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What is wrong with the urinary system if there is foam in the urine?

What is wrong with the urinary system if there is foam in the urine?

I don't know if you get up every morning to urinate when you pay attention to their urine, which from the urine we can find their health problems. Recently, a good friend called me and asked me, he said that every morning when he got up to urinate, always found in the urine with a lot of foam, and for a long time has not disappeared, this situation has lasted for a long time. Then I suggested him to go for a routine urine test and found that it was proteinuria.


So, when we notice foam in our urine, is it caused by proteinuria like my friend here? Or maybe it is caused by some problem in our urinary system? Below, I will analyze the cause of this foamy urine with you.

First, let's start by analyzing why foamy urine occurs

In fact, the reason why there will be the case of foamy urine, that is, we will see a lot of bubbles in the urine when we urinate, this is mainly because of the surface tension of the urine is related to the surface tension of the urine, when the surface tension of the urine liquid changes, the higher the surface tension, then the more likely to produce a higher number of bubbles in the process of urination, especially when the urine is subjected to a relatively large force of impact, or the urine contains a lot of solutes, which will change the The surface tension of the urine liquid, thus foamy urine.

Therefore, when foamy urine occurs, it may be caused by physiological reasons or pathological reasons. Let's analyze them one by one.

Foamy urine caused by physiological reasons, that is, non-disease-induced

Why is foamy urine produced even under normal circumstances? Let's start here with an example of a common faucet at home. When we turn the faucet switch down a little, the water flow is slower, the impact to the basin will not appear bubbles. But when we turn the faucet switch up, then the impact of the punch will be large, so that the impact of the basin will appear when the thought of bubbles, but these bubbles are easy to burst disappeared. Similarly, we urinate the same, when the morning after we hold the urine of the night, in the urination tend to have a relatively large impact, especially we have to make the power to pee, then there will be a huge impact, so that the surface tension of the urine will increase, thus appearing many bubbles. But these bubbles are only caused by the impact, so it is also easy to break and disappear, these are normal phenomena.

In addition, if our body is in a dehydrated condition, then it will cause our urine to be concentrated, then at this time the solutes in the urine, such as proteins, urobilinogen, etc., will become a little bit higher because of the concentration, and the concentration of the other components of the urine will become higher, which will change the surface tension of the urine, and thus the bubbles will appear as well.

Finally, if the male friend's urine is mixed with semen, female friend's urine is mixed with leukorrhea, etc., also easy to cause the urine to appear foamy urine; then if the person is more excited, causing the urethral bulbous glands to secrete some mucus filaments, which will also cause the urine to appear foamy urine.

Of course, we should not ignore a false positive, that is, our urinal residue of some chemical detergents, such as laundry detergent, toilet bowl cleaner, etc., can also cause the urine to appear foamy urine.

These physiological causes of foamy urine are normal, not due to disease, these causes of foamy urine, often occasionally, and these bubbles will disappear in a short period of time, then do not be too nervous, this is a normal phenomenon.


Foamy urine caused by pathologic reasons

This is mainly because of certain diseases lead to changes in the solutes in the urine, which led to a change in the surface tension of the urine liquid increased and easy to foam, and the formation of foam urine in this case is more difficult to disappear. In general, it is related to the following diseases:

1, proteinuria caused foamy urine

Normally, the protein content in our urine is very low, thanks to the strong filtration function as well as reabsorption function of our kidneys, but if our kidneys are damaged due to certain renal diseases, such as glomerulonephritis, pyelonephritis, nephrotic syndrome, glomerulosclerosis, high blood pressure, cardiac diseases, etc., which impairs the filtration function of the kidneys as well as their reabsorption function, this will cause a large amount of protein to appear in the urine, which will change the surface tension of the urine fluid, resulting in the appearance of foamy urine. It's like when we add milk to a glass of water, because there is more protein in the milk, when we shake it hard, then there will be a lot of foam.

2、Urinary sugar causes foamy urine

Normally, the urinary sugar in our urine is negative, but if the urinary sugar level in the urine changes, for example, the most common is diabetic patients, when their blood sugar is too high, it is easy to cause the sugar threshold in the urine to increase, which will cause glucose to appear in the urine and make the urine positive for glucose, which will change the surface tension of the urine liquid, which will make the urine appear as bubbles of different sizes. This is like a bottle of iced tea that we shake vigorously, then we can see many bubbles produced. However, these bubbles are more likely to disappear than those caused by proteinuria, because they do not have the same surface tension as those caused by proteinuria.

