Chyluria is a medical condition characterized by the presence of chyle, a milky-white fluid, in the urine. Chyle is a substance formed in the small intestine during the digestion of fats and is normally transported through lymphatic vessels. However, in chyluria, there is an abnormal connection between the lymphatic and urinary systems, leading to the leakage of chyle into the urine.
Commonly caused by a parasitic infection called filariasis, chyluria can also occur due to other conditions that disrupt the lymphatic system, such as trauma, tumor, or surgery. Symptoms of chyluria can vary but often include the passage of milky urine, which may have a foul odor, as well as frequent urination and abdominal pain. In severe cases, patients may experience malnutrition, weight loss, or develop complications like kidney stones.
Diagnosis of chyluria involves examining a urine sample to confirm the presence of chyle. Additional imaging tests, such as ultrasound or lymphangiography, may be done to identify the underlying cause or any potential lymphatic abnormalities.
Treatment of chyluria aims to manage both the underlying cause and the symptoms. In cases caused by filariasis, antiparasitic medications are often prescribed to eliminate the infection. Methods to reduce chyle production and promote its reabsorption, such as a low-fat diet and use of medications like diethylcarbamazine, may also be employed. In refractory cases or when complications arise, surgical interventions like lymphatic ligation or sclerotherapy may be considered.
Regular medical follow-up is important for individuals diagnosed with chyluria to monitor their response to treatment and prevent complications.
