Chyluria is a morbid condition in which
the urine contains chyle or fatty matter, giving it a milky appearance.
Urine containing chyle:
Filariasis: This is the most frequent cause of chyluria. Filariasis is
endemic in some areas, mainly in the Asian continent. Repeated filarial
attacks lead to obstruction of lymph flow. This leads to dilatation of
the lymphatics and later they rupture into urinary system leading to
Non-parasitical causes of chyluria: Tumors, abscesses, trauma,
tuberculosis, congenital, etc.
Milky appearance of the urine is the striking sign of Chyluria.
Prolonged chyluria results in loss of weight and subcutaneous fat,
hypoprotenemia, lymphopenia and anaemia.
Lymphography (imaging procedure) demonstrates the site, the
calibre and the number of the fistulous communications.
Homoeopathy can have a definite role to play in the treatment
of chyluria due to parasitic origin, trauma, abscesses,
tuberculosis, etc. In these cases Homoeopathy can help to
reduce the swelling of the lymphedematous limb as well
control its progress. Homoeopathy can also help in preventing
superadded infection of the lymphedematous limb. Congenital
cases in which structural abnormalities of the lymphatics
are evident may not be helped much with medical treatment.
Chyluria due to tumors may also have to be treated
surgically and Homoeopathy may have only a supportive role to
play in such cases. A fair trail with homoeopathy is
suggested for all cases especially those that have not
responded well to conventional treatment.
Tips for supportive management of Chyluria:
Dietary modification: A diet excluding fat, supplemented by
medium chain triglycerides (MCT) and high protein content.
Management of swollen lymphedematous limb:
- Bed rest and high
amount of fluid intake.
- Elevation of affected
- Application of elastic