3、Foamy urine caused by urinary tract infection

This is mainly because when there is a urinary tract infection, such as urinary tract infection, cystitis, prostatitis, etc., there will be a lot of inflammatory secretions mixed in the urine, and these inflammatory secretions include bacteria, white blood cells, proteins, etc., which will also lead to an increase in the surface tension of the liquid, which will lead to the emergence of foamy urine. In particular, some of the bacteria that cause urinary tract infections will also produce gas, which will naturally lead to bubbles in the urine more easily, coupled with the role of inflammatory secretions, naturally, foamy urine will appear.

In general, urine is our body's excretory products, we can urinate every day whether there are abnormalities so as to find out whether the body has health problems, such as the title of the question, alone a bubble in the urine may also be able to find that the body has a health problem, especially the foam for a long time have not disappeared, then we have to be vigilant, and should be promptly to the hospital for relevant examinations, to be clear! The cause of the disease, early treatment!


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A friend recently asked me a question:

He has always had foamy urine, foam that does not go away for more than 10 minutes, normal urine color, clear urine nature, and no specific past medical history of hypertension, diabetes mellitus, or kidney disease. Every time he goes to the hospital for checkup, the urine routine is normal. Want to know why?

Why is there foam in the urine?

Normal fresh urine should be a clear, yellowish liquid. It will be lighter in color if you drink a lot of water. There is no protein or a small amount of protein in the urine at the time of a routine urine test.

As a result of various pathological or physiological factors.The tension on the surface of the urine increases as soon as the composition of the urine changesThen there are more bubbles naturally.

This is what we call"Foamy urine" or "beer urine."Up.

Does foamy urine mean you have urinary protein?

When there is a large amount of protein in the urine, the patient often has a large amount of persistent fine foam in the urine.

It is common for patients to come to the clinic because of the presence of foam in the urine, suspecting that they have proteinuria, but more foam in the urine does not necessarily mean proteinuria.

Proteinuria can be excluded if all urine tests are normal.Foam in urine alone cannot be equated with proteinuria

What does increased foam in the urine indicate?

Non-pathological causes

(1) WhenWhen urinating urgentlyThe pressure to urinate will increase, the speed of urination will be faster, increasing the tension on the surface of the urine, then there will be an increase in the foam in the urine;

(2) When the male urethraIt's got semen in it.When it does, it is also known to cause foam in the urine;

(3) People who are often excited byThere is an increase in the mucus secreted by the urethral bulbourethral glandsThis, in turn, increases the tension on the surface of the urine, and foam appears in the urine;

(4) Husband and wifelong separation, no life for a long time;

(5) In cases of diarrhea, low water intake, more sweating, etc.Concentrates urine due to lack of hydrationThe urine will not only have a higher protein content, but will also have a higher concentration of other components that tend to form bubbles;

(6) There is a portion of theafter heavy drinkingFoaming in the urine;

(7) If the commodeDisinfectants, descalers, were used.It can also make the urine foamy.

Occasionally there is foam in the urine, but it is normal for the foam to disappear quickly after urination.

Pathological causes

(1) Abnormally high levels of protein in the urine

Foamy urine is one of the most common causes of foamy urine, but also an important clinical manifestation of various diseases, especially kidney disease. Such as primary glomerulonephritis, diabetes mellitus, hypertension, gout, hepatitis, blood system tumors, etc., can lead to kidney damage, resulting in an abnormal increase of protein in the urine, resulting in a layer of small, long-lasting foam floating on the surface of the urine.

(2) Urinary tract infections

Urinary tract infections can cause increased foam in the urine. On the one hand, increased inflammatory secretions in the urethra can increase the liquid surface tension of the urine, causing foamy urine: on the other hand, urinary tract infections caused by certain gas-producing bacteria produce bubbles in the urine.

(3) Increased urinary glucose or ketone bodies

In diabetes mellitus, the level of urinary glucose or urinary ketone bodies in the urine is elevated, and the pH of the urine is altered, which can lead to an increase in the tension of the urine and the appearance of bubbles, which are usually large and disappear quickly.

In general.If the foam is large or variable in size and short-lastingThis is due to the fact that some organic substances (glucose) and inorganic substances (mineral salts) contained in the urine make the urine more tense, which is normal foam. This kind of foamy urine does not necessarily mean that there is something wrong with the body, so there is no need to be nervous.

Foamy urine. Don't ignore it.

Persistent foamy urine needs to be carefully screened for disease.

