Chyluria

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Chyluria
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Milky urine, hematuria, dysuria, urinary frequency
Complications	Malnutrition, anemia, weight loss
Onset	Variable
Duration	Can be intermittent or persistent
Types	N/A
Causes	Lymphatic filariasis, trauma, surgery, congenital
Risks	Living in endemic areas for filariasis
Diagnosis	Urinalysis, imaging studies, lymphangiography
Differential diagnosis	Urinary tract infection, nephrotic syndrome, hyperlipidemia
Prevention	N/A
Treatment	Dietary modification, diuretics, sclerotherapy, surgery
Medication	N/A
Prognosis	Generally good with treatment
Frequency	Rare in non-endemic areas
Deaths	N/A

Chyluria, also known as chylous urine, is a medical condition characterized by the presence of chyle, a type of lymphatic fluid, in the urine. This condition is often associated with lymphatic diseases, parasitic infections, and certain surgical procedures.

Causes

Chyluria is most commonly caused by a parasitic infection, specifically filariasis, a disease caused by the Filarial worm. This worm damages the lymphatic system, causing chyle to leak into the urinary tract. Other causes include trauma, tumors, congenital defects, and surgical procedures involving the kidneys or abdomen.

Symptoms

The primary symptom of chyluria is the presence of milky, often frothy urine. This is due to the high fat content of the chyle. Other symptoms can include abdominal pain, back pain, hematuria (blood in the urine), and malnutrition due to loss of proteins and fats in the urine.

Diagnosis

Diagnosis of chyluria typically involves a urinalysis to detect the presence of fats and proteins. Further tests may include ultrasound, CT scan, and MRI to identify any underlying conditions causing the chyluria.

Treatment

Treatment for chyluria depends on the underlying cause. If the cause is filariasis, antiparasitic medication is typically prescribed. In cases where the chyluria is caused by a tumor or trauma, surgery may be necessary. Dietary modifications, such as a low-fat diet, may also be recommended to reduce the amount of chyle produced.

Chyluria causing milky, frothy urine

See also

• Lymphatic system
• Filariasis
• Urinalysis

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