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The Prostate
Home » Foamy Urine: Symptoms, Causes, Treatment
FOAMY URINE: SYMPTOMS, CAUSES, TREATMENT
Dr. Ahmed Zayed October 2, 2022 10 minutes Fact Checked
Article Contents
* What is foamy urine?
* What does foamy urine look like?
* What does normal urine look like?
* What is the difference between bubbles and foam in urine?
* Is foamy urine normal?
* What other symptoms can occur with foamy urine?
* What causes foamy urine?
* When to see a doctor
* How is foamy urine diagnosed?
* Treatment
* Conclusion
“My urine is bubbly and foamy – should I be worried?”
Many people feel anxious when their morning pee turns foamy.
Releasing foamy pee is normal from time to time, as the speed of urination and
other factors can affect the urine.
But, if the foamy urine becomes persistent and highly noticeable, talk to a
specialist.
Here, you can learn more about foamy urine and the signs and causes which could
indicate a problem.
WHAT IS FOAMY URINE?
If you have foamy pee, your bladder could be full, and the pee is hitting the
toilet too quickly. This ends up stirring the water and creating foam.
But, when urine is foamy, it can also be a clear sign of protein in the pee –
this is not normal.
Kidneys leak protein when they are supposed to keep it in the body. If the
kidneys release protein into the pee, they are not functioning normally.
Foaming can happen because albumin (a protein that the liver makes) develops a
soap-like effect, which reduces the surface tension of the urine.
WHAT DOES FOAMY URINE LOOK LIKE?
Foamy urine is recognized by the persistence and appearance of multiple layers
of small to medium-sized bubbles in the urine. The foam density and number of
bubbles in urine will vary from person to person.
If the urine reaches the toilet bowl too quickly, the water foams up. The foam
looks like a mass of small bubbles with a slightly dingy consistency.
When there is one layer of bigger bubbles, these bubbles can quickly dissipate –
this can be considered normal. (1)
WHAT DOES NORMAL URINE LOOK LIKE?
Someone who is well-hydrated, healthy, and with a properly functioning urinary
tract can have clear white urine. Clear pee means that the person is drinking
too much water. Normal urine color can also range from amber to pale yellow.
When there is not enough fluid in the body, the urine becomes highly
concentrated and changes color, such as darker shades of yellow. The color of
the urine can vary day by day. But, it should remain within a healthy yellow
range.
The preferred urine color is pale straw to a darker yellow. If the urine is
turning honey or amber-colored, it’s time to get a glass of water. The darker
the hue, the more likely it is to be a sign of dehydration.
WHAT IS THE DIFFERENCE BETWEEN BUBBLES AND FOAM IN URINE?
There is a slight difference between foam vs bubbles urine. In the case of urine
with white foam, the foam remains in the toilet after you flush it.
In comparison, bubbles are flushable, clear, and relatively larger than foam.
Due to the increased speed of urine foam, everyone can have little bubbles in
their urine.
Not drinking enough fluids can lead to bubbly urine. When paired with persistent
frothing of urine, the bubbles could be a symptom of early kidney disease.
IS FOAMY URINE NORMAL?
Having foam and air bubbles in urine every once in a while shouldn’t be a
problem. But, if the foamy and cloudy urine is forming regularly, then this
could be a sign of disease.
Frothiness of urine is seen as a red flag for proteinuria (high protein level in
the pee).
Based on a review, many patients with frothy urine and bubbles in pee had
clinically significant proteinuria. About 22% of patients who complained of foam
bubbles had overt proteinuria. 31.6% experienced overt proteinuria,
microalbuminuria, or both. (2)
Foamy urine in pregnancy can also happen. When a woman is carrying, the kidneys
work full force to keep up with filtering the waste.
If protein gets to the urine during pregnancy, it often means the kidneys are
not working like they are supposed to.
Before 20 weeks of pregnancy, proteinuria can happen due to an underlying kidney
complication. Or other health issues that have nothing to do with the pregnancy,
like a UTI or heart ailment.
After 20 weeks, experts take a closer look at the protein levels in the urine
since it could indicate preeclampsia.
This condition causes elevated blood pressure and could damage the organs,
especially the kidneys and liver.
When dealing with foamy urine while pregnant, it’s best to talk to a specialist
and receive the necessary treatment.
WHAT OTHER SYMPTOMS CAN OCCUR WITH FOAMY URINE?
If the pee appears foamy and there are small bubbles in urine, look for other
symptoms as well. They can give you clues to any other health problems you might
be facing.
Such as:
* Cloudy urine
* Fatigue
* Vomiting
* Nausea
* Loss of appetite
* Difficulty sleeping
* Reduced urine output
* Urine with a dark hue
* Dry orgasm
* Infertility
* Swelling in the stomach, face, feet, or hands
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WHAT CAUSES FOAMY URINE?
The urine is supposed to be flat but can look like foamy water in various
circumstances. Different causes of foamy urine exist. These include:
FAST URINE STREAM
When someone pees a lot at once, particularly forcefully or fast, the pee could
appear foamy. The fast urine stream can also cause temporary bubbles.
A high or fast flow rate could mean the muscles around the urethra are weakened.
A patient might also be suffering from problems with urinary incontinence.
SURFACTANTS
Organic compounds, like surfactants, can lead to bubbling. These compounds
diffuse in water and have hydrophobic and hydrophilic ends.
So, they can trap pockets of gas on top of the liquid. This is how they form
bubbles.
Soap is rich in surfactants. If you use any cleaning products or soap in the
toilet water, then the pee can look bubbly.
