Turbid urine in pregnant women
During normal operation of the body, the urine is light and has no additional impurities. If turbid urine is observed during pregnancy, then this is a serious reason to visit a medical institution and pass the required tests. Changing the shade of urine and its transparency can speak about a number of pathologies that can harm not only the health of the future mother, but also the fetus.
Causes of turbid urine during pregnancy
During pregnancy, all organs, in particular, the kidneys, work in an enhanced mode and help remove metabolic products not only from the woman but also from the fetus. Strong loads often cause kidney failure. In addition, disorders in the hormonal background provoke a decrease in the tone of the urinary tract. Because of this, the likelihood of infections, for example, inflammation in the bladder, increases. In addition, turbidity of urine in women who are expecting a child can cause the following reasons:
- improper and unbalanced nutrition,
- increase in blood pressure,
- bacterial inflammation of the kidneys, which is characterized by damage to the renal pelvis, cups and parenchyma,
- use of pharmaceuticals that are designed to get rid of heartburn.
Turbid urine in early pregnancy
It is believed that turbidity of urine is the first sign of pregnancy. If muddy urine is displayed in the first trimester, it often does not indicate the development of pathologies in the woman’s body. The most common cause of color change is toxicosis, which develops in almost all the fair sex. This deviation in early pregnancy triggers a disturbance in the diet, as well as dehydration, which contributes to the turbidity of urine. If a pregnant woman has strong toxicosis, then you should visit the attending doctor. Such precautions are due to the fact that in some situations it may be necessary to use medications to get rid of an undesirable state.
On late terms
Opaque and turbid urine in pregnant women in the 2nd and 3rd trimester often indicates an inflammatory disease of the kidneys (pyelonephritis), which is triggered by a strong pressure of the uterus. If the patient has a sediment in the late stages of urine, its color changes and there are chronic renal diseases, then during pregnancy it is important to visit not only the attending gynecologist, but also the nephrologist. Muddy urine can also be observed due to complications of a normal pregnancy. In this situation, it is important to immediately visit a specialist in order to solve the problem in time and not to provoke a miscarriage.
During pregnancy, the level of salts decreases dramatically in the analysis of urine. This is due to the fact that a certain amount of phosphates is required for the formation of the fetal skeleton. In addition, salts of phosphoric acids after childbirth are required for the formation of breast milk. That is why there is turbid urine after birth. Doctors note that this condition is physiologically conditioned and should not alert the patient. If urine with sediment and flakes, this is a serious reason to go to the hospital.
If turbid urine during pregnancy is triggered by abnormalities in the body, the woman who is expecting a child has the following unwanted side effects:
- increased urinary urgency
- discomfort in the lower abdomen,
- itching and burning during emptying,
- blood impurities in urine, which are observed due to the appearance of kidney stones,
- disturbances in the activity of the urinary system.
What doctor to visit?
If the urine becomes turbid during pregnancy, it is important not to self-medicate and not to wait until the deviation passes by itself. A woman who is expecting a child will need to go to a medical facility and make an appointment with a general practitioner. The general practitioner will send the patient to the gynecologist, who will perform an examination. If the causes of turbid urine are disturbances in the activity of the reproductive system, the required treatment will be prescribed. If the condition is provoked by malfunctioning of the kidneys, the girl is sent to the nephrologist.
The therapist first interviews the patient and finds out how long the urine has dimmed and what additional symptoms are present. After that, the woman is sent to the following examinations:
- general analysis of urine,
- urine test according to nechyporenko,
If the cause is pyelonephritis
Therapy for turbidity of urine during pregnancy is based on the elimination of the cause that provoked the pathology. When turbid urine is observed due to inflammatory processes, doctors prescribe the use of antibacterial drugs. If we are talking about pyelonephritis, which affects about 10% of pregnant women, doctors prescribe antibiotics that are safe for the fetus. The choice of medications depends on the type of microorganisms that provoked the disease. In addition, doctors take into account the individual characteristics of the patient, and the presence of contraindications. During pregnancy, it is permissible to use such pharmaceuticals:
In addition, getting rid of pyelonephritis involves the use and uroantiseptics, for example, "Furagin".
If the turbidity of urine is provoked by inflammation of the bladder, resort to the help of antibiotics in pill form. Candles for vaginal use are contraindicated during pregnancy. Doctors agree that the drug Canephron is safe for use by pregnant women. In its composition are herbal ingredients, so the drug has practically no side effects and contraindications to use. Safe medicine for the unborn child. The medicine has a diuretic effect and helps relieve spasm of the walls of the urinary cavity. In addition, if there is an acute form of inflammation of the bladder, it resorts to using such drugs:
In addition to the use of pharmaceuticals, a pregnant woman will need to observe and a healthy balanced diet. It is important to exclude the use of smoked meat, pickles and marinades, sweets salty food, spicy and fried. The diet is determined by the attending doctor and depends on the severity of the pathology that caused the turbidity of the urine, as well as the individual characteristics of the patient.
To avoid urine clouding during pregnancy, it is important to follow all the recommendations of the attending specialist unquestioningly. You need to protect yourself from stressful situations, nerves and hypothermia, as they can cause inflammation of the bladder and kidneys. Observe and diet food, which appointed a physician. The diet will not only get rid of the possible toxicosis, but also improve the overall health of the woman, as well as the future baby. In addition, you need to monitor personal hygiene. Take a shower should be 2 times a day: morning and evening.
Optimal urine analysis
In healthy women, urine has a light yellow color and absolute transparency. Some medicines, such as Metronidazole, as well as the consumption of beets, can affect minor changes in color.
The optimal indicators of the state of urine in a pregnant woman can be considered:
- light yellow color
- the absence of any visible sediment,
- the amount of protein should not exceed more than 500 mg / day,
- the presence of glucose is acceptable in the absence of it in the blood,
- the number of leukocytes - no more than 6 in sight,
- the number of red blood cells is not more than 3 in sight,
- average density should be equal to 1012 g / l,
- acid-base balance ranges from 5 to 7.4 pH.
When passing the analysis should be borne in mind that the urine sutra has a more intense color, which is associated with less fluid intake during the night.
Since in the early stages of pregnancy changes in taste often occur, deviations detected in the analysis of urine can be explained by the use of products that affect its physicochemical properties.
Thus, changes in color and transparency may be caused by excessive use:
- cocoa products (chocolate),
- black tea
- animal proteins,
- mineral water or other alkaline drink,
- food of plant origin.
If coffee, cocoa and tea cause the formation of oxalates and, accordingly, the formation of sediment in the urine, the predominance of protein products in the diet, on the contrary, contribute to the formation of urates and, accordingly, the color change to a darker side.
The predominance in the diet of pregnant plant foods contributes to significant alkalization of urine with a shift in pH to the maximum allowable value, which affects the formation of a high concentration of sulphate salts, in an amount capable of giving the urine a slightly hazy shade, followed by the formation of a precipitate.
One of the reasons why changes occur in the physico-chemical properties of urine, is toxicosis of pregnant women. Toxicosis, depending on the timing, is characterized by a different reaction of the urinary system to pregnancy. So, for periods of up to 20 weeks, the body is characterized by dehydration. The consequence of this condition is an increase in the concentration of degradation products in the fluid excreted from the body.
If, while maintaining water balance in the body, the concentration of salts and proteins is about 3%, then with insufficient fluid intake or its loss during toxicosis, the percentage can increase significantly and, accordingly, the excreted urine will acquire a darker color with a distinct loss of transparency.
Another cause of sediment can serve as mucous or protein secretions from the vagina, trapped in the tank during the collection of urine for analysis. The reason for intense secretions are hormonal changes that occur with a woman during pregnancy. Reduced immunity can trigger the development of candidiasis, in which, cheesy discharge can make the urine cloudy.
To exclude the ingress of extraneous inclusions in the urine sample taken for analysis, a number of procedures should be performed:
- thoroughly wash the genitals
- with a cotton swab to close the entrance to the vagina,
- start the process of urinating,
- during urination to substitute capacity for analysis,
- finish urinating,
- wash the genitals
- remove the tampon.
If, with the observance of all rules, the urine is still turbid, you should wait for the results of laboratory research.
Pathological causes of turbid urine
In addition to natural changes, one way or another, affecting the color and transparency of the urine of a pregnant woman, there can be pathological causes that can only be recognized using laboratory diagnostic methods. Thus, turbid urine during pregnancy is observed when the following organized elements are found:
- red blood cells (hematuria),
- leukocytes (leukocyturia and bacteriuria),
- protein (proteinuria),
- lymph (hiluria).
Normally, women have a small amount of red blood cells that can be detected only under a microscope. The inclusion of a large number of red blood cells may be one of the reasons for the formation of turbid urine, often with a brown tint.
According to the degree of intensity are distinguished:
In the first case, the presence of blood in the urine is not an obvious fact, since the number of erythrocytes exceeds the maximum allowable value, but not enough to change color. Turbidity in this case may be caused by concomitant factors caused by impaired renal function (unorganized sediment, proteins, leukocytes).
In the second case, the color can vary from dirty yellow to brownish red.
Hematuria can be observed in cancer tumors. In this case, turbidity and discoloration of urine may be accompanied by an unpleasant odor.
To clarify the source of bleeding, the following types of erythrocytes are distinguished:
- having hemoglobin,
- not having hemoglobin.
When red blood cells are detected that do not have hemoglobin, kidney damage is characteristic for glomerulonephritis or kidney tuberculosis. The erythrocytes, which retained hemoglobin, are observed with the defeat of the lower urinary tract (bladder, urethra).
The highest percentage of blood in the urine is observed in pathologies of the lower urinary tract, and the smallest percentage is in the upper ones.
The detection of leukocytes is extremely important for a pregnant woman, from a diagnostic point of view, a sign, since the presence of leukocytes with simultaneous detection of bacteria indicates active inflammatory processes in the urinary tract. In this case, the turbid sediment in the urine is a consequence of the immune response to damage to the tissues of the urinary tract pathogens (pyelonephritis, cystitis).
The appearance of protein in the urine due to a violation of the filtration ability of the kidneys. Depending on the reasons for the deviation, proteinuria can be classified into:
Physiological proteinuria is a consequence of the reaction of the kidneys to any negative effects (hypothermia, increased physical activity, myocardial infarction). Pathological proteinuria is evidence of kidney disease.
In most cases, the protein found in the urine during pregnancy refers to physiological proteinuria, as it appears due to compression of the kidneys by the growing uterus. But, even without being a pronounced pathology, during pregnancy more than 20 weeks, orthostatic proteinuria can be a sign of nephropathy, and sometimes late toxicosis of pregnant women (gestosis).
The development of nephropathy has the same roots as eclampsia of pregnant women, accompanied by convulsions, high blood pressure and edema.
A rather rare disease caused by the formation of a pathological opening (fistula) between the lymphatic pathways and the kidneys. It may be due to compressive trauma, tuberculosis or a parasitic disease caused by nematodes.
The main symptom is light (milky-colored) urine, exfoliating, if left standing for a short time, into three layers:
- tight clot on top,
- urine mixed with lymph,
Chiluria is often the result of a long-lasting inflammatory process.
If turbid urine is observed only in the morning, then there is a normal physiological phenomenon. Despite the change in color and structure, it is she who is the most informative for diagnostics.
Do not hide from the doctor the appearance of any changes in the state, very often, it is enough to make adjustments to the diet and tests will come back to normal. Systematic monitoring of the state of a pregnant woman will help to avoid serious complications and safely give birth to a healthy baby.
Reasons for the formation of flakes
Everyone knows that the absence of urinary disorders is expressed as the urine excreted: it must be clear, light yellow, with no visible impurities and a sharp foreign odor. Proteins get into urine, but in small quantities. During pregnancy, a value of 0.15 g / l is allowed. However, almost all pathological changes that occur with the body are displayed on the urinary system. Therefore, doctors in many cases refer to the general analysis of urine. Failures can occur in any person, but in future mothers certain changes occur incredibly often - due to the enormous load on the body when carrying a baby. In the general case, the appearance of flocculent formations in the urine can provoke such reasons:
- Drastic change in diet: adherence to improperly developed diets, reduction of food proteins due to the abandonment of meat and fish dishes during the transition to a vegetarian lifestyle, or, conversely, a sharp increase in the consumption of protein foods. With such changes in the body, protein metabolism is disturbed, and they enter the urine, forming an insoluble precipitate in the form of flakes. At the same time, protein levels are elevated in the blood.
- Infectious and non-infectious diseases of the urinary system: inflammation of the bladder (cystitis), impaired functional status of the renal pelvis, thrush, bacterial vaginosis. If the flakes appear for this reason, then this symptom is necessarily accompanied by other manifestations (pain, cutting, swelling, fever, change in the amount and color of urine), and the blood level of the protein may not be increased.
- The presence of gynecological diseases in women. Anatomically and functionally, the sexual and urinary systems are very connected, so inflammatory processes affect urinary formation, and mucous or purulent discharges during illness can get into the biomaterial and form a flocculent sediment.
- Flakes can appear in such a dangerous condition as internal bleeding. You can recognize this situation by the accompanying symptoms - weakness, pale skin, loss of consciousness.
