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What Causes Small Dark Brown Flakes In Urine While On Lialda?

Posted on Thu, 21 Jul 2016

Question: When urinating I notice small dark brown flakes in urine. Only a few. I am taking Lialda for ulcerative colitis for three weeks.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You have UTImostly secondary to Enlarged Prostate .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have noticed dark brown flakes in urine since very recently .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have any obstructing voiding symptoms like frequency for urination ,urgency ,nocturia etc suggestive of Enlarged prostate which is common at this age .
Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis with post void urine residue .
3) Serum PSA.

Please take broad spectrum antibiotics like Cefotaxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water .To keep your urine dilute This will help to control dysuria.

Further treatment will depend upon result of these tests and final diagnosis

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

I have frequency and dysuria. Dysuria is in the morning and is painful. Dysuria began 3 or 4 weeks ago. Frequency began on and off about 8 weeks ago. Some days it lasts for an hour. Some days lasts through the afternoon.

has my follow up question been received?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You need to consult Urologist and get investigated .

Detailed Answer:
hello
Thanks for follow up .
I am quite concerned about your symptoms which I think to be due to Enlarged prostate .

Please consult Urologist and get investigated .

In the mean while start taking combination of Tomsulosin and Dutasteride once daily along with antibiotic Ciprofloxacin twice daily .This will help yo to relieve symptoms .

Thanks and Regards.
Dr.Patil..

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar