A year-old Colombian man living in central Colombia, Bogota, was referred to local hospital for turbid white urine that had appeared 2 months earlier. The patient worked as an office clerk. He had never lived outside the city of Bogota. The phenomenon was intermittent: the patient would pass discoloured urine during 4 or 5 days without complaints of fever, burning or urgency. Thereafter, the urine was clear or pink. His past medical history did not reveal any relevant signs and symptoms.
However, he had lost 25 kg over the preceding 6 months. This anxious man had sought medical attention in various facilities, and despite the fact that no urinary tract infection was found by urine cytology and cultures, he had been repeatedly treated by urinary antibiotics that did not produce any effect on his albinuria. The patient was not oedematous. We verified that his description was appropriate by collecting urine in various occasions.
Yes, the urine was either white or pink. The patient indignantly denied adding anything into his urine. Bacteriologic, fungal and mycobacterial cultures were negative. There was no hypercalciuria or hyperphosphaturia. A closer examination of urinary cytology showed that the white cell population consisted of abundant lymphocytes.
Proteinuria was profuse 6. No oedema, no hypoalbuminaemia, no hyperlipidaemia and fasting coincided with a clearing of the urine so it could not be a nephrotic syndrome.
So, what was the source of the proteinuria? Eosinophilia was not detected. IgE levels were normal. The specific serological tests for the detection of parasites were negative. Abdominal ultrasound examination was normal. A cystoscopy that found white urine in the bladder thus excluding malingering did not disclose tumoural or infectious lesions.
These investigations were performed during several hospitalizations. The patient observed that the hospital diet that he found meagre also coincided with a clearing of the urine. This remark prompted us to ask the department of nutrition to give him fat meals. With a lipid-rich diet urine turned white and clotty. It was found that milky urine was demulsified with chloroform and Sudan dye made it turn red.
Chyluria it was, but what was the source of lymph? Iodopovidone closed the fistula and the patient was discharged with instructions to avoid fat foods. The final diagnosis was that of an idiopathic lymphatic fistula. Albinuria is defined as white urine in relation to any foreign substance. Its differential diagnosis includes phosphates, calcium and urates that in excess give the urine a turbid, white or cloudy appearance, although the amounts of these minerals are rarely high enough to produce albinuria.
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Normal urine is clear and a light or straw yellow color, and any change in the color or clarity of your urine can indicate a possible health issue such as a urinary tract infection UTI , kidney stone, sexually transmitted disease STD , or even simple dehydration.
If you do notice such a change, and it doesn't go away within a short period of time, it's usually a good idea to talk to your healthcare provider about it, especially if you have other symptoms too.
The color and clarity transparency or cloudiness turbidity of urine can be a clear signal of a urinary system condition. The most common causes of cloudy urine include:. Sometimes your urine may appear cloudy when you haven't been drinking enough water and you're dehydrated.
Just make sure you're drinking enough water to quench thirst every day; drink extra if you notice your urine is getting cloudy again, and continue to keep an eye on it. Keep in mind that alcohol and coffee both have dehydrating effects, so limit your consumption of these beverages. These amounts may vary based on weather, your activity status, other foods or drinks you are consuming, medications, and kidney function.
If your urine is still cloudy after you've upped your water intake, it's time to make an appointment with your healthcare provider. If you have cloudy urine and it's accompanied by an unpleasant odor, it's very likely that you have a urinary tract infection. Other symptoms may include feeling a frequent urge to urinate even when you know you don't need to; pain or burning when you urinate; urinating frequently in small amounts; pink or red urine; and pelvic pain.
A UTI can involve any part of your urinary tract, including your kidneys, bladder, ureters, and urethra, but most UTIs affect your bladder. For women, in particular, a UTI can occur because the female urethra is short and lends itself to E.
If you're pregnant and you think you have a UTI, be sure to get checked by your healthcare provider since an untreated UTI can lead to preterm labor and low birth weight. These hardened mineral and salt deposits vary in size and don't usually cause symptoms unless they start moving out of the kidney into your urinary tract. STDs like gonorrhea and chlamydia may cause discharge from the vagina or penis that can get into your urine and make it cloudy.
This common inflammation of the vagina due to a yeast infection or other vaginal imbalance can cause a discharge that results in cloudy urine.
Having a high blood sugar level or issues with your kidneys as a result of having type 1 or type 2 diabetes , requiring insulin, can cause cloudy urine. Cloudy urine can also indicate:. Cloudy urine and bloody urine are also common after treatments for prostate cancer. If you experience cloudy urine that lasts for more than a short period of time, you should see your healthcare provider for diagnosis and treatment, especially if you have other symptoms. Blood in your urine for any reason and any abnormal urine color that can't be explained by a medication or food always necessitates a visit with your healthcare provider as well.
Your healthcare provider may do a urinalysis , urine culture, imaging, or other tests to look at what might be causing your cloudy urine. Cloudy urine isn't the only urine change that might cause you to do a double-take. Depending upon the causes, urine can have blood in it , or it can turn red , pink, brown, clear, orange , blue, black, green, or dark yellow. It means you're likely drinking plenty of water! The color of normal urine can range from clear to light yellow.
If your urine is cloudy, it's possible that you are dehydrated. Typical treatments for each issue include:. Dehydration : Treating dehydration may be as simple as drinking more fluids and eating foods that are rich in liquids.
Severe dehydration may require hospitalization, however. In more severe cases, the person may need to receive these drugs intravenously, then orally. Infections such as gonorrhea and syphilis generally respond well to antibiotics. Kidney stones : Many stones pass naturally. A doctor may prescribe pain medication if the stones are very painful. For larger stones, the doctor may prescribe medications or shock wave therapy to break them into passable pieces.
Very large stones may require surgery. Vulvovaginitis : The doctor may recommend antibiotic, antifungal, or antiviral medication to treat vulvovaginitis and clear up symptoms. Prostatitis : Prostatitis may get better without treatment.
If bacteria are causing the infection, antibiotics may help treat symptoms. For chronic cases, doctors may recommend medications to manage symptoms. Diabetes : Kidney problems arising from diabetes may require frequent urine tests to check for damage in the kidney. A person will also require treatment for the underlying diabetes. Cloudy urine can result from a variety of common conditions, such as UTIs and mild dehydration. In cases that occur with other symptoms, early diagnosis and treatment are key to avoid complications.
Take note of any other symptoms that appear and share them with the doctor. This may determine the diagnosis and appropriate treatment. By working with a doctor and following their instructions, most people can clear up the underlying cause of cloudy urine.
Read the article in Spanish. Kidney stones form when minerals build up in the kidneys, usually due to not drinking enough fluid. Learn about the types, causes, and symptoms, as…. Water is important for maintaining a healthy temperature, lubricating joints, and enhancing digestion. Dehydration can be dangerous, and too much…. Vulvovaginitis is an inflammatory condition that affects the vulva and vagina.
There are many potential causes, including yeast and bacterial…. When an infection in the prostate results in inflammation, this is called bacterial prostatitis. Symptoms include pain in the lower abdomen and…. Some diets and pregnancy can also cause this symptom.
What causes cloudy urine? Medically reviewed by J. Keith Fisher, M.
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