- With a lack of fluid in the body, urine becomes more concentrated, contains more salts per unit volume.A change in the chemical composition and reaction of the medium leads to the precipitation of proteins into insoluble sediment.
Additional risk factors for pregnancy
In pregnant women, due to their special physiological state, other factors are added to this list, related to an increase in the amount of blood, fluid in the body as a whole and, accordingly, the load on the kidneys:
- multiple pregnancy,
- large fruit,
- the passage of mucus plug before childbirth, which in some women goes in parts, gradually and inconspicuously,
- preeclampsia, or late toxicosis, leads to metabolic disorders. You can recognize it by the accompanying symptoms - the presence of edema and high blood pressure.
In the presence of these risk factors, the likelihood of such a manifestation increases markedly, so the doctor may give referrals for examination more often than usual.
If the cause of the precipitate are factors associated with pregnancy, in most cases, special treatment is not required, only regular monitoring is necessary.
Errors in the analysis
Very common causes of flocculent sediment in the urine are trivial errors of biomaterial sampling. That is, initially in the formed urine, it is absent, but enters the vessel directly at the time of urination. This is often the case in women, as mucus from the genital opening may accidentally get into the biomaterial. Sometimes this result is caused by incomplete washing of the soap from the skin - it is also able to manifest itself by precipitation.
Therefore, if the flakes appeared in the results of the study for the first time, and there are no other obvious signs of any pathologies, the doctor can safely send for re-examination, reminding the collection rules of the biomaterial again. In particular, before passing the test, it is necessary to thoroughly wash it, it is advisable to cover the floor opening with a clean cotton swab to prevent vaginal secretions from entering.
Homemade flakes test
With a high content of protein compounds that form an insoluble precipitate, they are strayed into flakes, which are visible to the naked eye. They can be joined by epithelial cells, which are constantly exfoliated from the surface of the mucous membrane, and blood leukocytes. At home, you can conduct a simple test, which is able to approximately indicate the state of the body.
It is necessary to collect the first portion of urine in one vessel, and the second - in another. If there are flocculent formations in the first vessel and not in the second, then it is very likely that the sediment is formed by epithelial cells or mucous secretions from the vagina.
If there are visible particles in the second jar, diseases of the organs of the urinary system can be suspected.
However, this test is very unreliable; therefore, only preliminary information can be obtained from its results. The exact result is possible only with laboratory examination.
What to do in this case
First of all, do not worry. During pregnancy, anxiety is very harmful, and there may not be serious reasons for it. But to ignore this fact is also not worth it: it can be the first signal of a violation, which must be quickly eliminated and prevent complications.
Therefore, you should definitely see a doctor in the near future after receiving the results of the study. It is advisable to report all the nuances that may be useful in establishing the diagnosis - the approximate frequency of urination per day, the presence or absence of pain and pains, body temperature, changes in the state of one’s own child (by the number of his movements in the second half of pregnancy). The doctor will prescribe additional tests, analyze the diet - in general, will look for the factor that provoked the violation. All these appointments should be fulfilled, as delaying with the diagnosis and treatment of diseases during pregnancy can harm both the mother and her baby.
The woman herself should watch her diet. Food should not only be safe in terms of the content of harmful substances. It must also be balanced, that is, with a normal ratio of proteins, fats and different groups of carbohydrates. Inflammation of the body in a protein food, as well as its overload, can cause an imbalance and a lack of essential amino acids in the developing fetus. You should also use a sufficient amount of fluid (with normal functioning of the kidneys - about 1.5-2 liters per day, with violations of their work and the appearance of edema, the doctor determines the rate).
It is important to take care of your health: do not overcool, follow the rules of hygiene, avoid casual sexual intercourse. All sources of infections in the body (sore teeth, not a full throat) should be promptly eliminated so that pathogenic microorganisms do not spread throughout the body and do not cause inflammation in other organs, including the urinary system.
When identifying infections or noncommunicable diseases, it is imperative that you undergo treatment.
And although most antibiotics and other medications are unacceptable during pregnancy, the doctor will prescribe a therapy that will help eliminate the disease or avoid complications.
For some infectious diseases in the last months of pregnancy, active treatment is postponed for the postpartum period, and only supportive medical measures are carried out.
Thus, the appearance of flakes should not frighten a pregnant woman. This symptom only says that it is necessary to undergo an additional examination and to observe all the rules for taking biomaterial very clearly. Finding the cause, you need to try to eliminate it, and for this you need to follow all the prescriptions and prescriptions of the treating doctor.