Chyluria , also called chylous urine , is a medical condition that involves the presence of chyle in the flow of urine, resulting in a milky white-looking urine. This condition is usually classified as parasitic or non parasitic. This is a more common condition among Africans and Indian subcontinent.
The appearance of chyluria is irregular and intermittent. This can take several days, weeks or even months. There are several factors that trigger Chyluria's recurrence.
Video Chyluria
Cause
Chyluria is often caused by filariasis because of the Wuchereria bancrofti parasite, the themed nematodes that serve the lymph channels. Parasitic infections can cause peripheral lymph node obstruction and increased pressure inside the vessels that cause collateral flow from the lymph, directing the lymph flow from the lymphatic vessels of the intestine to the renal and urinary lymphatic vessels. Because of obstruction, subsequent localized inflammation in the area causes dilatation of lymph vessels and the development of urinary fistula due to rupture of the lymphatic vessels, which allows for the passage of white blood cells, fat, and fat-soluble vitamins into the urine.
Another cause of chyluria is pregnancy or childbirth.
In the United States, one of the most common causes is partial nephrectomy or thermal ablation of renal lesions.
Maps Chyluria
Symptoms
Once the lymph nodes are blocked, a person may open into the hilum of the kidney or ureter or sometimes into the bladder and chyle can leak into the urinary tract so as to produce a milky white urine. Blood sometimes mixes with urine that causes haemato-chyluria.
Usually this condition limits itself and can sometimes cause complications. If left untreated, chronic chyluria can lead to malnutrition and fat-soluble vitamins.
Treatment
Following a low-fat and high-fluid diet is recommended for managing symptoms.
Drugs that inhibit the absorption of cholesterol in the small intestine, such as Ezetimibe, may be an effective treatment in some patients.
Anti-filarial drugs, such as diethylcarbamazine, may be prescribed. Severe damage to the lymph nodes may require surgery. Sclerotherapy with 1% instillation of silver nitrate or povidone iodine (2 ml 5% 8 ml distilled water).
References
Source of the article : Wikipedia
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