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Brown urine. Urine culture shows no growth. Should a doctor be consulted again?

My husband had a brownish color urine so I had him see a dr. They did a urine stick test and said there was blood but no white cells and that it was probably a UTI. He did not have any other signs of a UTI (burn, pain, frequent urge to pee ect). They gave him a prescription for a UTI and sent him home. The culture came back "no growth" which I think means no UTI. His urine color has gone back to a normal color but I am still concerned that this might have been something else. Should he still see a urologist or wait and see if the blood returns after he is done with the prescription? This could be something more serious so I am concerned.
Asked On : Fri, 19 Apr 2013
Answers:  1 Views:  73
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

I have gone through your query in detail, and if the culture and sensitivity has returned with a result of 'no growth', then it is not a UTI. Moreover, there were no white blood cells in the initial urine stick test either right? This means there is no infection.

Of course, the medications advised would be of no advantage to your husband. Instead of dwelling into infection only, let us look at all the possible causes of brown or tea-colored urine first:
-Copper poisoning
-Tyrosinemia (genetic disorder)
-Liver abnormalities
-Kidney disorders
-Infections in the renal system (kidney, urinary bladder, or ureter)
-Muscle injury

These are the most common causes of brownish or tea-colored urine. If the color in the urine does return, then you would have to consult a urologist or an internal medicine specialist who will guide you accordingly. Please also confirm the presence of blood in his urine when this brown urine returns (hoping it doesn't).

The treatment for each of the above mentioned conditions is different and will have to be taken up accordingly, which is why I am not mentioning treatment options here. In the meantime, give him plenty of fluids.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Sat, 20 Apr 2013
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