View Full Version : Foamy Urine Anyone Else?

05-13-2011, 07:22 AM
Hey everyone,
I am wondering if anyone else has foamy urine, like bubbly?

Thanks, for your response in advance.

05-13-2011, 08:06 AM
No I haven't just UTI but someone will come along soon :-)

05-13-2011, 08:45 AM
There are several reasons for foamy urine. Some are nothing to worry about but some are. It can be something as trivial as holding the urine too long so that by the time you go to the restroom you force it so it hits the water faster and foams up to something more severe such as having protein in your urine. This is not something to mess around with for people with Lupus or Autoimmune Diseases.

If I were you I would go see the doctor about this one. Hopefully it is one of the things that isn't a problem but it is better to be safe than sorry

05-13-2011, 10:14 AM
Hey Mari & Liz,
Thanks, for your response. I know that I in the past had problems with blood cast and protein in my urine before I was DX with DLE in 2005, then later DX with SLE 4 months ago now, by my PCP who has now moved out of my state where I live. So, I need to find another PCP doctor. My rheumy doctor, I see for my Fibro, told me, no, to testing me for SLE and he sees nothing in my file that would indicate testing me for SLE. Probably, because he never ask me anything, plus he keeps bad records. I know I need a better rheumy, although I have little money and no insurance. Anywhoooo... I do have an appointmet coming up on May 25th with a new Neroligust, that my PCP referred me to, before he moved out of my state, so I will go over my foamy urine with him. You know, it is real hard when you have Fibro too, not sure if new pain or just the Fibro?
I want to thank all of you that share your experiences here in this forum, it really helps A LOT!

05-13-2011, 10:26 AM
You are SOOO right about the difficulties of having fibro and lupus! It is the same when you have overlapping autoimmune diseases. You don't know where one stops and the next one begins! Sometimes the fibro can actually make you feel worse then the Lupus. I am glad you are going to see someone. I understand about no insurance and money. I have been out of work since last April because of this disease and I too have no insurance. While I am glad that you have a doctors appointment I really wish you would go to a GP to have the urine tested. That really worries me

I am glad that you are enjoying being a part of our family. We are glad that you are here!

05-13-2011, 10:46 AM
Do you think I need to have my urine checked sooner then my May 25th appointment with Neuro doctor? Or, do you think Neruo doctor no good with foamy urine? It has been foamy for months and months. I also have more of an urgency to go, that I have noticed too. Having a lot of back pain too, although I know I have severe fibro. Mari, I really do thank you, for your advice.

Linda From Australia
05-13-2011, 10:57 AM
I would suggest to go to your primary doctor as soon as possible and ask to test you for a unrine and kidney infection, along with running some blood tests to test for your kidney function. If there is someting wrong, then the sooner you get it checked out the better. If you leave it too long you may be risking damage.

05-13-2011, 11:17 AM
Oh, your RIGHT!
I do not have a PCP right now because he moved out of my state. I just called my rheumy doctor to see if he would run my urine test. He is gone though, for the weekend, office is closed. I should have never waited this long and I never did ever mention about the foamy urine to my former PCP, how lame of me. Thanks, Linda, for your input.

05-13-2011, 11:24 AM
Linda is right. You need to get to a GP as soon as you can. The neuro isn't going to urine and blood work. Call around or ask friends/family who they use as a GP and make an appointment. It may be nothing but you really don't want to take a chance with this

Don't stress over it just make a plan to get tested

05-13-2011, 11:30 AM
I have the same problem with my urine. I also have ale and fibro. My pcp referred me to a neuro who also specializes in rheumatoid issues. I go tuesday and its the first time i've seen him. My pcp thinks its bc of poor kidney function, which I have had in the past. I just recently (in the last 2 months) got health insurance so I know where you're coming from from, but kidney function is nothing to mess with. Be careful, and I hope it all works out for you. I will update tuesday after my appointment. God bless.


05-13-2011, 11:30 AM
Yeah, ok, I will and I'll try not to stress out about this too.

05-13-2011, 12:04 PM
You guys ROCK!!

