There is white discharge in the urine in the morning

Many people will urinate when they wake up in the morning. This is because after a night of sleep, the urinary system has been working all night to clear out the toxins in the body, and they need to be excreted in the morning. Many people will find that their urine is a little yellow when they urinate in the morning. Some people have white secretions in their urine when they wake up in the morning. This phenomenon is more common in women. So what is the matter with white secretions in the urine in the morning?

Most abnormalities in the human body can cause changes in urine.

(1) Abnormal urine color

●Colorless urine may be a sign of diabetes, chronic interstitial nephritis, or diabetes insipidus. If it is not caused by drinking too much water, you should be careful to identify it.

●White urine White urine is common in purulent urine, chyluria and salt urine. Purulent urine is caused by severe purulent urinary tract infection, and the urine is milky white. Purulent urine is common in pyelonephritis, cystitis, renal abscess, urethritis, or severe renal tuberculosis. Chylous urine is one of the main symptoms of filariasis, and the urine is white like milk. Because the chyle (liquid after fat saponification) absorbed by the intestine cannot be drained into the blood circulation from the normal lymphatic vessels, it can only flow back into the lymphatic vessels of the urinary system, causing increased pressure in the lymphatic vessels in the urinary system, varicose veins and rupture, allowing the chyle to overflow into the urine, resulting in chyluria. Chylous urine is usually paroxysmal. When there are red blood cells in chyluria, it is called chylous hematuria. Microfilaria (i.e. young filaria) can sometimes be found in the blood and urine of patients with chylous hematuria.

● Salty urine is common in children in winter. The urine is rice-soup-like and usually contains a large amount of phosphate or hydrochloric acid. It is easy to precipitate after being left. If the urine is placed in a bottle and heated, it will immediately become clear. Salt urine is a normal physiological phenomenon. It can be cured without medication, the key is to drink more boiled water. .

●Yellow urine refers to urine that is yellow or dark yellow. The reasons are: When eating carrots, taking riboflavin, furazolidone, mefenamic acid, rhubarb and other Chinese and Western medicines, urine may turn yellow. Once you stop taking the medicine, the problem will disappear immediately, so there is no need to worry. Patients with common fever or vomiting and diarrhea symptoms will have their urine concentrated and reduced because water is excreted with sweat or feces, but the urine pigment does not change, so the color of the urine appears very yellow. Another type of urine that is yellow like strong tea is not due to the above reasons, but is caused by a lesion in the liver or scrotum. It turns out that there are usually two ways for bile to be discharged: one from the urine and the other from the intestines. When the liver or gallbladder is diseased, the bile's path to the intestines is cut off and it can only be excreted in the urine. The urine also becomes dark yellow due to the increased bile content. In the early stages of hepatitis, before jaundice appears, we often see that the color of urine is like strong tea, which is often a sign of hepatitis. In addition, yellow turbid pyuria is a manifestation of suppuration of the urinary organs.

●Blue urine can be seen in cholera, typhus, primary hypercalcemia, and vitamin D poisoning. But this color of urine is mostly related to medication, not caused by disease. It may occur after taking the diuretic triamterene, injecting methylene blue, or taking methylene blue, indigo carmine, creosote, or salicylic acid. It will disappear upon stopping the medication. This blue urine caused by medication is a normal phenomenon and there is no need to worry too much.

●Green urine occurs when Pseudomonas aeruginosa grows in the urine, or when bilirubinuria is left for too long and oxidized into biliverdin. Light green urine: seen after taking large amounts of anti-inflammatory drugs. Dark green urine: The cause is the same as blue urine. Black urine: Black urine is relatively rare and often occurs in patients with acute intravascular hemolysis, such as patients with malignant malaria. It is medically known as blackwater fever and is one of the most serious complications of malignant malaria. The plasma of such patients contains a large amount of free oxygen, hemoglobin and oxyhemoglobin, which are excreted in the urine, causing the urine to be dark red or black. A small number of patients may also experience dark urine after taking levodopa, cresol, phenylhydrazine, etc., which will disappear after stopping the medication. Foreign data reports that patients with paroxysmal myoglobinuria will also excrete brown-black urine after exercise, accompanied by muscle weakness, which may gradually develop into paralysis. In addition, dark urine can also be seen in phenol poisoning, melanoma, and alkaptonuria. Brown urine (like the color of soy sauce) can be seen in acute nephritis, acute icteric hepatitis, renal crush injury, large area burns, hemolytic anemia, wrong blood transfusion, and even after strenuous exercise, the urine may also be like soy sauce.