Foamy urine is present in the early stages of many chronic kidney diseasesHowever, this phenomenon is most easily overlooked by patients. If foamy urine is visible to the naked eye, and the foam cannot be washed away when the toilet is flushed, you should be vigilant, which is the typical manifestation of proteinuria.

If, after ruling out the above non-pathologic factors, there is still more foam in the urine, or it is accompanied by other abnormal symptoms or diseases, such asEdema, hematuria, urinary frequency, urinary urgency, urinary pain, increased nocturia, hypertension, diabetes mellitusetc., then prompt consultation with a nephrologist is required.

Foam in the urine is often what we call foamy urine, and I believe that many people have experienced this situation, so what exactly is the cause of foamy urine? Does its appearance mean that there must be a disease? What are the possible causes of foamy urine? Dr. Liu gives you a detailed chat.


First of all, let me tell you what foamy urine is.

Foamy urine it generally refers to the presence of more bubbles in our urine, which is a warning sign that our kidneys may have a disease. So how are these bubbles formed? Studies have shown that the formation of foam in our urine is mainly related to the surface tension of the urine liquid, what does that mean? That is to say, urineThe higher the surface tension of the liquid, the more likely it is that a very large amount of foam will be formed during urinationConversely, if the surface tension is not high, then not much urine is generally formed. So.All factors that may lead to an increase in the surface tension of the urine fluid may induce the formation of foamy urine


What may cause the formation of foamy urine?

In fact, the causes of foam in the urine are very many reasons, most of them are really due to problems in the urinary system, but there are also a small number of foamy urine may be due to systemic diseases or diseases in the organs adjacent to the urinary system, the more common causes include the following:

● Physiologic foamy urine:Many people think that foamy urine must be the emergence of certain diseases, but in fact, this is not the case, some physiological reasons can also lead to the emergence of foamy urine. Some of the more common ones areurgency in urinationIf you urinate too quickly, it is easy to cause the urine to have a relatively strong impact, this time, the air and urine mixed together, it is easier to discharge the urine to form bubbles, but theThis bubble is relatively easy to dissipateAnd then there's this.Standing up too high while urinating, it is also possible to cause urine to foam under the influence of gravity.


In addition, the physiologicalConcentration of urine can also lead to the appearance of foamy urine, what conditions can cause urine concentration? For example, some people suddenlyExcessive sweating and lack of hydrationIf you have a problem with the urine, then you may not have enough water in your body, which can cause the urine to become concentrated, and the concentration of protein and other components in the urine will increase, leading to an increase in the foam of the urine.

Of course, some other reasons, such as the fact that there areThe presence of certain disinfectants or descalers in the commode.It is also prone to the appearance of pseudofoamy urine.


● Pathologic foamy urine:In addition to physiological foamy urine, pathological foamy urine is also more common. Then what are the more common factors of pathologic foamy urine?

First of all, proteinuria.Proteinuria. Proteinuria also means that the protein content inside the urine is beyond the normal range. Our kidneys have a very important function is to filter and concentrate some metabolic wastes inside the blood and then excrete them out of the body along with the urine, in general, the protein content in the urine of a healthy person is relatively low, but if the kidneys have some lesions, it may lead to its filtration function to be affected, and at this time it may lead to the existence of some blood cells orThere's no way to filter the proteins properlyThe proteinuria is the result of the development of the kidney, along with the metabolic wastes that come into the urine, and the urine that the patient excretes at this time is proteinuria. So the vast majority of proteinuria is due to kidney lesions, the more common causes include:Glomerulonephritis, nephrotic syndrome, glomerulosclerosis, pyelonephritis, etc.; In addition, proteinuria may also occur in some other systemic diseases that involve the kidneys, such asAmyloidosis, endocarditis, heart failure, hypertension, etc.All are likely to involve the kidneys and develop proteinuria.


The second is urinary tract infections.An infection in the urinary tract can also lead to the appearance of foamy urine; why is this? On the one hand, it is the fact that if we have an infection in our urinary tract, it can also lead to foamy urine; why?Increased inflammatory secretionsIt is capable of causing an increase in the surface tension of the fluid, which induces proteinuria; on the other hand, someaerobic bacteriaIt is also possible to cause urinary tract infections, and these gas-producing bacteria are very likely to cause gas bubbles in the urine;The more common ones are urinary tract infections, cystitis, prostatitis, etc.


