones. It was also accompanied by very sharp abdominal pain. I was able to pass them on my own and have had no further problems since.
2006-07-01 1:28 AM
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Subject: RE: blood in urine?
I rushed to my ER a few years back shaking and totally freaking out because of blood in my urine. The dr`s did tests gallore and finally realized it wasn`t blood, it was over doesage on vitamins. Hope all works out. keep us updated,
2006-07-02 10:24 AM
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Subject: RE: blood in urine?
Wow, I hope everything turns out to be okay for you. I know I'd probably freak out if I just started peeing blood.
2006-07-02 10:26 AM
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Subject: RE: blood in urine?

Long story short I experienced exactly what your talking about...the onset was that I ran farther than I ever had and it was later determined to be a footstrike issue.  It's best that you went to the doctor to check it out to make sure but I'm guessing all the tests are gonna come back normal as mine did.

The only explanation the doctor could give me was the article I pulled off the web and showed to him.  I think he gave up and settled for the article...which I don't have anymore to share with you.  To sum it up, it's very rare in long distance athletes but for those who have it you get it the most when you've pushed beyond your latic threshold for a long period of time and your kidneys basically can't process the muscle/blood that is all going through it...nothing harmful as bad as it may sound.

It's very difficult to find a doctor who will touch on the subject since it is so rare. 



2006-07-02 10:59 AM
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Subject: RE: blood in urine?
I've had this as well .......... kidney stones ...... 5 of them. They would jostle around on my runs and cause bleeding.

I know I've passed at least two and probably three (one of them I had to go to the ER for it), but I still get blood in my urine occassionally which means the others are just biding their time.

I'd recommend scheduling an appt. with a urologist and have things checked out.
2006-07-02 2:50 PM
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Subject: RE: blood in urine?
Casey Shaw - 2006-07-02 11:26 AM

Long story short I experienced exactly what your talking about...the onset was that I ran farther than I ever had and it was later determined to be a footstrike issue.  It's best that you went to the doctor to check it out to make sure but I'm guessing all the tests are gonna come back normal as mine did.

The only explanation the doctor could give me was the article I pulled off the web and showed to him.  I think he gave up and settled for the article...which I don't have anymore to share with you.  To sum it up, it's very rare in long distance athletes but for those who have it you get it the most when you've pushed beyond your latic threshold for a long period of time and your kidneys basically can't process the muscle/blood that is all going through it...nothing harmful as bad as it may sound.

It's very difficult to find a doctor who will touch on the subject since it is so rare. 



From your description, it sounds like you are referring to rhabodmyolysis, a breakdown of muscle tissue cells, which discolors the urine (dark brown or tea colored), and can cause kidney damage if extensive.

However, long distance athletes can also get hematuria that is unrelated to tissue breakdown, just due to temporary shunting of the blood from the kidneys. Usually harmful, but again, kidney failure could be an outcome (not from teh blood, from the blood flow shunting).

Neither are rare, and most docs (correction, all docs) should know to check for it with a simple blood test (muscle enzymes).

Kidney stones usually cause pain, but the most common cause of blood in the urine for women is an infection.

For what it's worth, I'd ask if he did test for muscle tissue enzymes and kidney function. And were there really red blood cells in the urine, or did it just test positive for blood. In otherwords, did they look at it under a microscope in the lab...

Suzanne
2006-07-02 4:53 PM
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Subject: RE: blood in urine?
I had a simialr problem. Lots of blood in the urine, but no pain like I had with a urinary tract infection. I was on vacation, but went to the doc at urgent care at UW in Seatle. They took samples to test for UTI's. They started me on antibiotics just in case and sent me back to my hotel room with major pain killers in case it was a kidney stone. 24 hours later we knew what the problem was... 6mm kidney stone. Yuck.

Anyway, I went for 2 days with blood in my urine but no pain and then discovered that it was a kidney stone. If that's the problem for you, I send all my good vibes your way. Good Luck!
2006-07-02 4:58 PM
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Subject: RE: blood in urine?

They did a dip in the office said no infection and sent me off to the hospital to do the other blood tests you mentioned..check my kidneys and muscles and a better full ua.

Kidney stones were also suggested but I have no pain common with them.

I have heard of the muscle breakdown condition but that is mostly common with doing longer/harder type races maybe a 1/2 IM or an IM. I just did 2 sprints one on Sunday and another on Thursday. I'm not very fast but goal was to push myself. But the color was brown not red, she asked me that a couple of times. It was much darker early in the morning and by evening, urine was back to normal color.

I didn't hear from them over the weekend so I'm hoping it isn't anything bad. I'll call tomorrow and get the results.

Weird thing, I asked the PA if I could go for my 50 mile ride Saturday and she said she wouldn't answer that question. It annoyed me a lot.



Edited by KathyG 2006-07-02 4:59 PM
2006-07-02 6:34 PM
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Subject: RE: blood in urine?
KathyG - 2006-07-02 5:58 PM

They did a dip in the office said no infection and sent me off to the hospital to do the other blood tests you mentioned..check my kidneys and muscles and a better full ua.

Kidney stones were also suggested but I have no pain common with them.

