The first urine in the morning is milky white

Urinating is a normal process of removing body waste from the body. Some people go to the toilet when they wake up in the morning. Some people may find that the first urine they pass when they go to the toilet in the morning is milky white. This may be because toxins in the human body accumulate overnight and enter the urine. Let’s find out why the first urine in the morning is milky white?

1. Leucorrhea. This is the name of a disease in traditional Chinese medicine. It refers to the presence of a large amount of white matter in the urine of men, or leucorrhea in women. Leucorrhea is mainly mentioned in the TCM works "Essentials of Diagnosis and Treatment of Spermatorrhea" and "Theory of Leucorrhea and Leucorrhea in the Pathogenesis of Deficiency".

2. Urinary tract infection during menopause. After menopause, women's vaginal environment changes greatly, their disease resistance weakens, and they are more susceptible to infection. When a urinary tract infection occurs, it can cause symptoms such as difficulty urinating, frequent urination at night, incomplete urination, and turbid urine. This disease is often divided into upper urinary tract infection and lower urinary tract infection. The upper urinary tract infection mainly includes diseases such as pyelonephritis and cortical infection. Lower urinary tract infections mainly include cystitis, urethritis, etc.

3. Fungal urinary tract infection. Common symptoms include fever, chills, and cloudy urine. In severe cases, it can lead to kidney failure. Common fungi include Blastomyces dermatitidis, Coccidioides, Candida, Histoplasma, etc. There are also some rare fungi that can cause urinary tract infections, such as Trichoderma, Penicillium, etc. Fungal urinary tract infections often occur after antibiotic treatment leading to dysbacteriosis, or after the use of immunosuppressive drugs or hormonal drugs to treat the disease.

In addition to the conditions described above, gonorrhea should also be considered. This disease is a sexually transmitted disease and is very common. It will cause the patient to have a urethral opening or purulent discharge from the urethra. Especially when urinating in the morning, a small amount of pus will be discharged along with the urine, giving the patient the feeling that the urine has become turbid. The specific cause needs to be determined by going to the hospital for examination.

30 Pathogenic conditions of Clostridium tetani

1. Biological characteristics

Gram-positive, elongated rods, obligately anaerobic, with flagella and no capsule. The tetanus spores and bacteria form a drumstick shape. Blister culture medium is commonly used for culture. Feather-like colonies are formed on blood agar plates, and there is mild β-hemolysis around the colonies. The resistance of bacterial reproduction is similar to that of general bacteria, and the resistance of spores is strong.

2. Pathogenic substances

Two exotoxins are produced, tetanolysin and tetanospasm toxin.

3. Caused diseases

Tetanus bacteria pathogenic conditions

(1) Deep wounds occur in the body.

Deep wounds in the body

(2) If the patient is infected with a mixture of aerobic and facultative anaerobic bacteria, it will create conditions for tetanus bacteria to cause disease.

(3) Excessive necrotic tissue creates a local ischemic and hypoxic microenvironment.

The bacteria only reproduce locally and the tetanus toxin released enters the bloodstream and reaches the motor cells in the anterior horns of the spinal cord, blocking the inhibitory nerve fibers and releasing inhibitory neurotransmitters, leading to rigid contraction of the muscles and the symptoms and signs unique to tetanus, such as a bitter smile and opisthotonos.

4. Principles of prevention and treatment

(1) Proper wound treatment

The wound was cleaned and irrigated with hydrogen peroxide (H2O) to eliminate the anaerobic environment.

(2) Local or systemic application of antibiotics

If the patient uses a large amount of penicillin, it can prevent the growth and reproduction of local bacteria in the wound.

(3) Tetanus antitoxin (TAT) injection

Neutralize free tetanus exotoxin and provide emergency vaccination and symptomatic treatment to patients.

(4) Vaccination with toxoids

The main targets are children, military personnel and high-risk groups susceptible to trauma.