Chyluria

Chyluria is a rare condition where lymphatic fluid mixes with urine, causing milky-white urine. Dr. Prabhat Ranjan, a leading urologist, provides insights into the causes, symptoms, and treatments of this condition to enhance patient care.

Common Signs of Chyluria

Symptoms of Chyluria

Chyluria is marked by the presence of chyle (lymphatic fluid) in the urine, giving it a characteristic milky or cloudy appearance. Common symptoms include frequent urination, frothy or foamy urine, and sometimes the presence of clots or blood in the urine (hematuria). Patients may experience discomfort during urination or notice urine with an oily texture. Chronic cases can lead to significant protein and fat loss through urine, resulting in nutritional deficiencies, weight loss, and general fatigue. If left untreated, chyluria can contribute to weakness and increased susceptibility to infections, emphasizing the need for prompt diagnosis and management.

Diagnosis and Treatment Options

Dr. Ranjan employs advanced diagnostic techniques, including:

Urine Analysis: To detect chyle and confirm the diagnosis.
Imaging Tests: Ultrasound or CT scans to identify lymphatic system abnormalities.
Cystoscopy: Visual inspection of the bladder and urinary tract.

Treatment Options

Dietary Modifications: Low-fat diets to reduce chyle leakage.
Medications: Antifilarial drugs for parasite-related cases.
Minimally Invasive Procedures: Sclerotherapy to seal lymphatic leaks.
Surgery: In severe or refractory cases to correct lymphatic abnormalities.

Dr. Prabath Ranjan, see the profile on LinkedIn

Prevention Strategies

Preventive measures focus on reducing the underlying causes of chyluria. Dr. Ranjan recommends adopting a healthy diet, managing infections, and ensuring early intervention for lymphatic disorders.