Bruising, when there was none before

September 28, 2011

Hi there. I have a question about a patient who came in a month ago.

64yo male with total hematuria. Clots in urine. Has RA that is under control.

2007 - cancerous tumor removed from bladder - BCG tx

2007 - BCC removed from left cheek

2009 - 3 separate surgeries to implant right coronary artery stents

2009 - bladder biopsy performed - non-cancerous mass

2009 - triple bypass

2011 - cystoscopy - red patch of inflammed area in bladder

Patient also indicated that there was blood in the urine in 2007 post scope when

there was a catheter accident that caused a false channel. Passing of blood has

been an intermittent phenomenon since then. Now scoped every 6 months.

On initial presentation bleeding with every urination. Burning in urethra.

Since being on heart meds, penis is shriveled and he is impotent. Increased

frequency and urgency.

CT scan last month of GU - everything normal

MD wants to remove bladder. Seeing this specialist mid-october.

UA - +ve for WBC, protein, blood

Rx Meds: avapro 150mg, metoprolol 25mg, ranitidine 150mg, ASA 81mg, Crestor

20mg, Hydroxychloroquine 200mg BID, Adalat 30mg, Allopurinol 200mg

1st prescription

Zea Mais 75 drops 2x/d

Vitamin C - buffered 1/4 tsp 4x/d

Unda #2,7,44 - 5drops TID

CoQ10 - 150mg TID

After three weeks, minor blood with starting and stopping urination.

2nd prescription

Ulmus campestris 1 tsp 2x/d

Unda #7, 15, 37

Called after 4 days to report very easy bruising of arms which was not present

before. happend after golfing. Increase in blood in urine.

Thinking is this: 2nd prescription of Undas is wrong. Need to continue to focus

draining urinary tract. Need to continue to work opening emunctories. Then

need to treat cardiovascular system.

Why the easy bruising with the 2nd prescription? Any recommendations? I want

to continue to work the GU system, but know I have to work on the liver/GI, and

the cardiovascular systems.

Any advice would be greatly appreciated,

many thanks

Jonathon Berghamer

Whiterock BC

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