Also, increased urinary sugar may induce foamy urine.In the urineOrganic and inorganic substances, which may also lead to increased urinary tension and thus proteinuria, such as glucose sugars and various mineralsBut in general, these causes of foamy urine where the foam is often larger, and also disappears faster, unlike proteinuria caused by foam, often a long time have not been able to dissipate. For example, some diabetic patients, they if the blood sugar control is not good, then it may lead to urine in the sugar content is also elevated, this time it is more likely to appear foamy urine, and some of the large number of carbohydrates or intravenous injection of a large number of glucose patients, there may also be a transient foamy urine.


summarize

From the above we can see that the cause of foamy urine is very much, if there is foam in the urine, can not diagnose a certain disease, often need to be combined with other tests to make a comprehensive judgment. So here Dr. Liu reminded everyone, if there is a persistent foamy urine, then it is recommended to go to the hospital in a timely manner to improve the relevant examination, screening for the existence of certain urinary diseases, so as to achieve early detection, early diagnosis, early treatment, to avoid inducing some chronic urinary diseases.

Dr. Clove is here to answer that question.

Actually, bubbles in urine can really tell you something, but the key is not to see how many bubbles there are, but to see-

How long will Bubbles live.

Under normal circumstances, bubbles in the urine will dissipate quickly. When the composition of the urine changes, such as more protein, glucose and other organic substances, the surface tension of the urine will increase, resulting in the formation of more bubbles that do not dissipate easily, which is what we call "proteinuria".

It is important to know that protein is a basic substance that makes up the human body, and cannot easily "flow with the urine", about 95% of the protein will be reabsorbed by the kidneys, so the normal protein content in the urine is very low.

However, if you really find that the bubbles in your urine are long-lasting, don't panic yet, because even if it is proteinuria, there is a kind of "physiological proteinuria" that lasts for a short time and to a lesser extent.

This kind of proteinuria is usually "transient", usually occurs after strenuous exercise, eating and drinking a lot of meat and fish, fever, nervousness, is a normal phenomenon, rest, adjust the diet will disappear.

Content reference to Dr. Clove's scientific article: "TheFoamy urine means bad kidneys? 4 Questions about Kidney Health

Original article by Yang Liu 丨Dr.Urinary Surgery Department, The First Affiliated Hospital of Guangzhou Medical University

Editor / Lee Bad

"Foam phobia" is not uncommon in nephrology clinic, most of the patients come to the clinic because of the foam in the urine, most of them doubt whether they are "bad kidneys", undoubtedly, foamy urine is firstly considered to be the urinary diseases, such as proteinuria, which can be seen in acute and chronic nephritis, nephrotic syndrome, chronic renal failure and so on. The first thing to consider is the urinary system diseases, such as proteinuria, which can be seen in acute and chronic nephritis, nephrotic syndrome, chronic renal failure, etc., and this foam is not eliminated for a long time; in addition, urinary tract infections will also appear foam urine, such as cystitis, urethritis, etc.; when diabetic patients with high blood glucose, urinary glucose, urine foam will naturally appear.

So what other reasons can lead to foam in the urine? Physiological foam urine can be seen in the morning urine, we rarely go to the toilet at night, urine after a night of highly concentrated, which the concentration of solutes is high, the urine foam will naturally be more; in addition, when strenuous exercise, high temperature sweating, fever, cold or diarrhea, etc., resulting in the water is consumed, the urine is highly concentrated, there will also be foamy urine; urination position is too high, and shoot the urgency of urination and urinary exertion, because of the pressure problem will be There will be temporary foam; when there is too much secretion in the urine, there will also be foam, such as male semen mixed into the urine, etc., which may be accompanied by false-positive urinary protein. However, it should be noted that these causes of foamy urine can easily disappear, while proteinuria is long-lasting.

Foamy urine do not panic, most people do not understand the kidney disease, its "foamy phobia" is very serious, but has become the cause of many other diseases aggravated, in fact, even if proteinuria, do not be too afraid to seek formal treatment, the therapeutic effect is also very optimistic. Foamy urine frequently, regular hospital review urine routine, renal function, renal ultrasound and other related examinations are not abnormal, you can put down the burden of heart. In addition, if the urine protein positive, should do 24 hours protein quantification to understand the extent of the disease, early diagnosis and treatment!

This issue's answerer: Xinxin Zhang M.S. Welcome to Apricot Island for more interesting health knowledge!

