Chyluria – Symptoms, Causes & 10 Best Homeopathic Medicines

Chyluria is a rare condition in which the patient experience lymphatic fluid leaks into the kidneys and turns the urine milky white. 

Most commonly Chyluria is a lymphatic flow disorder.

This group of lymphatic diseases, they are characterized by the abnormal circulation of lymph fluid.

The Lymphatic vessels carry lymph fluid to veins, where it returns to the bloodstream.

The lymphatic fluid plays a crucial role in immune function and fat and protein transport in the bloodstream.

When something disrupts or damages normal lymphatic flow, it can cause leakage of lymphatic fluid into the kidneys, and this results in chyluria.

Chyluria is the most common symptom in patients associated with the parasitic infection Wuchereria bancrofti, at times it can also have non-infectious causes.

Types of Chyluria

Mild Chyluria: –

In this condition, the patient is experiencing Chyluria and passes intermittent milky white urine.

There is no weight loss or any retention of urine.

There is the involvement of only one calyx of the affected kidney only.

Moderate Chyluria:-

In this type of chyluria, the patient passes milky white urine.

There is a passing of few chylous clots, and there is no weight loss or retention of urine.

There is the involvement of two or more calyx of the affected kidney.

Severe chyluria:-

In this condition, there is the passing of continuous milky white urine.

There is a also passing of chylous clots, and there is weight loss and retention of urine.

There is the involvement of the entire calyx and the ureters may or may not be involved, in the affected kidneys.

Chyluria – Causes 

Following conditions can cause chyluria, these are a few potential causes, they include:

1) Parasitic Causes:-

• Parasitic infection 95% by Wuchereria bancrofti
• Taenia echinococcus
• Taenia nana
• Ankylostomiasis
• Trichiniasis
• Malaria

1) Non-Parasitic Causes:-

• Congenital lymphatic malformations can lead to chyluria such as lymphangiomatosis
• Tumors can be one of the causes of chyluria
• Trauma can cause chyluria
• Congenital syndromes are among a few causes of chyluria such as Gorham-Stout, Noonan, and Turner syndromes
• Lymphatic to vesical fistulae Trauma
• Surgery like Partial nephrectomy and Aorto-iliac bypass can cause chyluria
• Infections
• Malignancy
• Lymphatic malformation
• Radiation
• Abscess in kidneys
• Congenital abnormalities of the kidney,
• pregnancy can cause an overburden on the functioning of the kidney
• Lymphangioma of kidney or bladder
• Stenosis of the thoracic duct

Chyluria – Symptoms

The signs and symptoms of Chyluria that a person is experiencing include:

• Chyluria causes people to pass urine that is milky white.
• Other symptoms include pain during urination as chylous clots are passed they cause colicky pain.
• There can be blood in the urine and
• more frequent urination, acute urine retention
• urinary tract infection can also occur.
• fever, loss of appetite, and body pains.
• swelling of lower limbs
• In a few cases, there can be cellulitis and haematuria.

Complications of Chyluria

Complications can occur if the condition is left untreated for a long time or is not responding to the medication and the disease condition progresses further.

1)Back pain:-

Patients can experience severe pain in the lower back, the pain is more on the affected side, it can be on one side and absent on the other side.

2)Chronic fatigue:-

Chyluria over some time can cause tiredness in patients leading to chronic fatigue in such people, also there is malnutrition that can lead to chronic fatigue.

 3)Urinary complications:-

• The patient experiencing chyluria feels the need to pee a lot.
• They may experience pain when peeing.
• At times they may experience blood in the pee -Haematuria

4)Weight reduction issues:-

• Mild to severe Chyluria can lead to weight loss.
• In kids, there are growth and weight problems due to chyluria.

Diagnosis of Chyluria

Doctors will usually make a diagnosis of dyspnea with a medical history, occupational history, and physical exam, and observation of the patient’s urine sample often leads to the correct diagnosis.

Doctors use a combination of imaging and laboratory tests to diagnose chyluria. Tests may include:

• X-Ray
• Computer tomography (CT)
• Ultrasound
• MRI
• Complete blood count:-It indicates increased eosinophils, increased lymphocyte count
• Liver function test:-They indicate low albumin levels
• ELISA Test:-It is done to detect filarial antibodies
• In a sampling of the urine for the presence of lymph fluid, the urine is milky white, and when allowed to stand it shows three evident layers one of fat, a middle of fibers, and a lower layer of cellular cells.

