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Nine year old son-History of irregular bladder control and intermittent constipation...After a long bought of bronchitis and then, what was thought to be a kidney stone..(pain symptoms and blood in urine). Treated with cipro and nothing passes thru strainer-discomfort diminished.

Within a week had severe kidney and chest pain. No blood in urine; Blood test revealed borderline dehydration and high red blood cell count. Baby aspirin (81 mg) and CT ordered. Contrast CT revealed cystitis and now bactrim prescribed and follow up with pediatric urologist. Still taking aspirin...

I'm wondering what came first, and if one caused the other-

Should we see a pediatric urologist and/or hemotologist at a UC facility - or go local, to different doctor's offices and coordinate? (UC is far away for repeat visits)

Family history of Von Willebrand's Disease (this child has not exhibited symptoms, nor has he been tested), thyroid and kidney disease (stones and gout)

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The condition of the kidneys - which is basically an infection which is being treated with the antibiotics, is causing the change in the function of the kidneys. That affects the whole body by causing symptoms like blood in urine, but it also can affect each body system in a specific way. In this case, infection has caused a slight decrease in kidney function which then caused the ed blood cells to go up in order to compensate for the kidneys. So, you should continue=e tho monitor the state of the kidneys with the urologist/pediatrician because red blood cell count will get to normal once the kidneys fully recover from the infection and the urologist will give you better information on how soon will that happen. He will also be the best to judge if there is a need for any other specialist, but the antibiotics treatment and some healing time need to go down first. Wish you the best.
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Thanks for the info...have a local pediatric urologist appt early next week to further diagnosis and prescribe treatment. We may have to follow our insurance to a UC facility if things get complicated... I am hoping the high rbc count is directly related and will right itself-also, spleen was normal. Another blood test has been ordered..we also have history of hemachromotosis-iron build up in rbc's. This is a curious case-lots to rule out. Getting very anxious about situation! Thanks again.
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I sure hope so that things won't get any more complicated - know that may be hard to focus on that when you are this worried, but you are doing all you can do at the time - infection is being treated, your son's state is being monitored by urologist and the fact is that infection has caused the rise in red blood cell count, so - things should get a lot better once the infection has cleared up. You're welcome, I just hope he gets better soon.
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thanks for the support- I'll let you know how it turns out...
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