Hello, I am a nephrologist who has been practicing for many years, as a nephrologist, I need to give you a "precaution" before speaking. That is to say, "foamy urine" is actually very subjective, which is observed by the patients themselves, so you may feel a lot, but in fact, it is a normal situation or physiological causes rather than disease triggered. Speaking of foamy urine many people will be associated with is not "proteinuria", in fact, not, I have seen patients with nephrotic syndrome (the amount of protein discharged from the urine every day can reach more than 3.5g), because these patients are hospitalized to do 24-hour urine protein quantification of this test, they are so large amounts of proteinuria also have a small number of foamy cases. So book knowledge is book knowledge, theory is theory, sometimes and clinical practice there may be different, and even may be opposite, I will analyze the following step by step to listen to you.

In-depth analysis of foamy urine

● I continue to take nephrotic syndrome to analyze for you, in my clinical work, I also often come across a large number of patients with proteinuria to see the doctor, I will ask in the consultation, how do you feel the recent period of time in the urine? Do you feel that the foam in your urine has changed a lot? Do you feel that the foam in your urine has changed considerably? Does it feel more or less compared to before? Some patients answered that they feel almost the same, there is no change. In fact, the quantitative urine protein out proteinuria has been very serious, what is the explanation for this?So the first point I would like to make today is that we should not blindly follow some theories or popularization of science. This is what I can tell you from my several years of clinical experience, because when I say that, we still need to take the actual clinical situation into account.

Under normal circumstances we do produce a certain amount of foam when we urinate, this is because the urine has a certain amount of tension. If the urine contains organic or inorganic substances such as proteins, mucus, bacteria, glucose, mineral salts, etc., the amount of foam may increase even further (note: not absolute).At this time, we need to consider whether the body suffers from any disease? Theoretically speaking, systemic diseases that can cause increased foamy urine are rare, and are more commonly seen in the "urological nephrological system".

● When the amount of foam more urine can be left for a few moments, if the foam disappears, it is possible to drink too little water leading to urine concentration or summer body sweating, this situation is more likely to occur, it is recommended to drink more water, eat more fresh vegetables and fruits. Of course, if you relieve the urine too hard, resulting in a large impact, can also produce foam, which I certainly do not make up, we are interested in having time to do a small experiment can be clear.So why is it that when there is protein in the urine it can also lead to increased urine foaming (note note note: not absolute)?

● This is due to the low surface tension of proteins, which may produce a lot of foam on the surface of urine. The normal glomerular filtration membrane has a selective filtration effect on plasma proteins, which effectively prevents the vast majority of plasma proteins from being filtered out of the glomerulus, and only a very small amount of plasma proteins enter the glomerular filtrate. When the kidney is sick, the glomerular filtration membrane permeability increases, so that a large number of proteins are filtered into the glomerular filtrate, far exceeding the reabsorption capacity of the renal tubule., protein enters the final urine causing proteinuria. It can be seen in primary or secondary glomerular disease, tubular lesions, and multiple myeloma.

● If the bubbles appear in the urine persist, and there are symptoms such as frequent urination, urinary urgency, painful urination, dizziness, tinnitus, weakness in the waist and knees, hair loss, gray hair, and loose teeth, you need to go to the urology department or nephrology department to ask your doctor for a detailed examination. Like bladder diseases such as cystitis, bladder cancer, etc., or other urinary tract infections, so that the composition of urine is prone to change and produce bubbles; when there are gas-producing bacteria in the urinary tract, bubbles can also be produced in the urine; if couples are separated for a long time, and stop having sex for too long; those who are often sexually aroused, due to the increase in mucus secreted by urethral bulbourethral glands, theIncreased surface tension of the urine will also appear in the urine more bubbles. In addition, the urgency of urination, urinary pressure increases, the speed of urine increases, so that the surface tension of the urine increases, can also be seen in the bubble increase.

● Other aspects such as liver and kidney diseases, the urine bilirubin or protein content increases, the urine surface tension increases, and more bubbles can be produced during urination; certain liver diseases also appear yellow urine, foam phenomenon, and does not disappear after a long period of time; such as diabetes mellitus.Urine in the urine of urine sugar or urine ketone body content increases, the pH of urine changes, urine surface tension increases, at the same time, diabetes mellitus appears when the most prominent manifestation of renal lesions is proteinuria, so all may appear proteinuria.

Solutions for Foamy Urine

● I think this is the most important thing we should know, as to why foamy urine, which diseases are actually some theoretical things, we do not have professional medical knowledge, and medicine itself there is a great deal of uncertainty, so I think it does not matter if you find that their urine foam increased.We as ordinary people you should understand more is how to solve the problem is the most urgent and real.

