Abnormally colored urine

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DDx

Red

  1. Hematuria
  2. Hemoglobinuria
  3. Porphyria
  4. Myoglobinuria (see Rhabdo) (often "tea" colored")
  5. Foods
    1. Blackberries
    2. Beets
    3. Blackberries
    4. Rhubarb
    5. Food coloring
    6. Fava beans
  6. Drugs
    1. Laxatives
    2. Phenophthalein
    3. Rifampin
    4. Doxorubicin
    5. Deferoxamine
    6. Ibuprofen

Black

  1. Methyldopa
  2. Betadine
  3. Melanoma

Orange

  1. Pyridium
  2. Rifampin
  3. Vitamin A
  4. Vitamin B12
  5. Carrots
  6. Beets
  7. Bile pigments


Purple

  1. Phenolphthalein
  2. Purple Urine Bag Syndrome[1][2]

Brown

  1. Levodopa
  2. Metronidazole
  3. Nitrofurantoin
  4. Iron sorbitol
  5. Chloroquine
  6. Methyldopa

Hematuria

UA = +Blood with +RBCs

Myoglobinuria

UA = +Blood with -RBCs


See Also

Rhabdomyolysis

Sources

  1. Barlow, GB; Dickson JAS (March 1978). "Purple urine bags". Lancet 1 (8062): 502.
  2. Tan, CK; Wu YP, Wu HY, Lai CC (August 2008). "Purple urine bag syndrome". Canadian Medical Association Journal 179 (5): 491. doi:10.1503/cmaj.071604

Aycock R. et al. Abnormal Urine Color. South Med J. 2012 Jan;105(1):43-7