Question: I have ADPKD and I think one of the cyst burst and is draining because there is blood every time I wipe. Could this be possible and what shall I do?
Doctor: ADPKD is characterized by kidney cysts filled with fluid. As time progresses, these kidney cysts will become bigger and bigger. If you do not deal with them in time, they will rupture. Blood urine may result from cyst burst, it may also result from the enlarged cysts damaging the around kidney tissues. From what you said, it is difficult to estimate the causes. It is better for you to give us the more detailed information.
Generally speaking, when a cyst bursts, you may suffer from sharp pain around the kidneys, blood urine and symptoms of urinary tract infection, such as pain when you urinate or a frequent urge to urinate, etc. Do you have these symptoms?
As to the blood urine, you had better drink plenty of water to dilute the urine. Dilution may help prevent obstructive clots from forming in your urinary tract. Besides, you had better have bed rest. If the blood in the urine does not decrease, you have to see a doctor.
Whether your kidney cysts burst or not, you should try to shrink them. The common treatment is to surgical drainage or laparoscopic cyst excision. You can also take some some Chinese herbs, such as ground beetles, rhizoma sparganic, pericarpium citri reticulatae, etc.
For a more specific diagnosis, please email your test report to email@example.com.