White Particles in Urine: When to Seek Further Testing - Urology

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There are impurities in the urine?


I recently noticed that there are sometimes white floating particles in my urine, but the urinalysis results are normal.
What could those white impurities be, and do I need to get checked again?

DU, 20~29 year old female. Ask Date: 2014/02/23

Dr. Xu Weikai reply Urology


Hello, it could possibly be sediment in the urine.
If you're concerned, you can submit another sample of urine that contains the white floating substances.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is best to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/02/23

More Info


When it comes to the presence of white particles or floating substances in urine, it can be concerning, especially if your urine tests have returned normal results. Understanding the potential causes and knowing when to seek further medical evaluation is crucial for your health.

White particles in urine can arise from various sources. They may be due to the presence of crystals, mucus, or even cellular debris. Commonly, these particles can be composed of substances like calcium phosphate, uric acid crystals, or even proteins. In some cases, they might indicate a benign condition, while in others, they could signal an underlying health issue.

1. Crystals: The most common reason for white particles in urine is the presence of crystals. These can form due to dehydration, dietary factors, or metabolic conditions. For instance, uric acid crystals can appear in acidic urine, while calcium oxalate crystals may form in more alkaline urine. If you have been dehydrated or have recently consumed a high-protein diet, this could contribute to crystal formation.

2. Mucus: Mucus is a normal component of urine and can sometimes appear as white or cloudy particles. It is produced by the urinary tract lining and can increase in response to irritation or infection. If you have been experiencing any urinary symptoms, such as burning during urination or increased frequency, this could be a sign of a urinary tract infection (UTI).

3. Cellular Debris: White blood cells, epithelial cells, or bacteria can also contribute to the appearance of white particles in urine. The presence of white blood cells, in particular, may indicate an infection or inflammation within the urinary tract.
4. Infection: If you notice other symptoms such as a strong odor, burning sensation during urination, or changes in urinary frequency, it is essential to seek medical attention. These symptoms could indicate a UTI or other infections that may require treatment.

5. Dietary Factors: Certain foods and supplements can also affect urine appearance. For example, consuming large amounts of dairy can lead to the presence of fat globules, while some medications can cause changes in urine color and clarity.

Given that your urine tests have returned normal results, it is possible that the white particles are benign. However, if you continue to notice these particles or if they are accompanied by any concerning symptoms, it is advisable to consult a healthcare professional. They may recommend further testing, such as a urinalysis or urine culture, to rule out any underlying conditions.

In summary, while the presence of white particles in urine can be benign, it is essential to monitor any accompanying symptoms and consult a healthcare provider if you have concerns. Staying well-hydrated, maintaining a balanced diet, and being aware of any changes in your urinary habits can help manage and understand your urinary health better. If you have any doubts or if the situation persists, seeking medical advice is always a prudent choice.

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