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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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