Bloody urine with a disgusting smell...Examination finds food in the bladder
Feb 19, 2025
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Dr. Huang Wei-lun, a urologist at a urological hospital in Kaohsiung, Taiwan, recently shared cases of treatment of unusual patients on social media.
According to the post, a patient in his 70s visited the hospital and complained of blood mixing in his urine and pain in his genitals. The smell of urine is also disgusting, he said.
The endoscopy revealed surprisingly pieces of food inside the bladder.
When additional tests such as CT were performed, it was a disease of 'cystic fistula'.
This is a disease in which a passage between the bladder and the small intestine is formed and connected due to congenital disorders, damage, and disease.
In general, it is caused by intestinal diseases, and the most common cause is local enteritis. In addition, small intestine tuberculosis, malignant lymphoma, small intestine cancer, experience with radiation therapy, Crohn's disease, malignant tumors (including bladder tumors), or trauma can also be the cause.
Symptoms in the event of an outbreak may include hematuria (blood mixed in the urine), air urination (air discharge when urinating), fecal urination, recurrent cystitis, untreated chronic cystitis, diarrhea or constipation.
Dr. Hwang estimated that the patient had been constipated for a long time, causing inflammation of the intestine, which later became attached to the bladder and created a fistula (an abnormal connection between the two empty spaces). This resulted in feces and undigested food entering the urinary tract.
The medical staff performed fistula resection, partial intestinal resection, and intestinal remast for 6 hours.
Dr. Hwang emphasized the importance of maintaining intestinal health to prevent such diseases.
He should drink a reasonable amount of water and consume enough fruits and vegetables to supplement dietary fiberIt is also important to avoid sitting down for a long time and to exercise properly.
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This article was translated by Naver AI translator.
