Clinical manifestations of turbid urine in pregnant women

Many pregnant women have turbid urine during pregnancy. After this happens, many women are particularly worried that their turbid urine will seriously affect their health during pregnancy. Therefore, they want to fully understand the clinical manifestations of turbid urine examination in pregnant women. The following content provides detailed answers so you can have a comprehensive understanding.

1. Medical history:

A history of acute pyelonephritis can be used as a reference for diagnosis, but it cannot be used as a basis. Most patients with non-obstructive chronic pyelonephritis may have no history of urinary tract infection or other kidney disease. The disease often has an insidious onset, and symptoms of azotemia may be the first symptom of the patient, so attention should be paid to this during diagnosis.

2. Clinical manifestations:

There are intermittent reactions with urinary tract irritation symptoms, which are generally milder and not as obvious as acute pyelonephritis. They are often accompanied by fatigue, loss of appetite, and low back pain, and may have a low fever or no fever. In the late stage, symptoms of uremia such as dizziness, headache, nausea, and vomiting may occur due to renal damage. Polyuria, increased nocturia, hypokalemia, hyponatremia, or chronic renal tubular acidosis may also occur. Some patients have insidious or atypical symptoms, so please be careful.

3. Auxiliary examination:

⑴ Urinalysis: Urine protein is generally trace or small amount. If the urine protein is 3.0/24 hours, it may not be this disease. Urine sediment may contain a small amount of red blood cells and white blood cells. The presence of white blood cell casts is helpful for diagnosis but is not specific to this disease.

⑵ Urine culture: Same as acute pyelonephritis, but the positive rate is lower, and sometimes repeated examinations are required to obtain a positive result. Protoplasmic strains can be found in about 20% of patients with negative urine bacterial culture. This is a mutation ability of pathogenic bacteria in order to adapt to adverse environments and survive under the action of antibacterial drugs, antibodies, etc. Although the cell membrane is ruptured, the protoplasm is still there and can reproduce again once the environment is favorable. When urine culture and urine antibody-encapsulated bacteria test are positive after bladder sterilization, it helps in the diagnosis of this disease, and it can be distinguished from cystitis.

⑶ Renal function test: There is usually decreased renal tubular function (decreased urine concentrating function, decreased phenol red excretion rate, etc.), increased urinary sodium and potassium excretion, and metabolic acidosis; blood potassium may increase when urine is oliguric. In the late stage, glomerular dysfunction, increased blood urea nitrogen and creatinine occur, leading to uremia.

⑷X-ray angiography: deformation of the renal pelvis and calyces, irregular or even shrunk shadows can be seen.

It is quite dangerous if the urine of a pregnant woman is turbid, so she must pay attention to it. After fully understanding the above introduction, in order for her urination to return to normal as soon as possible and not affect the health of her child, she must undergo a comprehensive examination as soon as possible. After finding out the cause, she must undergo comprehensive treatment as soon as possible to make her urination healthy.