Health
Male urine turned green after 5 days in ICU – due to his medication
- Normal urine should be pale yellow, but in some patients it turned into a strange shade of green
- This happened because the patient was given a general anesthetic called propofol.
- Fortunately, it was a harmless side effect and his urine normalized after a few days.
When a 62-year-old man reached the ER after experiencing dyspnea for two days, he underwent general anesthesia. As a result, the urine turned cloudy green. New England Journal of Medicine..
Patients who experienced dyspnea due to chronic obstructive pulmonary disease (COPD)There were life-threatening levels of carbon dioxide in his blood, a progressive lung disease.
Why did this happen?
After admission to the intensive care unit (ICU), the patient was placed on a ventilator and given the general anesthetic propofol. His urine collected in a catheter bag reportedly turned green five days after admission.
Urine of this color is rare, but thankfully harmless.
The author of the Weiss Memorial Hospital in Chicago explained that green urine can be caused by several factors, including side effects of the drug, certain liver problems, and infections.
Understand in more detail
Urine discoloration is known to occur, but it is not completely understood how it happens exactly.
Live science Quote 2015 report In a similar case, Journal of Clinical & Diagnostic ResearchDoctors suggest that this can happen when certain degradation products, called propofol (usually metabolized in the liver) metabolites, are excreted by the kidneys rather than the liver. The biotransformer then causes green urine.
Normal and healthy color finally recovers
In the case report, doctors wrote that removing propofol returned the male urine to a normal color. He was then hospitalized for two weeks and then released to a rehab facility.
by Harvard HealthIn addition to propofol, the gastric acid drug cimetidine (Tagamet) and the tricyclic antidepressant amitriptyline (Eravir) can also cause green urine.
Asparagus can also add a “greenish tint” to urine, the publication said, adding that it is also completely harmless. However, green urine can also be a sign of a urinary tract infection or a bacterial infection (bacteremia) that has entered the blood.
Other strange urine colors
Interestingly, green is not the only strange urine color that can occur.
For example, in 2019, doctors reported a case of a woman with “purple urine bag syndrome.” This is the result of a rare chemical reaction that can occur inside the catheter bag. Live science report..
Harvard Health Note Its blue urine is also possible and can be caused by methylene blue, a dye used in various diagnostic tests. According to the article, methylene blue is used in medicine and home remedies because of its antibacterial properties.
Other reasons for blue urine are blue diaper syndrome (rare metabolic disorders) and Hartnup disease (Congenital disorder).
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Image: Getty / Jason Butcher
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