My suggestion is that if you do not have any discomfort (e.g. edema, low urine output, fever, frequent urination, urgent urination, painful urination, back pain, lumbago, hematuria, etc.), we can use the elimination method, such as comparing the change in the amount of foam in the morning with that during the daytime, or comparing the change in the amount of foam in the morning with that in the daytime when you drink a lot of water with that in the daytime when you drink a little less, or comparing the change in the amount of foam in the daytime when you relieve yourself from urination after a workout/activity with that in the daytime when you rest; or comparing the change in the amount of foam in the daytime when you relieve yourself from urine when you have an urgent need to urinate with that which you don't. You can also compare the change in the amount of foam when you urinate urgently versus when you urinate less urgently, and after exercise/activity versus at rest; and you can also compare the change in the amount of foam when you urinate urgently versus not urgently. If there is a significant change, it doesn't matter much. We really don't have to think about it that much.I remember when I was in high school, we will still boarding school, our class president every time to relieve the amount of foam is particularly large, and the smell of urine is particularly big, but people do have a very healthy body. And as I said earlier, foamy urine is very "subjective", don't end up with no disease to bother yourself and affect your mood.

● another situation, if the comparison out of no significant change or you find that the amount of foam in the proximal time compared with the previous is a significant increase or your body has related symptoms of discomfort (such as edema, urinary volume, fever, frequent urination, urinary urgency, painful urination, lumbar pain, back pain, lumbar pain, hematuria, etc.), that is also a good solution, let's go to the hospital in time to register for a nephrology clinic number, and the nephrology clinic will be able to help you.Tell your doctor all about your situation. There is no need for too many laboratory tests, first do a urine routine to see if there are no problems, all indicators are good, there are no red blood cells, bacteria, urine sugar, protein, etc., then rest assured to go home.

● If proteinuria, then further check a urine microalbumin 5 or renal function tests can also be clear, as long as you go to the hospital to find a doctor to see, the doctor will naturally give you an account, after all, we are for you to solve the problem. So in the end, I still hope that you for the body when there is any discomfort to offline clinic-based (95%), online understanding, query, counseling as a supplement (5%), and you may be half a day on the Internet to find out what gained nothing or the more you check the more afraid, but for no reason to give themselves so much trouble.Things on the Internet can only be used as an understanding, do not put the cart before the horse. To believe that there are specialties, as long as you go to see a regular hospital, regular department, then it is trustworthy. No matter what, you can look at another hospital. This is my commitment as a medical practitioner, I believe that the majority of medical personnel across the country is the same.

Author's Message:The answers do not constitute medical treatment recommendations or medical guidance, but are for health science purposes only. I have spent hours synthesizing and summarizing. Do not join the column, unpaid,Free for everyone to read. May it be helpful to those who are misled by rumors and have no medical knowledge and health care concept groups. If you learn, don't be stingy, give a love, click a like, forward to help more people, thanks for the support.

According to my observation in the clinic, more foam in the urine is usually seen in high uric acid, urinary protein, urinary glucose and so on. Most of them are related to poor diet, staying up late, and taking certain medicines for a long time.

It could be nothing, or it could be a sign of something serious.

Let's start with a brief overview.non-proteinuriaproteinuriamake a distinctionI'll tell you about it later.Ideas for regulating proteinuria in Chinese medicine

Some friends have filled a few bottles of beer after the "water", too much urine too fast, nine times out of ten will produce foam. You don't even have to look, sitting in the outer room of the friends can hear that you pee out of the foam;

Others drink less water on a daily basis, leading to concentrated urine, which can also cause foaming.

Another example is that prolonged periods of being in two places with your girlfriend, excitement beforehand, and fluid residue at times can all lead to foamy urine.

The main thing that distinguishes whether it is physiologic or pathologic is the appearance of the foam and the length of time it is present:

1. Generally speaking, the presence of urineFoam that varies in size and can disappear quickly is mostly a normal physiological phenomenon and nothing to worry about;

2. If the urine appears to beIf the foam is small and does not dissipate over a long period of time and is accompanied by a strong odor, it may be proteinuria.The manifestations of the disease. It is usually a sign that our kidneys are diseased.

3. Of course, foamy urine, or rather beer urine, is only one of the manifestations of kidney disease, and there is also the possibility that theDiabetes mellitus, bladder and colon impotence, urinary tract infections, etc.Reason. Also.Elevated uric acid, also known as a precursor to gout, can also lead to foamy urine. If there is concern, it is advisable to do a routine urine test first.

