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Dr Anitha

Thanks for your reply, I am not sure why I was unable to contiue to reply on the same post as it has happened a few times but I hope you read this as I am greatful for your answer.
My husband 53 yrs old also  has High blood pressure, and he has had microscopic hematuria for a very long time could this have caused the AAA with mural thrombus , His albumine in urine was 650, then they changed med to coversyl 5 mg and norvaprine 5 mg ,every three months he does a urine test and last time it was 125, then went upto 195, he did another one again but as I was not with him. My mum albumin was 40 and the doctor was doing urine test every 2 weks until he got her pressure right as well as albumin under control. she was in NZ now living with me, so why are the doctors not doing anything to ensure that it is reduced, my daughter too has microscopic hematuria, she had in 2010, and when she had some test done recently they detected microscopic hematuria, they siad it is common just want to know as I am worried. as she is only 22.
With regard to The optimal procedure for managing an AAA associated with occlusive disease is endoaneurysmorrhaphy with inline aortic reconstructionat   does he have to wait till it get to 5, or if the thrombus increases from 2.2 can they do the operation and how much doe the trhombus have to increase by before they worry about it. if the thrombus increases and the anurysm does not exceed 5 can they do the operation still.  the specialist said that will do the operation through his gron I think he said sten once AAA reaches 5. Sorry about all these questions as I have to wait for another six months before I see him again with a scan. By the way the 4.6 measurement was done in a different place via MRI the other one stating 4.4 was done  via ultra sound which one would be more accurate or it will not make much of a difference.Thank you for taking an interest and may God Bless you

Heather
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Avatar universal
MEDICAL PROFESSIONAL
Let me how he is doing.
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Avatar universal
MEDICAL PROFESSIONAL
Hi Heather, how are you?  Not sure why you were unable to write a comment.  It’s unlikely that the microscopic hematuria could have caused the AAA with thrombus.  It could be the other way around. The medications given for prevention of a thrombus formation in the AAA could have caused the microscopic hematuria.  Also the hypertension can affect the kidneys and cause hypertensive nephropathy.  This could account for the albumin in his urine. In addition if he is a diabetic the risk increases further.  For the values to normalize, the basic cause needs to be treated so that it does not affect the kidneys.

For the microscopic hematuria in your daughter, it could be due to many causes. This can occur due to analgesics, urinary tract infections and sometimes smoking. So, ask her to be cautious with any medications she takes and she should avoid smoking.  She can then repeat the test after three months.

Heather, did you discuss the present report with your doctor?  He needs to know about the thrombus.  If it is just AAA, then the protocol is to wait till it reaches 5cm to consider the surgical option.  But since he has an associated thrombus, they may plan on operating earlier, so please let your doctor know.  The MRI is more accurate for assessing soft tissues, so the MRI value would be more accurate for measuring the AAA.  So, take care and good luck with his therapy. Warm Regards.
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