Additionally, lymphatic imaging modalities, such as intranodal lymphangiography and dynamic contrast magnetic resonance lymphangiography, can be used to determine the exact source of the lymphatic leak.

Chyluria Management

Treatments that target systemic causes of Chyluria are listed below based on the approach they include :

Conservative Treatment for Chyluria conditions:-

Healthcare professionals will treat each case of dyspnea on exertion differently depending on its cause.

Common treatment options include:

• Diet changes, like food less in fat and carbohydrates.
• A doctor may advise chemotherapy or radiation therapy, at times surgery to remove cancerous sections, tumors, or abnormal growths.
• An antibiotic treatment course can be recommended if required.
• Bed rest and fluid therapy whenever required if due to trauma.
• Analgesic and anti-inflammatory treatment can be advised by your doctor.

Pharmacological Treatment for parasitic conditions:-

Common treatment options for parasitic causes of chyluria include:

• Diethylcarbamazine medication can be given according to the parasite infestation in the case.
• Ivermectin can be advised.
• use of Albendazole
• Benzathine penicillin and other medicines can be given.

Minimal Invasive Treatment for Chyluria:-

The treatment for Chyluria depends on the specific cause, but common treatment includes:-

• Sclerotherapy for example silver nitrate can be advised by your doctor as a mode of minimum invasive treatment.

Surgical Treatment for Chyluria:-

• Chylolymphatic disconnection is done with the help of surgery.
• The creation of lymphovenous anastomoses is done by planned surgery.
• A simple nephrectomy procedure can be done as per the advice of your doctor.

Lifestyle and home remedies for Chyluria

Simple lifestyle changes often provide relief from the frequency of recurrence doctor may also recommend making changes to everyday habits, like:

• One should start taking iron, vitamin B12, folic acid, and vitamin C supplements.
• One should drink properly filtered and boiled drinking water.
• Regular physical exercise to maintain weight is very important.
• One should aim at reaching or maintaining a moderate body weight.
• One should eat a healthful, balanced diet, including dietary sources of iron, like dark leafy green vegetables, beans and pulses, and dried fruits.

Chyluria Homeopathic Medicines

1. NUX VOMICA-For Chyluria with drawing pains when passing urine

Symptoms-

This is a great remedy especially when the patient is intellectually keen, lacks exercise, has sedentary life with gastric disturbance, very sensitive to tobacco, coffee, and spiced food.

It is indicated when the patient feels the ineffectual urge to urinate, and passes a small quantity each time, with temporary relief and satisfaction with digestive disturbances.

The patient feels restless due to very painful micturition, the pain passes to genital organs and legs, and urine passes with burning and tearing pain in the urethra.

It is useful in cases of chyluria with blood mixed with urine.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

2) STAPHISAGRIA -For Chyluria with nervous weakness

Symptoms-

This is a wonderful remedy for Chyluria, there is an urgent urge to urinate, but still, the patient has to sit at the urinal for hours before urine will pass.

It is a wonderful remedy for chyluria from onanism, loss of vital fluids, anger with indignation, unmerited insults, post-surgical operations, lithotomy, or ovariectomy.

There is pus in the urine, burning in the urethra when not urinating, prolapse of the bladder is a common occurrence, and there are prostatic troubles in old men even after urinating there is urging followed by pain.

Potency & dosage

200 CH Potency,4-8 globules daily ones are used. Gradually, one can increase the potency depending upon the case’s progress.

3) SEPIA-For chyluria with acute urine retention and bearing down sensation

Symptoms-

This is a wonderful remedy for people who have chyluria with acute retention of urine, there is chronic cystitis with slow micturition.

It is a wonderful remedy for chyluria when the urine is so offensive that it must be removed from the room at once.

It is indicated when there is the sensation of bearing down when passing urine, there is gleet which is painless, yellowish, and staining linen yellow, and the external meatus is glued together in the morning.

The gleet is long-standing and there is weakness and exhaustion of sexual organs.

It is a wonderful remedy for chyluria when symptoms are worse in pregnancy, from worms, change of weather and washing, and laundry work.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

4) NITRIC ACID-For Chyluria with great weakness and debility

Symptoms-

It is a great remedy for chyluria due to virulent poison, mercury, syphilis, continued loss of sleep, long-lasting anxiety, over-exertion of the body, mind.