Thoughts on Chinese medicine for regulating proteinuria, as it happens, there was a case some time ago of a 45 year old man.Urine protein ++++.

When he came in recently, he was seen to have a yellowish color and dark circles under his eyes. This external symptom is also found in many patients with chronic kidney disease. The patient reported that sometimes there would be swelling of the legs, but to a lesser extent, mainly in the evening, accompanied by a sense of "tautness"; and in the morning, he would feel relaxed, as if untied. She often felt short of breath, weak and easily fatigued; she had pain in the waist and knees, and her tongue and pulse were pale, with thin white moss and a weak pulse.

From the identification, his symptoms belong to the deficiency of spleen and kidney qi, and water-dampness stays, the lungs are the main propagation and quick descending, and can regulate the water channels, if the lungs are not propagated and purged, the water and qi will be stagnated, which leads to the symptoms of less qi, lack of energy, and easy to be fatigued;

In addition, the kidneys are the main water and fluid, with gasification and water function, kidney deficiency and loss of nutrition will lead to lack of essence, resulting in yellowish color, dark circles under the eyes, waist and knee soreness and weakness;

The pale tongue, white moss, and weak pulse are symptoms of lung and kidney qi deficiency and water-dampness internal storage.

The treatment should take the method of double tonic of lung and kidney to benefit qi and diuresis, dispel wind and dampness, activate blood circulation and remove blood stasis, and tonify qi and strengthen waist. One month later, the urine routine was checked with only one +, and another month later, the urinary protein disappeared and did not recur thereafter.

For the prevention of chronic kidney disease, it is also necessary to remind the three points that need to be paid attention to in daily life:

1. Avoid too strenuous exercise and exertion;

2. Do not get cold, wet, prevent infection.

3. Avoid the use of drugs that are damaging to the kidneys, especially now that there are many unidentified onlinequick-impact drugsbut it's selling like hotcakes.Definitely don't try this lightly.

Foam in the urine is actually a very common thing in daily life, and some people think that once they see foam in the urine, is it proteinuria? Do you have kidney disease? Or diabetes? So they will be very worried.In fact, the foam in the urine, not necessarily the body appears disease, we look down.

In my daily outpatient clinic, I encountered many people who came to me for consultation because of foam in the urine, which is actually very simple and can be done by a routine urinalysis. The vast majority of people who do not have other comorbidities will have a normal urine test, and they will feel very relieved, and their worries that they have had for a long time will be instantly dispelled.

A lot of people, if the test shows that the urine is normal, but also inevitably ask why the urine routine check is normal, daily still appear in the urine foam?

Foam in the urine is actually a normal occurrence in most people thatBecause the urine in addition to water, there are a lot of human metabolism produced by the waste products, such as urine ammonia, urea, uric acid, etc., the urine tension is strong, the normal will be rushed up to the foam, so many times there are bubbles in the urine.

In addition, the daily foam in the urine is also caused by urinary urgency or a higher position during urinationIf the urine is strongly impacted, it is possible to form more foam.

Furthermore, when drinking little water, sweating too much or sometimes eating a salty, high-salt diet, among other things.Make the urine concentrated, some substances in the urine will be relatively more, so it is also more likely to form foamy urine, and even sometimes the urine will look more cloudy, these are generally not a big problem.

Further, by if the mucus secreted by the urethral bulbous glands increasesThe increased surface tension of the urine also results in the presence of many bubbles in the urine.

Foam in the urine that occurs at this time is usually larger or of different sizes and of shorter duration, while the color of the urine will be normal, are not a big problem.

However, if the urine is particularly frothy, with large bubbles that last for a long time, this is the time to be alert for increased foaming caused by certain diseases.

Common conditions that cause increased foaming include the following.

First, liver and kidney diseases

In kidney disease, the amount of bilirubin or protein in the urine increases, the surface tension of urine increases, and more bubbles can be produced during urination.

In addition kidney disease is often accompanied byPositive urinary occult blood, in addition to edema, back pain, bring about increased blood pressure, and so on. The appearance of foam in the urine, need to be alert to the cause of kidney disease.

Second, urinary tract infections

For example, common cystitis and pyelonephritis, especially when gas-producing bacteria are present in infections in the urinary tract, can also predispose the urine to change in composition and produce gas bubbles.