I am going to go to the Walmart medical clinic today, b/c it is now close to being the weekend and the NP just said on the phone that she will run the urine test for me.
Everyone thanks for your help, I will fill you in later.


05-13-2011, 03:50 PM
Ok, I just got back from Walmart medical clinic and finished my urine test and I am positive for proteins and large blood cast. The NP said to me that it is the Lupus and it is not an emergency so, I can wait until my May 25th appointment with a new neuro doctor. I will find a new PCP as well.

Do you guys have proteins & large blood cast also???? With SLE???

You guys are great!!

I feel a lot better that I went today and checked it out.


05-13-2011, 09:14 PM
i love the way this family helps each other!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!

05-13-2011, 10:09 PM
Ok Diane the fact that they were not concerned means that the counts were not that high. One of the things that the doctors look for with proteins is high counts that could mean kidney involvement with your Lupus. Most of us have some low levels of protein but you want to make sure and keep an eye on this because you don't want kidney involvement.

I am so glad you were able to get tested today! Let us know how things are going

Linda From Australia
05-13-2011, 11:35 PM
It is so good you found out what was wrong as quickly as you did. At least now you don't have to worry anymore, and it is only 3 weeks until you get seen. Just remember if your symptoms get any worse do not hesitate to see your doctor.

05-16-2011, 04:01 PM
Ok, I just got back from Walmart medical clinic and finished my urine test and I am positive for proteins and large blood cast. The NP said to me that it is the Lupus and it is not an emergency so, I can wait until my May 25th appointment with a new neuro doctor. I will find a new PCP as well.

Do you guys have proteins & large blood cast also???? With SLE???

You guys are great!!

I feel a lot better that I went today and checked it out.

-DanaHello Dana,

I lose protein but not through my urine, it forms in a thick moisture down below and i wipe me and told the gyno about it and she's told me to stop it as i'll lose more as apparentley i'm causing good protein to come from me more, it's to do with SLE and refering blood casts i'll add some info below helping you on what it is and what causes it because that's a urinary problem also.

((Hugs Terri)) xxx

05-16-2011, 04:03 PM

Urinary casts are tiny tube-shaped particles made up of white blood cells, red blood cells, or kidney cells. They form in kidney structures called tubules. Casts are held together by a protein released by the kidney. The content of a cast can tell your health care provider whether your urine is healthy or abnormal.

Types of urinary casts include:

•Fatty casts
•Granular casts
•Hyaline casts
•Red blood cell casts
•Renal tubular epithelial casts
•Waxy casts
•White blood cell casts
How the Test is PerformedA clean-catch (midstream) urine sample is needed, preferably the first morning urine sample. For information on how to collect this sample, see: Clean-catch urine culture

How to Prepare for the TestNo special preparation is needed.

How the Test Will FeelThe test involves only normal urination, and there is no discomfort.

Why the Test is PerformedYour doctor may order this test to see if your kidneys are working properly and to check for certain conditions such as kidney infections, glomerular disease, and interstitial kidney disease.

Normal ResultsThere are different types of casts. The presence of a few hyaline casts is normal.

What Abnormal Results MeanAbnormal results may include:

•Fatty casts are seen in people who have lipids in urine, usually as a complication of nephrotic syndrome.
•Granular casts are a sign of underlying kidney disease. However, they are nonspecific and may be found in people with many different kidney disorders.
•Hyaline casts are usually caused by dehydration, exercise, or diuretic medicines.
•Red blood cell casts are a sign of bleeding into the kidney tubule. They are seen in many diseases affecting the glomerulus, including IgA nephropathy, lupus nephritis, Goodpasture syndrome, and Wegener's granulomatosis.
•Renal tubular epithelial cell casts reflect damage to the tubules. They are seen in renal tubular necrosis, viral disease (such as CMV nephritis), and transplant rejection.
•Waxy casts are associated with advanced kidney disease and chronic kidney failure.
•White blood cell (WBC) casts are more common in interstitial cell kidney diseases such as interstitial inflammation, pyelonephritis, and parenchymal infection.
This test may also show:

•Acute nephritic syndrome
•Glomerulonephritis - chronic
•Glomerulonephritis - post-streptococcal
•Glomerulonephritis - rapidly progressive
•Complicated urinary tract infection
•Necrotizing vasculitis
•Primary amyloid
•Secondary amyloid
•Systemic lupus erythematosus
RisksThere are no risks.

