Why Is There Oil on the Surface of My Urine? the Causes - Urology

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Urine sometimes appears to have an oily sheen?


I would like to ask the doctor, my urine was normal before, but ever since I started taking medication for my peptic ulcer, sometimes my urine feels oily on the surface.
However, I don't feel any discomfort.
Now that I've stopped the medication, the oily appearance in my urine still occurs, and it's quite concerning.

Niming, 40~49 year old female. Ask Date: 2015/11/21

Dr. Xu Weikai reply Urology


Hello, it is recommended to check your urine to see if there are any issues.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/21

More Info


The presence of an oily film on the surface of urine can be concerning, but it is important to understand the potential causes and implications. In your case, you mentioned that this phenomenon began after starting medication for a peptic ulcer, and it has persisted even after discontinuing the medication. While you do not experience any discomfort, it is essential to explore the possible reasons behind this symptom.

1. Medications and Their Effects: Certain medications can alter the composition of urine, leading to changes in its appearance. For instance, some medications can cause the excretion of fatty substances or other compounds that might create an oily layer on the surface of urine. If the medication you were taking for your peptic ulcer contained ingredients that affect fat metabolism or absorption, this could explain the oily appearance.
2. Dietary Factors: Your diet can also influence the characteristics of your urine. High-fat diets or the consumption of certain foods can lead to the excretion of fats in urine. If you have made any recent changes to your diet, it might be worth considering whether these changes could be contributing to the oily appearance.

3. Dehydration: Dehydration can concentrate urine and may lead to unusual appearances, including an oily film. Ensuring adequate hydration can help normalize urine appearance.

4. Underlying Health Conditions: While you mentioned that you do not feel any discomfort, it is crucial to rule out any underlying health issues. Conditions such as liver disease, kidney problems, or metabolic disorders can sometimes lead to changes in urine appearance. If the oily film persists, it would be prudent to consult a healthcare professional for further evaluation.

5. Urinary Tract Infections (UTIs): Although you do not report any symptoms typically associated with UTIs, such as burning during urination or frequent urges to urinate, it is still a possibility that should be considered. Some infections can lead to changes in urine appearance.

6. Testing and Diagnosis: If the oily appearance of your urine continues, it is advisable to undergo a urinalysis. This test can help identify any abnormalities in your urine, such as the presence of proteins, fats, or other substances that should not be there. Based on the results, your healthcare provider can offer more specific guidance and treatment options.

In summary, while the oily appearance of your urine can be attributed to various factors, including medications, dietary changes, and potential underlying health issues, it is essential to monitor the situation. If the symptom persists or worsens, seeking medical advice is crucial to ensure that any underlying conditions are addressed appropriately. Regular check-ups and open communication with your healthcare provider can help maintain your overall health and well-being.

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