What are the symptoms of chyluria?

Sep 15, 2023 Source: Cainiu Health

Dr. Yang Ziqi

Introduction

In general, symptoms of chyluria include malnutrition, milky white urine, abnormal urination, lower back pain, fever, and others. Patients are advised to receive symptomatic treatment as directed by their physician. Some patients with long-standing chyluria may develop signs of malnutrition. It is recommended that patients maintain a diverse diet, consume balanced nutrition, and eat more poultry, fish, meat, whole grains, vegetables, and fruits.

In general, symptoms of chyluria include malnutrition, milky white urine, abnormal urination, waist pain, fever, and others. Patients are advised to receive symptomatic treatment as directed by a physician. Specific analysis is as follows:

1. Malnutrition

Some patients with long-standing chyluria may develop malnutrition. It is recommended that patients maintain a diversified diet, ensure balanced nutritional intake, and consume more poultry, fish, meat, whole grains, vegetables, and fruits.

2. Milky White Urine

The urine appears milky white, occasionally resembling soy sauce in color, and may be accompanied by chylous clots or hematuria. A layer of lipid film may form after the urine has been left standing for a period of time. Milky white urine may appear persistently or intermittently, and can be triggered by excessive fatigue, cold exposure, or consumption of high-fat foods. Under medical guidance, patients may use medications such as Xue Niao Capsules (Hematuria Capsules) or Adrenochrome Subsulfonate Tablets for treatment.

3. Abnormal Urination

Because chyluria may involve chylous clots, some patients may experience urethral obstruction, leading to difficulty urinating, frequent urination, painful urination, and incomplete bladder emptying. Under medical guidance, patients may take medications such as Bambuterol Hydrochloride Tablets or Liuwei Dihuang Pills for treatment.

4. Waist Pain

Pain typically occurs in one or both sides of the waist, presenting as dull ache, sometimes accompanied by soreness and distension. Occasionally, renal colic may be triggered by irritation from chylous clots. Under medical guidance, patients may use medications such as Celecoxib Capsules or Meloxicam Tablets for treatment.

5. Fever

Chyluria is often caused by filarial infection. After parasites enter the body, they damage lymphatic vessels, allowing fat to enter the kidneys, where it is filtered and excreted in the urine, resulting in milky white urine. In severe cases, fever may occur. Under medical guidance, patients may use medications such as Ibuprofen Sustained-Release Capsules or Paracetamol Tablets for treatment.

If patients experience any discomfort, it is recommended to seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.

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Symptoms of lymphatic fistula

Clinical symptoms of lymphatic fistula generally include fluid discharge, poor wound healing, and chyluria. Lymphatic fistulas most commonly occur after lymph node dissection or biopsy surgeries, due to injury to lymphatic ducts, failure to ligate them, incomplete ligation, or subsequent infection. Patients may experience recurrent exudate, typically transparent lymphatic fluid. Under a physician's guidance, packing can be used to prevent further fluid leakage.