Alternative NamesHyaline casts; Granular casts; Renal tubular epithelial casts; Waxy casts; Casts in the urine; Fatty casts; Red blood cell casts; White blood cell casts

05-17-2011, 05:43 AM
I test my urine at home with Urine Test Strips (Blood, Billirubin, Urobiligen, Ketone, Protein, Nitrite, Glucose, PH, Specific Gravity, Leucocytes) and if anything is abnormal I go and see my GP.

05-17-2011, 06:52 AM
You might see if there is a low cost clinic you could go to. The Take Care Clinics in some Walgreens have pretty low fees, but I don't know if they do labs. It might be worth looking into, especially since you don't have to wait for a doctor to work you into their schedule. I can't imagine not having insurance. Even with our insurance we are loosing ground financially.

05-17-2011, 01:16 PM
You guys ROCK!!

I am going to go to the Walmart medical clinic today, b/c it is now close to being the weekend and the NP just said on the phone that she will run the urine test for me.
Everyone thanks for your help, I will fill you in later.

-DanaHello Dana,

How did you go with your test?...please keep we updated. xxx

05-28-2011, 02:01 PM
You guys are AWESOME!!

How fantastic and I thank all of you, very much.

Well, I did end up in the ER on 5/14 and I had been having constant pressure pain like a tight rubber band, around my abdomen, for 4 days straight. So, I decided to go to the ER. They ran an EMG test, blood work up and urine test I think both done with cultures. I had a CT scan with 2 bearium "yuck" drinks before and then they gave me IV with contrast.

So, the ER doctor told me that I have some small cist on my liver and probable phlebolith in my lower right pelvis.

The ER doctor said no acute process and sent me home with two scripts for Cipro 500mg for 10 days and Protonix 40mg 30 Tabs.

I also, just had my first appointment with my Neuro doctor and he told me that he thinks I have more problems then Lupus and Fibromyalgia. He said I have abnormal reflexes. The Neuro doc sent me for a MRI scan of my C spine, two days ago now. I do not know the results yet?

Well, my abdomen pain is GONE.

I wish everyone the best day ever and in the future too.


05-28-2011, 02:22 PM
Glad you are doing better, and that the neurologist is following up on your abnormal reflexes. Let us know how the MRI turns out, please.

05-28-2011, 02:35 PM
Hey Gizmo,

Right on and I will.

05-28-2011, 03:26 PM
Hello Dana,

Thanks for letting we know how things went by going to ER they're soon did some testing.

Sorry to hear you've got a cyst on your liver did they mention what they intend to do about that? but they must run further tests about the
phlebolith on your cervix to double make sure.

Was there any idea of what he may think you have to send you for an MRI scan for your reflexes.

I am please the pain as eased now your taking medication.

((Hugs Terri)) xxx

05-28-2011, 03:55 PM
Hey Terri,
No, the ER doctor had only told me I have the small cyst on my liver and she did not mention any more to me about it or phlebolith on my right pelvis. I will have to do some research, I am not sure what this means, do you?

Thanks, for your replies.


05-28-2011, 04:07 PM

I'll look up some info for you about the two mate, bare with me.

