What diseases does milky white urine signal?

I woke up in a daze in the morning, feeling the urge to pee. I went to the bathroom, opened the floodgates, and was just about to pee when I suddenly noticed that my "heat-relieving tea" had turned into "strong fermented rice wine", and I broke out in a cold sweat. There is no need to panic when encountering such situations. Correctly understanding the signals sent by the body and effectively treating and adjusting them are our appropriate behaviors. There are many reasons why urine is milky white liquid. The following article will explain to you the symptoms, causes and relief methods of milky white urine.

1. Clinical manifestations

There are three common clinical cases of leukoplakia:

1. Crystalluria: The urine is white, like lime water, and often appears at the end of urine. Those with white urine may experience slight discomfort in the urethra and occasionally renal colic.

Normal urine contains many organic or inorganic substances, which are generally in a dissolved state, so the urine is clear and transparent. If the content of these substances is high and saturated, they will precipitate and form crystalluria.

Crystalluria is not a disease. As long as you pay attention to drinking plenty of water and maintain sufficient urine volume, it will not occur.

2. Pururia: The urine is white, like rice water.

There are often flocs suspended in the solution, and after standing still there are more white precipitates. This type of white urine is often accompanied by symptoms such as urgency, frequency, pain, difficulty urinating, back pain, and fever. Diseases that may cause pyuria include renal tuberculosis, pyonephrosis, or urinary tract infection caused by obstruction or foreign bodies. At this time, the patient should go to the hospital for further examination to determine the site and cause of infection and receive targeted treatment.

3. Chylous urine: The urine is white, like milk, sometimes mixed with white clots or blood. When you are tired or eat high-fat food, the urine will be obviously white. When you rest or eat low-fat food, the urine will become lighter or clear.

This symptom means that there is a lesion in the lymphatic vessels in the body. Lymphangiography can be used to determine the location of the lesion.

It is usually treated with Chinese medicine or surgery.

2. Causes of chyluria

There are two main causes of chyluria:

① Non-parasitic diseases, such as tuberculosis and malignant tumors, widely invade the retroperitoneal lymphatic vessels and lymph nodes, causing destruction or obstruction, which is relatively rare.

② Parasitic, most of which are caused by filariasis. It is now believed that chyluria is a common complication of Bancroftian filariasis, which can occur in both the acute and chronic stages. Domestic data show that Malayan filariasis can also cause chyluria and scrotal complications such as hydrocele and spermatic corditis, but the number is extremely small.

3. Chyluria Examination

1. Inquire in detail whether the patient has a history of living in an area where filariasis is prevalent, or a history of tumors, tuberculosis, chest and abdominal trauma, etc., whether the patient has recurrent milky urine and hematuria, whether it is induced or aggravated by a high-fat meal or fatigue, whether there are other symptoms of filariasis, what kind of treatment has been given, and how the effect is.

2. Urinalysis and chyluria test to distinguish phosphaturia from pyuria. Those with negative chyluria test can take a fat meal as an induction test.

3. Take blood and urine to check for microfilariae.

4. Cystoscopy: observe whether chyluria is ejected from the ureteral orifice, and note which side the chyluria comes from.

5. Lymphography is used to observe the passage between lymphatic vessels and urinary tract.

Differential diagnosis of milky urine

1. Pyuria: When pyuria occurs due to urogenital infection, the urine is milky white and turbid, and may even be accompanied by pus clots, which superficially resembles chyluria. However, patients with pyuria often have a history of genitourinary tract infection and obvious symptoms of urinary tract irritation. Urinalysis revealed a large number of pus cells and white blood cells. There were no floating fat droplets in the urine after it was left to stand, and the urine chyle test was negative. At the same time, the urine bacterial culture count was 105/ml.

2. Crystalluria: The urine is clear when discharged, but becomes milky white and turbid after standing. Such patients often have no urinary system symptoms, and urine microscopy can reveal a large number of crystals, mainly oxalate, urate, and phosphate. There were no floating fat droplets in the urine after standing, and the chyle test was negative.

3. Proteinuria: When the protein content in the urine is high, it may appear turbid and foamy. However, such patients often have a history of acute or chronic kidney disease, and are accompanied by symptoms such as edema and hypertension. Microscopic examination of urine sediment revealed many red and white blood cells and casts, and the 24-hour urine protein quantity was 1.0 to 3.5 g.

5. Mitigation methods

1. If blood tests show filariasis, medication should be given.

2. During the attack, you should rest in bed with your head low and your feet high, and take a low-fat, high-protein, high-vitamin diet.

3. When chylomicron blocks cause urethral obstruction, it can be flushed through cystoscopy.

Irrigate the renal pelvis with 5ml of 4.1% to 2% silver nitrate solution, retain it for 2 to 3 minutes, and then rinse it with normal saline. This should be performed once every 1 to 2 weeks.

5. Chinese herbal medicine treatment often uses shepherd's purse as the main ingredient, with added ingredients such as red peony root, Polygonatum sibiricum, Dipterocarpus macrocephala, Herba Pteris multiflori, and Jasper Powder. It can be brewed or decocted.

6. For patients with recurrent severe symptoms who have not responded to the above treatments, surgical treatment can be performed, including stripping and ligation of the lymphatic vessels around the renal pedicle and anastomosis of the lumbar lymphatic vessels to the spermatic vein (or ovarian vein).