Male urine occasionally has white turbidity

The occasional white turbidity when men urinate may be physiological crystalluria or pathological pyuria, chyluria, etc. Common causes include residual urethral secretions, prostatic fluid overflow, urinary system infection, chyluria, semen reflux, etc. It is recommended to observe the accompanying symptoms and seek medical treatment promptly for a clear diagnosis.

1. Residual urethral secretions

When you wake up in the morning or when you have not urinated for a long time, the mucus secreted by the urethra mucosa may be excreted with the urine to form turbid matter. There is usually no other discomfort in this situation, and the urine gradually becomes clear after urination. Drinking more than 2000 ml of water every day will help flush the urethra and no special treatment is required.

2. Prostatic fluid overflow

After sexual excitement or constipation, prostatic fluid may flow back into the urethra, appearing as white dripping in the early stages of urination. It is more common in young and middle-aged men and is usually accompanied by a feeling of distension in the perineum. Avoiding prolonged sitting and spicy food can reduce the occurrence. If necessary, prostate massage examination can be performed.

3. Urinary system infection

Cystitis or urethritis may cause inflammatory secretions in the urine. It is often accompanied by frequent urination, urgent urination and painful urination. In severe cases, hematuria may be seen. Common pathogens include Escherichia coli, Neisseria gonorrhoeae, etc. The diagnosis requires routine urine and urine culture, and drug treatment such as levofloxacin tablets, cefixime dispersible tablets, and fosfomycin trometamol powder can be used as directed by the doctor.

4.Chyluria

When the lymphatic vessels are abnormally connected to the urinary tract, chylous fluid mixes into the urine to form milky white turbidity, and stratification can be seen after standing. May be related to filariasis, tuberculosis, or tumor compression. A chylotest and imaging examination are required, and treatment needs to be targeted at the primary disease. In severe cases, lymphatic ligation is required.

5. Semen reflux

Residual semen after retrograde ejaculation or sexual intercourse may be excreted with urination, and urine turbidity is related to semen volume. The latter is more likely to occur in patients with diabetes or prostate surgery. A urine test can detect the presence of sperm, and blood sugar control and pelvic floor muscle training may improve symptoms.

Daily attention should be paid to observing whether turbid urine is accompanied by fever, low back pain, difficulty urinating and other symptoms, and recording the frequency and time characteristics of occurrence. Avoid overexertion and alcohol intake and wear breathable cotton underwear. If turbid urine persists for more than 3 days or is accompanied by other discomforts, you need to go to the urology department in time for routine urine examination, urinary tract ultrasound and other examinations. In terms of diet, you can appropriately increase the intake of diuretic foods such as winter melon and barley, and reduce high-fat and high-protein diets.