I hope the info helps. Terri xxx

05-28-2011, 04:10 PM

Liver Cysts and TumorsLiver cysts occur in approximately 5% of the population. However, only about 5% of these patients ever develop symptoms. In general, cysts are thin-walled structures that contain fluid. Most cysts are single, although some patients may have several. The symptoms associated with liver cysts include upper abdominal fullness, discomfort, or pain. A small number of patients bleed into the cyst, which causes sudden and severe right upper quadrant and shoulder pain. The bleeding stops on its own, and the pain then improves over the next several days. Liver cysts do not impair the liver’s ability to function. The cyst(s) are usually found by ultrasound (US) or computed tomography (CT scan). Simple liver cysts are always benign. The only patients who require treatment for a liver cyst(s) are those who develop symptoms. Simply removing the fluid from the cyst with a needle is not effective because the cyst fills up again within several days. The best treatment is to remove a large portion of the cyst wall. This surgical procedure can usually be done through the laparoscope, which requires only 2-3 small incisions and an overnight stay in the hospital. Most patients recover fully within 2 weeks. The risk of the cyst recurring is very low. A very small number of patients (0.6% of the general population) have polycystic liver (PLD) disease, which is characterized by the liver appearing like a cluster of very large grapes. Over the course of several years, patients with PLD may develop massive enlargement of the liver, which results in abdominal swelling and discomfort. In extreme cases, the patient may have a very poor quality of life because of the pain and fluid. Unlike the inevitable kidney failure associated with polycystic kidney disease, which can coexist with PLD, PLD does not cause liver failure. The only long-term solution for patients with severe PLD is liver transplantation.

Cystic Tumors
Unlike simple liver cysts, cystic tumors are actually growths that may become malignant over the course of many years. The benign cystic tumor seen most frequently is called a cystadenoma; its malignant counterpart is a cystadenocarcinoma. The symptoms caused by cystic tumors are the same as those seen with simple cysts; fullness, discomfort, and pain. The liver blood tests usually remain normal, unless a cancer has developed. US and CT scans are the best imaging studies to show the cystic tumors, which contain both liquid and solid areas. Because of the possibility of malignancy, cystic tumors must be completely removed surgically with an open (not laparoscopic) operation. The recurrence rate after surgery is very low and the long-term prognosis is excellent.

05-28-2011, 04:19 PM
What is a Pelvic Phlebolith

Phleboliths are masses, deposits or growths which develop in the wall of a vein and are composed of calcium or lime. They are common in the pelvic area and are stationary and harmless; however, they can indicate the presence of more dangerous conditions or diseases. Most adults have phleboliths and are unaffected by them because they are symptomless. Their presence is usually only known after an individual has undergone X-ray imaging related to other health issues.

The pelvic area is the section of the body located at the base of the spine and surrounded by the hips. This area includes the bladder, genitals, prostate and other organs of the lower abdomen. In X-ray imaging, phleboliths appear as rounded white or light-colored spots. They can be confused with bladder or kidney stones at first observation but can be distinguished from these stones by their translucent centers and circular or oval shape.
Medical specialists suggest that pelvic phleboliths develop in clots within pelvic veins that have been damaged from increased pressure caused by coughing or during the defecation process.
Phleboliths in the pelvic area can be shaped like ovals, circles or tubes and range in size from tiny specks to growths up to 1/2 inch in diameter.
According to the article "Relation Between Pelvic Phleboliths and Diverticular Disease of the Colon" published in the "American Journal of Roentgenology," there is a link between phleboliths and diverticular disease. Specifically, researchers suggest both develop after prolonged consumption of a low-fiber diet. Such diets contain large amounts of processed foods, meats, refined sugar and white flour.
Geographic Distribution
Pelvic phleboliths are common in Western countries but are rarely heard of in nations where fresh foods, fruits and vegetables are the standard as opposed to diets full of processed foods containing numerous artificial additives and chemicals.
Prognosis When Diagnosed With Phleboliths
The presence of phleboliths can be a warning sign that more severe conditions, such as colorectal hemangiomas (benign tumors), are present in the body of young patients. The masses can also indicate that a patient has an enlarged bladder, rectal distention, stomach cancer or other tumors.
Considerations of Phleboliths
Although phleboliths do not move in and of themselves, they can be displaced and appear in different locations from X-ray to X-ray. This can alert a medical provider to the presence of a tumor which has either grown or decreased in size, causing the phlebolith to change position.

05-28-2011, 07:21 PM
Wow Terri,

Thanks for the great info. I will have to inquire about, myself, having this, with my doctor and make sure all is good. My diet does need to improve.

Terri, again big thanks!!


05-29-2011, 03:17 AM

If your like me and got a printer, print it out mate and how you've got a cyst on your liver, i've got a Tumour on mine and it was going me some pain this morning, i'll be glad when the gastro appointment arrives.

All the best mate when seeing your Doctor.

((Hugs Terri)) xxx