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Red, Green, Urine

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Red, Green, & Blue Urine


Leo Leonidas MD, FAAP

Warning, Warning, Warning: This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis.


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What our children drink or eat can change the color of their urine. Some illnesses can make the urine pink or red.

RED URINE

Hematuria (Blood in the urine)
Hemoglobinuria (Breakdown of red blood cells results to Pink urine)
Myoglobinuria (From muscle injury or disease, or drugs)
Urate Cyrstal (Common in newborns)
Food Pidgments (Beets, Blackberries, Anthocyanine)
Dyes (Aniline, Rhodamine B, Pyridium, Phenolphthalein, Congo Red)
Drugs (Pyrvinium, Phenothiazines, Deferroxamine, Methyldopa, Senna)
Porphyrins
Red Diaper Syndrome (Serratia marcescens)
Biliuria

GREEN URINE

Food Color
Biliverdin
Drugs (Amitryptyline hydrochloride, Methocarbamol)
Pseudomonas infection
Others (Phenol, Resorcinol, Tetrahydronapthalene, Metheylene blue)

BLUE URINE

Methylene Blue
Triamterene (Dyrenium)
Doan'sKidney Pills
Blue Diaper Syndrome

DARK OR BLACK URINE

Hematuria
Drugs (Mehtornidazole, Nitrofurans, Methocarbamol, Quinine, Phenacetin)
Dyes
Melanoma
Others (Nitrates, Naphtol, Phenols, Rhubarb, Alkaptonuria, Cascara, Chlorinated Hydrocarbons, Carotene, Vitamin B complex,)

YELLOW URINE

Riboflavin
Picric Acid (Trinitrophenol)
Jaundice

ORANGE URINE
Sulfixocazone-Phenazopyridine
Pyridium
Rifampin

MILKY WHITE URINE
Pus
PhophateCrystals
Chyle

PURPLE URINE

Phenolphthalein

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Reference:
Signs & Symptoms In Pediatrics
2nd Edition, page 428
Tunnessen, Jr

Belly Pain   Air Leaks From Lungs   Acute Crying   Back Pain   Bed Wetting   Big Lymph Node   Big Spleen   Blood in Urine Chronic Diarrhea   Chest Pain   Cough   Coughing Up Blood   Constipation Droopy Eye   Enlarged Glands   Eye Swelling   Excessive Thrist   Facial Paralysis   Fainting Spell   Feeding Problem GI Bleeding   Headache   Head Tilt   Hives   High ESR   Hoarseness   Joint Pain   Limp   Leg Pain   Muscle Weakness   Noisy Breathing   Nose Bleeding   Nose Obstruction   Pyuria   Recurrent Infection   Red Green Urine   Ringing in the Ears Scrotal Swelling   Seizures   Stiff Neck   Swelling of the Parotic Gland   Toe Walking   Toeing In   Toeing Out   Unequal Pupils   Vomiting   Wheezing


Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor

Bangor, Maine: "First City with EBPP (Evidence Based Pediatrics for Parents) Website"

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