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DiscussionGross hematuria (blood in urine): Can't find cause
Blood Cancers & Disorders | Last Active: Jun 11 1:45pm | Replies (21)Comment receiving replies
Replies to "Hi and thanks for reaching out. Any help and information is so appreciated. How did they..."
Hi Carolak...I'm sorry I haven't gotten back to you before now. I haven't figured out this site yet and I didn't know you had responded to my post.
CAD (Cold Agglutinin Disease) is really a rare autoimmune disease (1/1,000,000). I was diagnosed when I literally peed blood and they could not get a CBC because my blood had hemolyzed (the red cells had burst and were useless). My underlying cause for CAD was NHL. Some of the tests they ran included multiple tests by rheumatology trying to look for autoimmune diseases such as lupus, etc. They realized my blood sample had to be kept at body temperature or it would be useless. Another test they often run is a thermal amplitude test and a coombs test. Cool/cold temperatures cause my red blood cells to be killed and when they are filtered out of the body it appears as blood in my urine. Unfortunately, I don't make new red bloods cells quickly enough to avoid becoming anemic. I've had several blood transfusions to help me stay leveled out.
The likelihood of you having CAD is remote, but I would certainly ask your doctor about it. There is a cold agglutinin titer he/she can run easily. It will help to decide if you need further testing.
I wish you all the best!
Donna