Urine Issues: Bubbles, Foam, and What They Mean - Urology

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Urinary issues


Hello Doctor, I woke up yesterday morning (around 6 AM) to urinate, and to avoid disturbing others with the sound of flushing, I only flushed the toilet just now (around 10 AM).
However, I noticed that the bubbles on the surface of my urine have not dissipated, and there is a thin film on the surface.
I would like to ask if this is a cause for concern.
I had a check-up at the end of August, where my glomerular filtration rate was 96 and my urine protein levels were normal.
Last night, I exercised and drank water throughout the night, but due to excessive sweating, my urine output was low.
I also experienced a nocturnal emission, which is why I woke up to clean up and used the restroom.
Could this be due to insufficient water intake, leading to a higher concentration of impurities in my urine, or is there a possibility of proteinuria? I usually notice bubbles when I urinate (which disappear when I drink more water).
Could it also be that the nocturnal emission resulted in semen or prostatic fluid being present in my urethra? Or should I consider getting further tests, even though it has only been a little over two months since my last check-up? Thank you, Doctor.

Nìmíng, 20~29 year old female. Ask Date: 2021/11/20

Dr. Du Shixi reply Urology


Hello: This response is for reference only and cannot replace a physician's examination.
If your daily life is normal, you are not taking any medications, and you are not particularly fatigued, you may choose to observe your condition and consider retesting later.
However, if you experience any of the two mentioned situations, it is advisable to seek medical evaluation.
Wishing you good health.

Reply Date: 2021/11/20

More Info


When it comes to the presence of bubbles or foam in urine, it can be a source of concern for many individuals. The appearance of bubbles in urine can be attributed to several factors, and understanding these can help alleviate worries about potential underlying health issues.

Firstly, it is essential to recognize that urine can naturally produce bubbles due to the speed at which it hits the toilet water. This is particularly true if the urine stream is forceful. However, persistent foamy urine can indicate other conditions, such as proteinuria, which is the presence of excess protein in the urine. Proteinuria can be a sign of kidney issues, as the kidneys are responsible for filtering waste while retaining essential proteins in the bloodstream.
In your case, you mentioned that your last kidney function test showed a glomerular filtration rate (GFR) of 96, which is within the normal range, and that your urine protein levels were normal. This is reassuring, as it suggests that your kidneys are functioning well and are not leaking protein into your urine. However, if you continue to notice foam in your urine, it may be worth monitoring, especially if it becomes more pronounced or is accompanied by other symptoms such as swelling, fatigue, or changes in urination patterns.

You also mentioned that you had been sweating a lot during exercise and had a reduced urine output. Dehydration can lead to concentrated urine, which may appear darker and could potentially lead to more noticeable bubbles. When the urine is concentrated, any impurities or substances present may become more apparent, leading to the formation of bubbles. Drinking adequate amounts of water is crucial, especially after physical activity, to help dilute the urine and maintain proper hydration levels.

Regarding your concern about the possibility of having protein in your urine or the presence of seminal fluid due to nocturnal emissions (wet dreams), it is important to note that while nocturnal emissions can lead to some residual fluid in the urethra, this is typically not enough to cause significant foaming in urine. If you are concerned about the presence of protein or other substances in your urine, it may be beneficial to conduct a follow-up urinalysis. This can provide a clearer picture of your urinary health and help rule out any underlying issues.

In summary, while the presence of bubbles in urine can sometimes indicate a health concern, your recent test results suggest that your kidney function is normal. Factors such as hydration status and the force of urination can contribute to the appearance of bubbles. If the foaming persists or if you develop any new symptoms, it would be prudent to consult with your healthcare provider for further evaluation. Regular monitoring and open communication with your doctor can help ensure that any potential issues are addressed promptly.

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