Human common sense sometimes the urine is brown after waking up from sleep, which is a characteristic of paroxysmal nocturnal hemoglobinuria. If this kind of urine occurs after eating green broad beans, you should be alert to favism. The patient's red blood cells lack a substance called 6-phosphate glucose dehydrogenase, which is somewhat hereditary. Therefore, if you develop brown urine, fatigue, dizziness, nausea, yellow skin and eyes after eating broad beans, you should go to the hospital for emergency treatment in time to prevent accidents.

●Red urine When urine turns red, it usually means there are red blood cells in the urine, which is medically called hematuria. The causes of hematuria are very complicated. There are hundreds of diseases that can cause hematuria, and it is not easy to diagnose correctly. If hematuria is accompanied by nose bleeding, bleeding gums, or skin bleeding, it may be due to a systemic bleeding disease, such as thrombocytopenia, allergic purpura, hemophilia, or even leukemia. Hematuria is just a manifestation of systemic bleeding. If hematuria is accompanied by fever, joint swelling and pain, skin lesions, and multiple organ damage, it may be a connective tissue disease (such as systemic lupus erythematosus, nodular arteritis, etc.). If hematuria is accompanied by hypertension, edema, and proteinuria, it is mostly glomerulonephritis. If hematuria is accompanied by dull pain in the waist and abdomen, urgency, frequency, and pain when urinating, it is mostly a urinary tract infection or tuberculosis. If hematuria is accompanied by distension and pain in the lower back or abdominal cramps on one side, kidney or ureteral stones are most likely the cause, especially if the patient is in so much pain that he cannot move comfortably in bed, the cause is most likely ureteral stones. If hematuria is accompanied by difficulty, strain, and dripping of urine, in elderly men, it is mostly due to prostate hypertrophy, while in middle-aged men, urethral stenosis, urethral stones, or bladder tumors should be considered. Visible or significant microscopic hematuria in people over 50 years of age, whether male or female, suggests the presence of a urinary tract disease. In particular, sudden onset of painless hematuria is mostly a manifestation of tumor erosion of the urine excretion duct, causing rupture and bleeding. If there is any delay, the opportunity for effective treatment will be lost forever. More than 75% of urinary tract tumors in the elderly are malignant lesions, especially renal cell carcinoma, papillary bladder carcinoma and renal pelvic transitional cell carcinoma. Their common feature is hematuria throughout the urination process. Bleeding from renal tumors often stops naturally without any treatment, causing patients to mistakenly believe that they have recovered and stop seeking medical treatment. When visible hematuria occurs again after a few months or years, the cancer has reached an advanced stage and painful cell metastasis has often occurred around the diseased organ or further away. Since renal bleeding is first discharged through the ureter, long blood clots are often formed when passing through the ureter; if there is bleeding from lesions in the bladder, the blood clots will be larger and irregular. The interval between bleeding episodes of bladder tumor is shorter than that of kidney tumor, and the frequency of urination is slightly higher than normal. It is generally acknowledged by scholars at home and abroad that the incidence of bladder cancer is very high among heavy smokers, and we should be especially vigilant about painless hematuria in these elderly people. After men are over 50 years old, the prostate will undergo varying degrees of hyperplasia, which affects the smooth flow of urine and leads to secondary infection and congestion of the bladder mucosa and prostate. It may also cause venous rupture and painless hematuria, which should be distinguished from bladder tumors. Another common disease causing painless hematuria in elderly women is urethritis. Its characteristics are: less blood in the urine, and often accompanied by fresh blood stains on toilet paper; long-term history of chronic urethritis; poor urination, bifurcated urine stream and urethral burning discomfort; doctors can see purple-red granulation-like hyperplastic tissue located inside the external urethral opening with the naked eye, which is mostly spherical or hemispherical. This disease is a benign lesion and can be cured by electrosurgical resection, urethral dilation and anti-inflammatory treatment. In addition, diseases such as Henoch-Schonlein purpura, hemorrhagic fever, and lesions of organs adjacent to the urinary system, such as the appendix, rectum, colon, uterus, and ovaries, can also cause hematuria.

● White discharge after urination Some young and middle-aged male patients will find milky white discharge from their urethra after urinating. Since this symptom is often accompanied by frequent urination, urethral irritation, low back pain, dizziness, insomnia, sexual dysfunction, impotence and other symptoms, most patients often mistake the phenomenon of white dripping after urination as missing semen, calling it the root cause of "physical deficiency", which causes them to carry a psychological burden. In fact, white discharge after urination is not caused by semen leakage, but by chronic prostatitis. The white secretion that flows out is prostatic fluid, not semen. Excessive drinking, cold, perineum injury, abnormal sexual life, frequent sexual impulses, and long-distance cycling and horse riding can all lead to prostate congestion and congestion, which is an important factor in promoting prostate inflammation. This disease can be cured by following the doctor's advice or taking antibiotics or Chinese medicine internally.