Foamy Urine in the Morning | Symptoms Diagnosis Treatment

Passing Foamy urine early in the morning might be normal for everybody. However, this passing of foamy urine in many cases can be related to certain health issues including, dehydration, reproductive health problems, kidney problems, diabetes (nephropathy), etc. The Fertilityworld finest specialists have elaborated on foamy urine causes and its symptoms on this page so any individuals at risk of such conditions will be benefited by following this content or directly contacting its specialists. 

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Foamy Urine

Foamy urine is the appearance and persistence of multiple layers of small to medium bubbles, cloudy bubbly appearance in urine during urination into a toilet bowl or on the ground.

9 Causes of Foamy Urine 

1. A full urine bladder: When the urine bladder is full, your speed of urination hits the toilet at a faster speed than normal rate, causing the water to stir and create foamy bubbles which will disappear within a minute, it is normal.

2. Foamy Urine early in the morning: In many cases, the passing of foamy urine in the morning is because of a full bladder with more concentration. This type of foam in the urine will disappear in a few minutes and is not indicative of a serious problem. However, if it remains foamy it can indicate more serious disorders such as kidney disease or diabetes. If a person has concerns or is symptomatic, they should consult the specialists.

3. Abnormal Pregnancy: Everyone has some amount of protein in their urine. It is normal for protein levels to be higher ranging from 150 to 300 mg per day, during pregnancy than at other times however, when it exceeds 300 mg/24 hours at any time during gestation, it is considered abnormal in pregnant women. Proteinuria documented before pregnancy or before 20 weeks’ gestation suggests pre existing renal disease.

4. Toilet cleaning chemicals: The appearance of foamy urine may also be caused when it reacts with the chemicals in your toilet bowl. The presence of cleaning products in your toilet can cause foam to form. Try flushing out the chemicals in your toilet to see if the foam stops.

5. UTI Medications :Certain medications can also cause bubbles or foam in the urine. For example, some medications that treat urinary tract infections have been known to cause foamy urine. UTI medicines contain an active ingredient called phenazopyridine hydrochloride, which can cause foamy urine in some men.

6. Chronic kidney disease (CKD): A normal kidney filters waste and toxins from the blood while keeping protein and other important substances that are required by the body and circulate in your bloodstream. But, when kidneys are damaged, they can allow too much protein to pass through urine. This is called proteinuria. The high levels of protein in urine can cause it to be foamy. 

7. Excess protein in the urine: The passing of excess protein such as albumin can cause foamy urine which can indicate kidney disease including kidney stones or uncontrolled high blood pressure. The protein reacts with the air to create foamy urine. Protein in urine is not a problem itself, but an excess amount can be a sign that something is wrong. 

8. Diabetes: Diabetes and high blood sugar levels may result in higher levels of albumin passing through the kidneys resulting in foamy urine. Damage to the kidney’s microvascular (small blood vessel) and filtration systems due to diabetic nephropathy also causes proteins to pass into the urine more freely resulting in foamy urine.

9. Retrograde ejaculation: Retrograde ejaculation is a medical condition in which semen goes back into the urine bladder instead of passing out and getting released from the penis. During urination, it can come along with urine causing foamy in the urine. Amyloidosis also causes foamy urine, fluid buildup, and problems in the kidneys. It is a rare condition caused by the buildup of a specific protein that can affect many organs.

Symptoms of foamy urine

The symptoms of foamy urination include:

• Foamy urine can be a symptom and a marker of proteinuria.
• A symptom of kidney disease
• An early symptom of renal disease,
• Infertility or having difficulty making a female partner pregnant.
• A symptom of Amyloidosis, a rare condition buildup of a specific protein, can affect many organs.
• Swelling: Swelling in the hands, feet, face, and abdomen could signify fluid buildup from damaged kidneys.
• Other health problems: Foamy urine can also be a symptom of medical issues affecting other systems in your body. If you notice foam in your urine, you should call your primary care physician.

Foamy urine Diagnosis

A doctor can diagnose foamy urine by testing the urine with a dipstick. This will determine if there is high protein. A 24-hour urine test may be recommended if the urine contains high levels of protein. The test requires that the person collects all of their urine throughout the day. Another urine diagnostic test will be performed to determine the amount of Albumin and Creatinine. This is another form of waste. If an individual’s ratio of albumin to creatinine is higher than the average, it could indicate kidney disease.

Treatment for Foamy Urine 

1. In case of dehydration: The most basic foamy urine treatment simply includes drinking more clear fluids/water until the color of the urine is pale yellow or nearly transparent. 
2. In the case of diabetes: A specialist can prescribe oral medications or insulin injections to reduce blood sugar levels. 
3. In the case of Kidney problems: Often, diabetes and high blood pressure cause kidney disease. Certain effective medications may be prescribed or recommended to make lifestyle changes including, eating healthy food, undergoing a low-sodium diet, controlling high blood pressure, managing blood sugar levels, exercising regularly, and avoiding smoking. The blood sugar level is tested often to make sure it’s staying within a healthy range. 
4. In the case of high blood pressure: Maintain your diet and stay active. Limiting the salt and protein in your diet can both bring down blood pressure and prevent your kidneys from having to work so hard. Your doctor may also prescribe calcium channel blockers, diuretics, or other drugs to lower blood pressure. It may also prescribe Angiotensin-converting enzyme inhibitors or angiotensin receptor blockers drugs to lower blood pressure and protect the kidneys from additional damage.
5. In the case of Retrograde ejaculation: To fulfill fatherhood or the dry orgasms bother you. A combination drug is prescribed, it closes the bladder neck preventing the semen from getting inside the bladder. Also, drugs approved by FDA including brompheniramine, chlorpheniramine, ephedrine, imipramine, phenylephrine, pseudoephedrine, etc can be given only by the doctor, to treat retrograde ejaculation. 

Sisir Parajuli