I have heard of the muscle breakdown condition but that is mostly common with doing longer/harder type races maybe a 1/2 IM or an IM. I just did 2 sprints one on Sunday and another on Thursday. I'm not very fast but goal was to push myself. But the color was brown not red, she asked me that a couple of times. It was much darker early in the morning and by evening, urine was back to normal color.

I didn't hear from them over the weekend so I'm hoping it isn't anything bad. I'll call tomorrow and get the results.

Weird thing, I asked the PA if I could go for my 50 mile ride Saturday and she said she wouldn't answer that question. It annoyed me a lot.



It doesn't need to be a 1/2 IM or IM distance..3 sprints in a week could easily cause muscle tissue breakdown, in fact, I'm sure it does, just not everyone gets tested for it right afterwards. Muscle tissue breakdown is part of the cycle of improving stregth and the recovery process. I'm placing good money that that's what this is from.

THe PA can't answer the question because 1) She really might have no idea what's wrong 2) If it is tissue breakdown, she doesn't want to advocate for more activity, because, like I said, the results COULD be kidney failure (but usually aren;t). When you get the test results back, ask again.


2006-07-02 9:08 PM
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Subject: RE: blood in urine?
"Kidney stones were also suggested but I have no pain common with them."

Yep, I didn't have any pain either just blood in the urine. It wasn't till a couple of days after the onset of blood in the urine that I started having pain (you can't miss that kind of pain). Stick with the doctors, they'll get it figured out faster than any of us on the internet can.

Good Luck!

2006-07-03 12:36 AM
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Subject: RE: blood in urine?
Girl, I'm praying that you don't have kidney stones!  (or something worse for that matter...) That is absolutely the worst thing I've ever experienced.  But it sounds like you're issues are a little different, I've only had reddish urine with kidney stones not brown as you describe.  I'll be anxious to hear what your test results are.  Feel better, and please be careful!   
2006-07-03 1:02 AM
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Subject: RE: blood in urine?

AdventureBear,

I did test positive for protien in the urine when sent to the lab but when they sent me for an ultrasound of my kidneys they came up with nothing and in fact the tech doing the ultrasound said my kidneys looked as good as could be...they also checked another orgin (can't remember which) but all results turned out negative for any damage.  The last test I did was a 24 hour pee capture which came up with nothing out of the ordinary but by that time I wasn't working out cause I thought I was going to die.

That's why I say the doctor wrote it off as footstrike.  With all the testing done he couldn't come up with a reason for why it was there.  The best article describing my symptoms is the "Triathlete" magazine article on Rutger Beke here on EPO doping: http://www.triathletemag.com/story.cfm?story_id=10841&pageID=1727

It's funny too cause my doctor was lecturing me on steriod usage when I'm the type of guy who has a hard time just using protien powder shakes post workout.

Beke: EPO is a protein. Everybody has it in their body. The main problem is when I do high physical activity, race or hard training session, especially anaerobic, I produce a lot of proteins. The problem is that with everybody else, there is a filter in the kidneys that stops your proteins from ending up in your urine. When I do anaerobic exercise, the filter doesn’t work properly and all these proteins end up in my urine. Now the big problem is the anti-doping agencies doesn’t see that EPO proteins I produce are the same as synthetic. So I had to prove that mine are natural. Unfortunately, it took 10 months.

 Triathlete: Does that equal having a high hematocrit?
Beke: Yes. I have a high hematocrit, around 50. The highest I’ve ever had is 52.5. For the doping agencies, that also made me guilty. They said, “See, you have a high hematocrit.” But I’ve always had those test papers to prove a naturally high number. My father and brother also have the same problem. I had to prove they had the same problem. And my grandfather. He would have been a great athlete!

 

2006-07-03 9:11 AM
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Subject: RE: blood in urine?

I spoke to my doctors partner as he is off today.

Kidney function normal, muscle enzymes normal, no protein in my urine, hm...they don't know what it is from as no infection, and tested yes it was blood in my urine.

Common with Marathoners, redo UA later in the week.

I guess all it all it is good news as it is nothing bad....but no real answers either.

2006-07-03 11:10 AM
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Subject: RE: blood in urine?
The dip stick test is actually measuring blood breakdown/muscle breakdown products myoglobin and hemoglobin. The sticks do not differentiate between the two. Cytology (looking a stained urine smear) would tell you if there is frank blood in your urine.

Frank blood can come from kidney brusing or damage along the post kidney pathway. Hemoglobin is the oxygen carrying part of the redblood cell and if it is excreted by the kidneys in excessive amounts there are extra red blood cells being destroyed (hemolysis).

Myoglobin is hemoglobin's relative that is a product of muscle breakdown. If you have myglobin in your urine (most likely in your case) you probably have extra muscle breakdown from a disorder or muscle trauma from training. As stated before, myoglobin can clog up your kidneys and should not be taken lightly.

Your doctor should be able to differentiate what is going on in your urine with a complete blood cell count and a serum biochemistry (one blood draw) and a urine sample. If he/she can't, find a better internal medicine specialist.

good luck, lots of fluids to keep making urine and flush out your kidneys.
keith


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