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Darkened urine Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Darkened urine. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had dark urine?

    Why: to determine if acute or chronic.

  2. What color would you say best describes the urine?

    Why: e.g. dehydration may be described as gold color; blood in the urine may cause red, pink ,cloudy or smoky urine; liver disorders can cause tea-like or mahogany color due to presence of Bilirubin; rhubarb, senna, Vitamin B supplements, rifampin or pyridium may cause the urine to be orange; beetroot and blackberries may cause the urine to be red.

  3. If you suspect blood in the urine, does the blood in the urine occur in the first or the terminal part of the urine stream?

    Why: blood in the first part of the urine stream suggests a urethral or Prostatic lesion , while blood in the terminal part of the urine stream suggests bleeding from the bladder. Uniform bleeding has no localizing features.

  4. Have you had an injury such as a blow to the loin, pelvis or genital area?

    Why: may indicate trauma to kidney or bladder.

  5. If you suspect blood in the urine, is the dark urine transient or constant?

    Why: e.g. joggers and athletes engaged in very vigorous exercise can develop transient blood in the urine.

  6. Past history of kidney disease?
  7. Past Radiation therapy?

    Why: radiation cystitis can cause massive blood in the urine.

  8. Sexual history?

    Why: to determine risk of sexually acquired urethritis that can cause blood in the urine. May also determine risk of hepatitis B infection that can cause jaundice.

  9. Dietary history?

    Why: large amounts of beetroot, red lollies or berries in diet can cause red discoloration of urine. Recent consumption of shellfish may suggest Hepatitis a infection that can cause jaundice.

  10. Travel history?

    Why: recent overseas travel may suggest bilharzias or other parasites that can cause blood in the urine. Also determine if travel is to areas with an increased risk of Hepatitis A infection.

  11. Medications?

    Why: anticoagulants and cyclophosphamide can cause blood in the urine; some medications can cause dark discoloration of the urine e.g. rifampin, pyridium and Vitamin B supplements may cause orange discoloration, certain tranquilisers such as thorazine and compazine may cause red or brown discoloration of the urine, methylene blue may cause green or blue discoloration of the urine ; some medications can cause jaundice including isoniazid, methyldopa, halothane, ketoconazole, niacin, nitrofurantoin and disulfiram.

  12. Alcohol history?

    Why: may suggest risk of alcoholic hepatitis or cirrhosis which can both cause jaundice and consequent dark urine.

  13. Intravenous drug use?

    Why: increase the risk of hepatitis B and hepatitis C infection that can cause jaundice and dark urine.

  14. Abdominal pain?

    Why: In a person with blood in the urine may suggest renal stones (most likely), renal embolism, kidney contusion (bruising from trauma), kidney laceration, glomerulonephritis, renal cancer or polycystic kidneys. In a person with jaundice may suggest common duct stones, sclerosing cholangitis, pancreatic cancer, bile duct cancer, pancreatitis, viral or alcoholic hepatitis.

  15. Pain or burning with urination or frequency of urination?

    Why: may suggest a bladder stone, prostatic disease, urinary tract infection or renal infarction. If painless blood in the urine can suggest urinary tract infection or trauma, tumors or polycystic kidneys.

  16. Fever?

    Why: In a person with blood in the urine may suggest pyelonephritis (most likely), lupus erythematosus, infective endocarditis with emboli to kidneys; In a person with jaundice may suggest cholangitis, viral hepatitis, pancreatitis or severe alcoholic hepatitis.

  17. Symptoms of prostatic disease?

    Why: e.g. slow weak urine stream, terminal dribbling of urine - may suggest cause of blood in urine is from rupture of enlarged prostatic veins due to prostatic enlargement.

  18. Symptoms of bleeding disorders?

    Why: may suggest cause of blood in the urine e.g. extensive skin bruising, bleeding gums, bleeding nose, heavy menstrual periods, rectal bleeding and painful swollen joints.

  19. Symptoms of lupus erythematosus?

    Why: e.g. fever, malaise, tiredness, Raynaud's syndrome, butterfly shaped facial rash - may cause blood in the urine.

  20. Symptoms of leukemia?

    Why: symptoms of anemia, malaise, susceptibility to infections (such as sore throat, mouth ulceration and chest infections), easy bruising, gum enlargement - may cause blood in the urine.

  21. Symptoms of jaundice?

    Why: e.g. yellow coloring to skin and sclera of eyes. If also have pale colored stools and dark colored urine - suggests an obstructive cause of the jaundice such as common bile duct stones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, pancreatitis with a pseudocyst, sclerosing cholangitis, viral hepatitis, alcoholic hepatitis, cirrhosis, pregnancy.

  22. Weight loss?

    Why: may suggest renal cancer or prostate cancer causing blood in the urine; may suggest pancreatitis cancer or bile duct cancer if associated with jaundice and Bilirubin in the urine.

Conditions listing medical symptoms: Darkened urine:

The following list of conditions have 'Darkened urine' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Darkened urine or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Y

Conditions listing medical complications: Darkened urine:

The following list of medical conditions have 'Darkened urine' or similar listed as a medical complication in our database.

 

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