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Forum Name: Renal Failure

Question: Can persistent green urine signal kidney trouble


 darkestdays30 - Thu Jan 01, 2009 11:23 am

Was wanting to see if green urine (x 3 days so far) could signal kidney trouble, failure, or such. I've had problems with small stones since 3-07. Doctor gave me Cipro but urine showed no signs of infection. He was concerned it might be my liver (trace Bilrubin in urine). Came home, took Cipro, urine turned dark cloudy yellow and I started burning really bad, flank pain worsened, & I started having hesitency, was not occuring before taking the Cipro. Doctor would not change medication. Urine turned back to green. After 2nd dose, it turned yellow only the 1st time I had to pea, then back to green, burning stopped, pain calmed down, urine is still green today, am not having signs of an infection now but still some hesitency. I am worried my kidneys are malfunctioning. The doctor did not order a blood test on my kidneys. I did have a CT earlier that morning from another doctor but don't have the results.

Urine went from a greenish blue color to pale green, to a teal color, to a dirty looking green to lime green. I have not taking any medications, food, or liquids that would have caused this.
 Dr.M.jagesh kamath - Fri Aug 27, 2010 12:35 pm

User avatar Hello,This is a very interesting case.Similar case of a boy in a road accident admitted in ICU was treated with Medication included dopamine, methylprednisone, antibiotics , muscle relaxants and sedatives (midazolam, propofol, fentanyl), low-molecular weight heparin, clonidine, fluids and parenteral nutrition with addition of electrolytes, vitamins and iron.
The cause in this case was traced to propofol,a muscle relaxant due to excretion of a phenolic chromophore.After stopping the medication green urine cleared.
Bowling P, Belliveau RR, Butler TJ. Intravenous medications and green urine. J Am Med Assoc1981; 246: 216[Abstract/Free Full Text]


Department of Nephrology and Internal Intensive Care Medicine, University Clinic Charité, Campus Virchow-Klinikum, Humboldt-University Berlin, Berlin, Germany5-726.Green urine after motorcycle accident.
Nephrol Dial Transplant (2000) 15: 72Julia Lepenies, Evjenia Toubekis, Ulrich Frei and Ralf Schindler.

Best wishes.
 Dr.M.Aroon kamath - Fri Aug 27, 2010 1:15 pm

User avatar Hi,
Dr.Jagesh has provided some very interesting references. Several other drugs have been reported to be associated with greenish discoloration of the urine. There is one case report of association of metoclopramide with green urine. This article sites references to association with other drugs as well.
http://ndt.oxfordjournals.org/cgi/conte ... 19/10/2677
Best wishes!

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