It is indicated when there is urine that is very pungent and strong smelling like horse’s urine, the urine may be scanty, dark brown, or putrid and looks like the remains of a cider barrel.

It is a wonderful remedy when in chyluria the urine is cold when it is passed out but while urinating, there is smarting and burning pain in the urethra.

Occasionally there is hematuria with bloody mucus and purulent discharges, the external urethral meatus is cracked and fissured which is very painful like that of a splinter.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

5) LYCOPODIUM-For Chyluria with right side renal colic

Symptoms-

It is a great remedy for chyluria when the complaint arises due to fright, anger, mortification, with reserved displeasure.

It is indicated for chyluria with right-sided renal affection, there is terrible pain along the course of the ureter of the right kidney, there is drawing and aching type of pain, and the child cries before urinating.

It is indicated when there is red sand in the urine, urine is dark albuminous with strangury, scanty urine during the day, and copious and frequent at night.

Along with chyluria, there is severe backache, which is relieved after urination, aggravation from 4:00 pm -8:00pmand severe craving for sweets.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

6)DULCAMARA-For Chyluria from suppressed and checked eruptions

Symptoms-

It is a wonderful remedy for Chyluria caused by cold damp weather, from wading with bare feet in cold water.

It is indicated when there is catarrhal isschuria, especially in grown-up children with milky urine, involuntary from wading with bare feet in cold water.

It is indicated when the urine is stored it becomes thick, purulent, sediments yellowish, white discharges with the constant urge to urinate.

It is a wonderful remedy for colds accompanied by an increase in the frequency of urination.

The urine becomes irritating, and the catarrh of the bladder rises like a flame.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

7) COLOCYNTHIS-For Chyluria with abdominal colic, making the patient bend double

Symptoms-

A useful remedy in Chyluria, where the symptoms come after anger, indignation, mortification, vexation, and exposure to cold.

It is indicated when there is chyluria with agonizing pain in the abdomen compelling the patient to bend double, relief is obtained by motion and hard pressure.

It is indicated mostly in the left-sided affections, desire for bread and beer, and aversion to food and talking.

The patient is extremely irritable, impatient, become angry and offended, and throws things out of his hands.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

8) CINA:-For Chyluria with frequent urination at night

Symptoms-

This remedy is often indicated for chyluria in children who are irritated by frequent worm infestation, they may get attacks of convulsions, especially during sleep, and in addition, there is crampy pain in the abdomen.

It is indicated when the child suffers from nocturnal enuresis due to worm irritation, the urine is turbid when passing, but turns milky after some time.

It is indicated in very hungry children, who lie on the abdomen with a great desire for sweets and indigestible things and an aversion to mother’s milk.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

9)SARSAPARILLA -For Chyluria with pain before and during urination

Symptoms-

It is indicated when there is chyluria brought about by the abuse of mercury, syphilis, or suppressed gonorrhea.

It is indicated when there is severe almost unbearable pain after urination just as urine ceases to flow.

There is the passage of gravel or small calculi and white sand in the urine, there is mostly right-sided kidney affection, and the child screams and cries before and during the passing of urine.

There is painful distension and tenderness of the bladder, the urine dribbles while sitting and passes freely while standing, air passes through the urethra, and there is an intolerable bad smell on the genitals with bloody seminal emissions and fluid pollution.

Potency & dosage

30 CH Potency, four globules three times a day is used. External application of ointment along with internal medicine is advisable.

10) CONIUM -For Chyluria for flow that intermits, stops, and then flows again

Symptoms-

It is a great remedy for Chyluria with great difficulty in voiding urine, the flow intermits, stops, and then flows again.

It is indicated when the patient suffers from ailments after a blow, fall, contusions, suppressed menses, excitement, or overwork.

It is indicated with cancerous and scrofulous enlargement of glands; the urine is pale with grey and white sediments in it.

It is a wonderful remedy for incontinence of urine, the flow stops on straining, from an enlarged prostate, uterine affections, or paretic conditions.

Potency & dosage

30 CH Potency,4 globules three times a day is used. Gradually, one can increase the potency depending upon the case’s progress.

Remember that homeopathic remedies should be prescribed based on individual symptoms and characteristics. It’s crucial to consult with a qualified homeopath for proper evaluation and personalized treatment. Homeopathy focuses on treating the whole person, so a detailed case study is necessary to select the most appropriate remedy.

Homeopathic medicines should be taken only when prescribed by a homeopathic physician. Self-medication may aggravate the original conditions.