At this time, the disease is often accompanied by fever, back pain, frequent urination, urinary urgency, painful urination and other symptomsThe urine routine at this point shows mostly white or red blood cells. These symptoms of infection are often easy to diagnose.

Third, when diabetes

When diabetes mellitus occurs, sometimes the urine volume increases urine contains sugar, or urine ketone body content is elevated, the pH of the urine is changed, the surface tension of the urine increases, can also bring about an increase in urine foam.

When diabetes occursSometimes there are no obvious discomfort symptoms, and the amount of urine or foam in the urine is one of the first symptomsThat's why it's important to be alert to the possibility of diabetes if you have increased urine foam over a long period of time and the foam doesn't go away easily in an even manner.

Fourth, urinary tumor disease

When urinary tumor diseases occur, such as bladder cancer and kidney cancer. Often hematuria is the main manifestation. But sometimes there is an increase in the number of foamy years because of changes in urine.

Especially in the presence of painless hematuria of the naked eye, be alert to the possibility of urologic tumors.

Therefore, if the foam in urine increases and does not go away for a long time, especially when combined with other symptoms, we should be alert to some disease factors. Especially in the early stage of kidney disease, or the early stage of diabetes, the symptoms are often atypical, easy to miss the diagnosis, so you can go to the hospital for a timely examination.

If you want to rule out a disease cause, you need to look for other abnormalities in the urine, in addition to seeing if there is a combination of other uncomfortable symptoms?

For example, look at the color of the urine.

Normally, the urine is clarified and transparent, or light yellow in color, if the urine color changes, such as the appearance of light red and red urine suggesting hematuria. It is necessary to consider acute nephritis, renal tuberculosis, kidney and bladder tumors, etc.; for example, if the urine is pus-like and cloudy, mostly accompanied by flocculent material, then it is pus urine, which is a sign of urinary tract infection.

Again, look at the amount of urine.

Normal adult urine output is about 1500 ml in 24 hours. If the urine output is more than 2,500 ml or less than 500 ml in a 24-hour period, or if there is no urine at all, and sometimes nocturia occurs more than twice a night, then there may be a health problem. This is a sign that there may be a medical problem that needs attention.

And then, for example, smell.

Normal fresh urine has a specific odor. And if it has an ammonia odor, it may be chronic cystitis and urinary retention. And when there is a rotten apple-like odor, it could be diabetic ketosis and so on.

Therefore, through the daily urine can be able to see a lot of diseases to, which requires us to be a thoughtful person daily, pay attention to health, not only to pay attention to the foam in the urine, but also need to pay attention to the color of the urine, smell, urine volume and so on.

In summary, urine with foam, most of the time is not to worry too much, because many times it is a normal phenomenon, but when the urine with foam at the same time with other physical discomfort, or at the same time urine color, urine volume, smell and other changes, you need to be vigilant about the cause of the disease, you need to consult a doctor in a timely manner.

I am.@General Practice ChatIt's not easy to code, I hope it's helpful, thank you for your support and attention!

Outpatient clinics often have patients ask: "I urine with foam people say kidney problems, is not it?" or say: "Next door to the old king is nephritis, he is the same as him. Or: "The old king next door is nephritis, his urine is foam, will I be the same as him ......'

Is there a problem with foamy urine or not, and what does it look like?

1. What does normal urine look like?

Normal urine is a light yellow transparent liquid, the color will become lighter when you drink a lot of water. There will be a little foam just after urination, and there will be no foam after it has been left to stand for a while.

2、How are urine bubbles formed?

If the composition of urine appears to be protein, glucose and other organic substances, then the surface tension of urine will increase, and it is easy to form foam that is not easy to dissipate.

3. What should I do if there are bubbles in my urine that do not dissipate easily?

If there is foamy urine that does not dissipate easily, it is recommended to check the urine routine and note the presence of urinary protein. If the urine protein repeatedly retest positive, we should pay attention to the kidney problem. If this situation occurs, it is necessary to actively outpatient consultation, early detection, active search for the cause of the disease, targeted treatment.

4, sometimes foam in the urine, check the urine routine urine protein is positive, but only a transient, do not be nervous, this situation may need to pay attention to thePresence of physiologic proteinuria.. It is often seen in the following situations, such as after strenuous activity, cold weather, and fever. Adolescents may also have erectile proteinuria, which occurs when they are upright and disappears when they are bedridden.

In conclusion, if the foam in the urine is transient, it is unlikely that there is a problem with the kidneys. If the foam does not go away for a long time after urination, it must be a cause for concern.


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