The actual fact is that you can find a lot of people who think they have prostatitis, and they ask how they know they have prostatitis, and which hospital diagnosed it. The answer to the question is often: I have a white urine and a bifurcated urine, and I went to several male hospitals and said it was prostatitis. The actual fact is that the urinary bifurcation and white urine is not a characteristic of chronic prostatitis, this phenomenon is in most cases a transient body reaction, the factors that cause this reaction are eliminated, the symptoms are also gone, there is no need to bring great psychological pressure to yourself. Here is a brief introduction to the main causes of white and bifurcated urine.
1, the cause of urinary bifurcation
The urethra is a channel for the body to excrete urine and semen, and when it is unobstructed, the urine that is discharged is in a straight line. When there is resistance or obstruction at the outer urethra, the urine line may appear bifurcated. The following factors can cause the appearance of bifurcation of urine.
(1) Mild adhesion of the urethral mucosa: The normal urethra has urethral glands, which can secrete a small amount of mucus every day to lubricate and protect the urethra, and generally these mucus is stored in the urethra and has a protective effect on the urethral mucosa. When encountering sexual stimulation, urethral secretions can increase and a small amount of secretions can flow from the urethral orifice, and when the penis is erect, there can be a small amount of secretions flowing from the urethral orifice due to the squeezing of the penis spongy body on the urethra. After the urethral secretion dries in the outer urethra, the mucous membrane and skin on both sides of the urethral orifice become slightly adherent, the urinary channel is slightly uneven, and the bifurcation appears in the initial stage of urination, and the bifurcation disappears after a large amount of urine washes the adhesion away.
(2) Urethral stones: When a small urethral stone obstructs the external urethral opening, bifurcation of urine can occur during urination, but this condition is mostly accompanied by painful urination and hematuria. Urethral stones were common in the 1950s and 1960s, but are now rare.
(3) Urethral mucosal tumor or polyp, because the tumor caused local urine through the poor and appear urinary bifurcation, this situation is also rare.
(4) Abnormal anatomical structure of the urethral orifice can also appear urinary bifurcation phenomenon.
2, the cause of white urine (milky urine)
Many men will find that sometimes the urine is milky white or rice-like, and sometimes milky urine appears at the beginning or end of urination. These men are worried and psychologically stressed after the occurrence of milky urine, and often think they are suffering from prostatitis. What is the cause of this? Is it a serious pathology? The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
(1) Celiac disease
Under normal circumstances, celiac particles of food absorbed through the intestine enter the vena cava via the lymphatics of the posterior abdominal wall and are transported throughout the body to provide nutrient components necessary for the metabolism of various tissue cells. Under the influence of certain pathological factors (e.g. filariasis. When the obstruction is severe and the pressure reaches a certain level, the lymphatic vessel wall will rupture and a large amount of celiac fluid will spill out from the rupture. The rupture of lymphatic vessels at different sites can cause different clinical symptoms and manifestations. If the lymphatic vessels in the abdominal cavity rupture, a large amount of celiac fluid flows into the abdominal cavity to form celiac fluid, and if the lymphatic vessels near the urinary system rupture, the ruptured lymphatic vessels open in the renal pelvis, ureter or bladder, and the celiac fluid is mixed into the urine and called celiac disease. If the rupture of a lymphatic vessel is accompanied by the rupture of a small blood vessel, celiac hematuria is formed. It is generally believed that more than 90% of lymphatic vessel obstructions are caused by filariasis, and a few are caused by tumor compression or inflammatory adhesions.
Early onset of celiac disease usually has no systemic symptoms, and patients only occasionally find that their urine is milk-like, which occurs intermittently. It is especially obvious after exertion and eating high-fat food, and sometimes celiac hematuria can also occur. When there is too much celiac disease, clots can be formed to block the ureteral tract, causing difficulty in urination and symptoms of renal colic. When celiac disease occurs over a long period of time, symptoms such as wasting, malnutrition and weakness can occur due to excessive fat and protein loss. Occasional occurrences of celiac disease generally have no effect on health, and sometimes the ruptured lymphatic vessels heal naturally and the celiac disease disappears.
The qualitative celiac test is still an important basis for the current diagnosis of celiac disease. The method is simple: the milky urine found is placed in a test tube, reagents are added, and if positive, it is celiac disease, while if negative, it is not. If this is not clear, the supernatant can also be observed microscopically and a large number of fat droplets can be found to make the diagnosis. The diagnosis of celiac disease is easy, but the cause of celiac disease requires a thorough examination at a hospital where it is available.
The treatment of celiac disease should be targeted after identifying the cause of celiac disease, such as treatment of filariasis if it is caused by filariasis, or surgery if tumor compression is suspected.
(2) Phosphaturia
Phosphaturia or uric aciduria can also appear as milk-like milky urine, either at the beginning or at the end of urination, but most of them appear at the end of urination, and there is no discomfort other than milky urine during urination. The appearance of urate and phosphate urine is not significantly related to a high-fat, high-protein diet or exertion. This milky urine is also easy to differentiate from celiac disease. The cloudy urine is placed in a test tube and becomes clear when heated or acid is added. The qualitative test for celiac disease is negative. There is no special treatment for this type of milky urine. Drink more water during the occurrence of milky urine, or take alkaline medication, and the symptoms will disappear.
(3) Pus urine
Pus urine can also appear as milky urine, but pus urine has symptoms of urinary tract irritation and clinical manifestations of urinary tract infection, and a large number of white blood cells can be seen in the urine routine.
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