<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am 40yrs old,i have been losing microscopic blood in my urine for 4yrs now,it is getting so bad i can see it now when i urinate, 2 years ago i had the scope ran thru my kidneys and bladder, he could see the blood but just told me to keep a eye on it ,i have constant lower abdominal pain, and sharp pain when i urniate,i am only 5ft1 and weigh 115 lbs, i can go all day without having to urinate, but then when i go i cant hardly make it,  <response>: Hi ! Good morning. I am Chat Doctor answering your query. In my opinion, you should consult a nephrologist in your area, who after examining you clinically, might advise you some investigations like a complete blood count, ESR, kidney function test, blood sugar, and a urine routine and microscopic examination with a culture sensitivity test. He might also suggest you for an ultrasound of the kidneyureterbladderprostate, and a CT scan of abdomen if need be. All further management would depend on the results of the clinical examination and investigation reports. I hope this information would help you in discussing with your family physiciantreating doctor in planning your treatment. Thanks for using the Chat Doctor forum for your query on health. Wishing you an early recovery. Chat Doctor. 