Hi , should I worry about about small white debris
Patient :Hi , should I worry about about small white debris in urine? Very sporadic, sometimes 1-0 a month to 3 times in a week or nothing in 2 months.
Just after I finish peeing the last ml are cloudy white and contain this debris. If I don't let it out completely it causes a very weak burning like something is still in the urethra which bothers a little but goes away if I don't pay attention after about 15 mins. I found out that if I let some of these drops dry in the toilet seat they turn into a white powder or chalk mark .
Had urinalysis in December everything normal including 0 WBC but 1-2 erythrocytes per field( normal 0-1) , scarce epithelial cells and scarce bacteria. Also scarce sediment ( but classified as normal in test parameters)
Also blood chem test everything good except 44mg/dl triglycerides and LDL/HDL ratio 2.4(3.0-4.0 normal)
I hope this is nothing but wanted an opinion to know if should do any visits to the doctor or follow ups. Thank you
Read and understood the occurrence of sediments as you have very nicely explained.
You are young and unless you have a habit of not drinking sufficient amount of liquids and water , such sediments without much symptoms should be taken very seriously.
I mean should be investigated well.
I would advise you the following in such a situation:
- First of all to go for good ultrasonography of the abdomen particularly for the genitourinary system.
You should prepare yourself by taking two tablets of Dulcolax/ Gerbisa and 6 tablets of Gasex the night before and fluids only orally the day before and nil orally after 10 pm of the previous night. This clears all the feces and gases out of the intestines, then only the ureters may be seen.
- This should be followed by CT scan and Intravenous pyelography (CT scan may also give good quality contrast study of the genito-urinary system)
These tests are very important for the following reasons:
-To see for the presence of stones and sludge in the urinary system.
-To see signs of specific diseases like tuberculosis (the powdery substance in urine without any symptoms may be due to such diseases) and others.
- Cysto-urethroscopy and (ureteroscopy if possible)
- Repeat Urine analysis for 3 consecutive days and also get culture and sensitivity done.
- Blood Urea, creatinine, uric acid, calcium
-Ultrasonography of the neck for parathyroid glands.
All these measures are done to rule out or confirm the possible causes of your problem.
Please consult a General Surgeon or better an Urologist for clinical evaluations and investigations and possible treatments.
-Once all the tests are done start the following:
Plenty of water orally.
Antibiotics if there is evidence of infection.
any other treatment as per the causes found.
I hope this answer helps you to get an appropriate diagnosis and treatment.
Lipid profile may not be connected to the present problems and you may please please discuss about this with your Physician.
Please feel free to ask further relevant queries if necessary of if you feel that there is a gap-of-communication.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.