25.06.2021

The causes of turbid urine, women

The color of urine of healthy women may vary in a fairly wide range of yellow shades. The characteristic shade to it gives the product a multistage collapse of bilirubin – urochrome (urobilin).

Change the color of urine, due to the use of products containing pigments remaining in its original form in the process of metabolism (beets, rhubarb), is a normal physiological phenomenon that disappears after exclusion of these products from the diet.

However, in all color variations, the urine needs to maintain absolute transparency. The appearance of a turbid urine with sediment in women may be the evidence of the presence of pathology in the urogenital system and the violation of elementary norms of the test.

Reasons not related pathologies

Very often the causes of turbidity of urine are not related to pathological changes in the urinary area of women and the impact on its physico-chemical properties of various external and internal factors.

Such factors may include:

  • non-observance of rules of storage and transportation of urine to the point of laboratory analysis.
  • a change in diet.
  • dehydration of the body.

The storage time of prepared for the urine test should not exceed 2 hours.

Such limitations are due to the changes occurring in the urine under the influence of environmental conditions:

  • the increase in the number of bacteria, due to prolonged stay at temperatures over 20 °C;
  • the increase in pH under the influence of the activity of pathogenic microorganisms (in the process of vital activity of bacteria produce ammonia, contributing to the increase in the pH);
  • the formation of salt precipitate under the influence of unstable temperature regimes;
  • the decrease in the concentration of glucose, due to the absorption of bacteria.

All these changes in the complex or singly contribute to sedimentation or loss of transparency of urine. Change diet also has a significant impact on the change of acid-base balance of urine, depending on the predominance of a particular group of products, and accordingly, accompanied by the formation of salts in the urine.

The appearance of urine is turbid yellow in color, accompanied by the deposition of saline sediment, typical for women during pregnancy and is associated with a change in food preferences.

Reduction in urine output due to dehydration, can also become one of the causes of turbidity of urine. Since the excretion of metabolic products in any case remains unchanged, the decrease of water in the urine leads to an increase in its density and, accordingly, increase of concentration of salts and other degradation products. Thus, the urine becomes turbid and dark yellow.

Eating pregnant large number of plant foods, promotes the formation of sulfate salts

Causes of dehydration may be:

  • stay at high temperatures (climatic conditions, sauna);
  • vomiting (especially with toxemia);
  • insufficient fluid intake.
Gynecological diseases

Gynecological diseases, accompanied by profuse discharge from the vagina, also can cause cloudy urine.

The diseases include:

  • vaginitis;
  • candidiasis;
  • vulvitis;
  • candidiasis.

The causes of these diseases may be poor personal hygiene and a General decline in immunity against various pathological conditions:

  • diabetes mellitus;
  • hypothyroidism;
  • chemotherapy for cancer;
  • diseases of the gastrointestinal tract.

If candidiasis is the consequence of the active life of fungi of the genus Candida that cause a rich cheesy discharge from the vagina, the vaginitis, in most cases caused by:

  • Escherichia coli;
  • Pseudomonas aeruginosa;
  • Trichomonas;
  • streptococci.

Inflammation on the surface of the genital organs (vulvitis) or vagina (vaginitis) accompanied by the formation of purulent secretions entering the urine when urinating, causing it blurred. A particularly high risk of contamination of the analysis in the morning, when the concentration of precipitates increases significantly.

Most informative, from the point of view of diagnosis, is considered urine collected in the morning, as during the night reduced the physiological fluctuations of the body, which allows to establish more clearly the relationship of test results with the ongoing pathological processes.

Escherichia coli is the causative agent of not only candidiasis, but cystitis

Diseases of the urinary tract

Diseases of the urinary tract are the main reason why women urine becomes cloudy.

So, pathologic causes of turbidity may be the appearance in the urine:

  • erythrocytes (red blood cells);
  • leukocytes;
  • bacteria;
  • fat;
  • lymph.
Hematuria

The appearance of urine with blood (hematuria) is the most common symptom of renal disease or the urinary tract.

In the study of the urine sample under a microscope, revealing more than 2 units (cells of red blood cells), can talk about the probability of the following diseases:

  • glomerulonephritis;
  • cystitis;
  • urethritis;
  • pyelonephritis;
  • urolithiasis.

A characteristic phenomenon in hematuria, in addition to color change and loss of transparency can be considered as the appearance of blood clots in the urine. Moreover, it is form clots, is of great importance in the diagnosis of pathology. So, shapeless blobs, usually talking about the bleeding of the mucosa of the bladder, and the elongated “worm-like” clots of renal bleeding.

Hematuria, urolithiasis, usually appears after a renal colic (pain symptom that appears due to the displacement of stone and they damage the blood vessels of the kidneys).

Microscopic examination of red blood cells can be determine the source of bleeding as blood cells, trapped in the urine from the kidneys, are smaller than erythrocytes that fall from the urethra or bladder.
If the urine hematuria can acquire color from dull pink to brown or the color of cherry jam

Bacteriuria and leukocyturia

Bacteria, regardless of their number, not can cause cloudy urine. However, the body’s natural response to the penetration of infection into the tissues, is the development of white blood cells. Leukocyturia at a concentration of antibodies of more than 50 units into the view not only causes clouding of urine, but also change its color from white to pale green.

Usually, pyuria bacterial origin is not difficult in the choice of therapeutic tactics, and its treatment is reduced to the proper selection of antimicrobial drugs or antibiotics.

In addition to the bacterial nature of the development, the following types of leukocyturia:

  1. Mononuclear. Usually for diseases associated with dysfunction of the kidney (interstitial nephritis, glomerulonefrit).
  2. Lymphocytic. Develops in response to systemic lesions of connective tissues of immune origin (rheumatoid arthritis, lupus erythematosus).
  3. Allergic. Pyuria, in this case, is the reaction of the body with heightened sensitivity of the immune system, the effect of any stimulus (allergen).

The number of leukocytes in excess of 200 units in the field of view of the microscope, called pyuria

Lipuria

If lipuria, urine very light and turbid due to the presence of microscopic fat droplets. In the urine of healthy women fat is determined only by the residual traces.

The excessive concentration of lipids may be due to several reasons:

  • excessive consumption of fatty foods;
  • overweight;
  • diabetes;
  • yellow fever.

Can also occur due to the penetration of lipids in the renal tubules after surgery in patients who are obese, or after multiple fractures of long bones.
From a diagnostic point of view, lipuria is not a sign of abnormalities of the urinary tract and, therefore, has value only in the diagnosis of metabolic disorders.

Hilaria

Primarily a parasitic disease caused by small worms, less than 1 millimeter. In the process of life, the parasites block the lymph vessels, contributing to the stagnation of lymph and subsequent penetration of it in the urine.

There is also aparasitemic the nature of development in the state when lymph enters the urine due to the formation of small fistulas in the lymph paths. The mechanism of the disease is not fully understood, so the treatment, used primarily tonic. In most cases, the disease resolves on its own.

Thus, the emergence of turbid urine in women can be triggered by a variety of reasons. To eliminate some of them need only be attentive to one’s own body (eat plenty of fluids, correct diet, hygiene), others may need to have laboratory examination, followed by a course of treatment in accordance with diagnosis.

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