White Sediment in Urine: Causes and Concerns - Internal Medicine

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Urine sediment


I would like to ask why there is a white sediment in the urinal after urine has been sitting for a long time, which cannot be scrubbed away.
Does this indicate a problem with the body?

vicky, 20~29 year old female. Ask Date: 2007/07/02

Dr. Xiao Yongxun reply Internal Medicine


Hello: In response to your question, the important components of urine include organic solutes and inorganic solutes.
The former includes urea, creatinine, uric acid, hippuric acid, ketone bodies, and indican, among others.
The latter includes NaCl, K+, SO4-2, PO4-3, NH4+, Ca2+, Mg2, etc.
Abnormal urine may contain excessive amounts of protein, glucose, red blood cells, white blood cells, ketone bodies, bilirubin, uric acid crystals, fat, Trichomonas, Candida, bacteria, and more.
Regarding the white precipitate you mentioned, please consult your family physician to gather relevant symptoms or evidence for diagnosis.
In the case of a simple white precipitate, it may be necessary to consider whether it is mineral precipitation, a reaction between urine and the container, infection, or the intake of specific medications or foods.
Therefore, further examination is advisable.

Reply Date: 2007/07/02

More Info


Understanding white sediment in urine can be a source of concern for many individuals. The presence of white sediment in urine can be attributed to various factors, and it is essential to understand the potential causes and implications for your health.

Firstly, urine is composed of various substances, including organic and inorganic solutes. Organic solutes consist of urea, creatinine, uric acid, and other metabolites, while inorganic solutes include electrolytes like sodium, potassium, calcium, and magnesium. The appearance of white sediment in urine can often be linked to the presence of certain substances that may indicate underlying health issues.

One common cause of white sediment is the presence of crystals. Crystals can form in urine due to high concentrations of certain substances, such as calcium, uric acid, or oxalate. These crystals can be harmless, but they may also indicate conditions like kidney stones or urinary tract infections (UTIs). If the sediment appears consistently and is accompanied by other symptoms, such as pain during urination, frequent urination, or lower back pain, it is crucial to seek medical attention.

Another potential cause of white sediment is the presence of mucus or cellular debris. Mucus can be a normal component of urine, but excessive amounts may indicate irritation or inflammation in the urinary tract. Conditions such as cystitis (bladder inflammation) or urethritis (inflammation of the urethra) can lead to increased mucus production, resulting in cloudy or sediment-filled urine.

In some cases, white sediment may be due to the presence of bacteria or yeast, particularly in the context of a urinary tract infection or a yeast infection. If you notice a change in the odor of your urine, an increase in frequency or urgency of urination, or any discomfort, it is essential to consult a healthcare professional for further evaluation.

Additionally, certain medications or dietary factors can contribute to the appearance of white sediment in urine. For example, some medications may cause changes in urine composition, leading to sediment formation. Similarly, a diet high in certain foods, such as those rich in oxalates (like spinach and nuts), may increase the likelihood of crystal formation.

If you observe persistent white sediment in your urine, it is advisable to keep track of any accompanying symptoms and consult a healthcare provider. A urinalysis can provide valuable information about the composition of your urine and help identify any underlying issues. Further tests, such as imaging studies or blood tests, may be necessary to determine the cause of the sediment and guide appropriate treatment.

In summary, while occasional white sediment in urine may not be a cause for alarm, persistent or symptomatic occurrences warrant further investigation. Understanding the potential causes, including crystals, mucus, bacteria, and dietary factors, can help you make informed decisions about your health. Always prioritize open communication with your healthcare provider to address any concerns and ensure proper evaluation and management of your urinary health.

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