Chyluria in the elderly is a disease of the urinary system, although it is less common, but if not treated promptly, it can lead to many unpredictable consequences.
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Chyluria in the elderly is a disease of the urinary system, although it is less common, but if not treated promptly, it can lead to many unpredictable consequences.
Urine in healthy people is usually clear or pale yellow; while in people urinating, chrysalis is cloudy like milk, if it stays for a long time, it will freeze like jelly. What is the cause of diarrhoea? Is there any way to cure it? Please refer to the following article to learn more about the disease.
According to experts, chylous urination is a condition in which chyle appears in the urine. Normally, chyle is a fluid located in the lymphatic system with the main component being lipids (of which triglycerides account for 92%, phospholipids about 7%, the remaining 1% is free cholesterol). The reason for the presence of chylous in the urine is because of the presence of fistulas from the lymphatic system into the urinary tract (usually into the calyx – pyelonephritis, rarely into the ureter or bladder).
Not only elderly subjects, chylous dysuria can also occur in people between the ages of 20 and 50. The disease may appear alternating with episodes of hematuria (red urine like meat washing water). , not frozen, left in the test tube for a long time to see red blood cells settle at the bottom). Whether or not chylous diarrhea is dangerous depends on the severity of the disease.
In general, if not too serious, the disease can last for several months and then go away or go away after antibiotic treatment. If the patient is chronically weak and exhausted, surgical intervention is required. One of the worrisome accompanying manifestations of chylous urination is elephantiasis leg edema, which is unsightly, affecting the patient’s life if not cared for and treated promptly.
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The most common cause of this condition is infection with the filariasis Wuchereria Bancrofti. This is a parasite that lives in the lymphatic system, the female worm lays eggs and then hatches into larvae. From the infected organs, they will grow and cause lymphatic blockage here. Specifically, the larvae clog the lymphatic vessels around the kidney, leading to chylous urination, and in the legs, it will cause elephantiasis. Not to mention, when the worms infect the body, they tend to move to other organs to cause harm (the most dangerous level will be when the worms go to the brain).
In addition to filariasis, there are some other causes of chyluria such as lymphatic obstruction due to inflammation (many cases of patients due to this cause can be cured by antibiotic treatment but are prone to relapse); Tumor compresses the lymphatic system around the kidney or due to trauma.
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The disease usually progresses silently until there are obvious signs that the urine is cloudy like milk. In addition to this characteristic manifestation, people with chylous diarrhea can sometimes develop fever if there is an infection. In some cases, there is also blood in the urine, making the urine dark brown.
The symptoms of cloudy urine often appear clearly a few hours after eating, especially when eating a meal with a lot of fat, meat, fish, eggs or when exercising vigorously. Chyluria often appears in waves, sometimes stable, so it is easy to misunderstand that the disease is over.
Diagnosing chyluria is also not really easy because it can be confused with other conditions such as pyuria, calcium phosphateuria or seminal vesicles. The most commonly used diagnostic methods for this disease in the elderly are the qualitative and quantitative determination of chylous in the urine; cystoscopy; Contrast injection and retrograde uretero-pyelonephritis (see image of drug infiltrating the fistula from the renal pelvis into the lymphatics); scan the lymphatic system or look for filariasis larvae in the blood…
The treatment will be based on the cause to find the appropriate regimen. If the cause originates from filariasis, the doctor will prescribe wormicides and larvae or flush the renal pelvis with 0.5% silver nitrate solution to fibrosis of pyelonephritis-lymphatic fistulas (this technique will be conducted about 1 time / time continuously from 3 to 6 times depending on the severity of the disease). In order to prevent chylous diarrhea caused by filariasis, doctors also recommend that people should apply boiled and cooked food and limit the consumption of raw foods to prevent disease.
Besides medical treatment, doctors can also intervene surgically to solve the problem of lymphatic duct and pyelonephritis. For those with unexplained disease, conservative treatment with antibiotics will be applied. Severe change of chylous dystrophy requires surgical intervention, but recurrence is also possible.
Just now are the sharings around what is chrysanthemum, is it dangerous to urinate in the elderly. If you detect abnormal urine color or strange symptoms as mentioned above, quickly go to the nearest medical facility for examination and appropriate treatment indication.