DIABETES
Foamy urine in diabetes patients is relatively common. Diabetes increases
glucose levels in the blood. This extra sugar passes into the urine.
In many of those affected, the kidneys can’t process all that extra glucose,
which ends up piling up in the urine and causing cloudy, foamy urine.
Research indicates that when diabetic nephropathy sets in, people experience
fatigue, pedal edema, and foamy urine with a urine protein higher than 3.5 g a
day. (3)
DEHYDRATION
Lack of fluid intake makes the urine more concentrated. That’s why foamy urine
with dehydration can be a classic problem.
When a person is dehydrated, their urine turns darker than usual. A slight dark
yellow hue means mild dehydration. Medium-dark yellow urine usually indicates
moderate dehydration.
The darker the color and the stronger the protein in urine smell, the more
dehydrated you are. It’s best to drink more water and get clear white pee.
KIDNEY DISEASE
The kidneys have a clear purpose – to filter the waste and keep the proteins in
the system. These proteins have a valuable role to play in keeping the balance
of fluids in the body.
When you suffer from kidney disease or kidney damage, proteins leak into the
urine. A damaged kidney allows vast amounts of protein to reach the urine. If
the urine looks consistently foamy, then it could be a warning sign of
proteinuria.
RETROGRADE EJACULATION
With retrograde ejaculation, during an orgasm the semen doesn’t emerge out of
the penis but goes into the bladder instead. When semen enters the bladder, it
could make urine froth.
Vaginal discharge in women, however, is unlikely to cause foamy urine. (4)
MEDICATION
People who take medicine to treat pain, irritation, and burning sensations from
UTIs can experience foamy urine. These medicines include phenazopyridine, such
as Uristat, Pyridium, AZO Standard, and AZO.
WHEN TO SEE A DOCTOR
If the pee looks consistently foamy over time, get a few checkups. See your
doctor if the frothy urine doesn’t dissipate in a couple of days or if it gets
bloody or cloudy.
Additionally, you should see your doctor if you have any symptoms like fatigue,
loss of appetite, vomiting, nausea, or swelling.
HOW IS FOAMY URINE DIAGNOSED?
Foamy or frothy urine isn’t a specific condition. But, it could be a symptom of
another health problem.
The doctor can suggest you provide a urine sample to diagnose the cause of
frothy urine. Evaluation starts with a simple urine test. The doctor inserts a
dipstick into the urine to see if the protein levels are abnormally high.
If the protein is too high, the doctor will want to ensure the effect is
persistent. Therefore, they can suggest a 24h urine test. You will need to
collect all the urine your body produces the entire day.
If you are at risk of having kidney disease or damage, the doctor might suggest
a kidney ultrasound. This can help determine the overall state and structure of
the affected organ.
TREATMENT
The treatment will vary based on what’s causing the problem.
For mild dehydration, you will need to drink a glass of water. With moderate
dehydration, the body requires you to drink 2 to 3 glasses of water as soon as
possible. For someone who is very dehydrated and the urine appears dark and
smelly, drinking a large bottle of water is a top priority.
To manage urinary incontinence, it’s best to drink more liquid in the morning
and afternoon instead of right before bed. You should also skip caffeinated and
alcoholic beverages, as they can increase urine production.
If you are struggling with chronic kidney disease, the treatment will depend on
how advanced the health condition is. Treating it can slow down its progression
and reduce the odds of kidney failure. Doctors can suggest medicine to curb the
protein content in the urine.
The most effective way to do it is to reduce blood pressure. Frequently elevated
blood pressure and kidney complications go hand in hand.
By keeping the blood pressure stable, the kidneys filter the blood effectively.
Doctors can suggest ARBs, ACE inhibitors, or diuretics to achieve the desired
result.
ARBs (angiotensin receptor blockers) can make the blood vessels wider. In some
patients, they are also better tolerated, particularly in those who use ACE
inhibitors. ACE (angiotensin-converting enzyme) inhibitors also widen and relax
the blood vessels.
This makes them a viable option for restoring normal urine and blood flow.
Diuretics aid the kidneys in removing fluid and salt from the blood.
For diabetes patients, it is crucial to use the right medication to control
their metabolic condition and related symptoms.
To facilitate the treatment and decrease proteinuria, experts often suggest
incorporating some lifestyle changes.
You will need to stop smoking, manage stress, limit your alcohol and salt
intake, drink water, consume veggies and fruits, keep the body healthy, and be
more active. This can help restore the filtering system and mitigate some health
problems.
CONCLUSION
When foamy urine appears occasionally, it shouldn’t be a cause for concern. But,
if the froth is happening regularly, then it’s best to talk to a specialist.
It could signify kidney disease, diabetes, dehydration, and more. The treatment,
however, will vary depending on the cause.
EXPLORE MORE
16 Ways to Stop Burning Sensation after Urinating.
SOURCES
1. Khitan ZJ, Glassock RJ. Foamy Urine: Is This a Sign of Kidney Disease? Clin
J Am Soc Nephrol. 2019.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832055/
2. Kang KK, Choi JR, Song JY, Han SW, Park SH, Yoo WS, Kim HW, Lee D, Moon KH,
Lee MH, Kim B. Clinical significance of subjective foamy urine. Chonnam Med
J. 2012. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539097/
3. Varghese RT, Jialal I. Diabetic Nephropathy. [Updated 2022 Jun 19]. In:
StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022
Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534200/
4. Kaur, K et al. Why Does Urine Froth?
https://www.ics.org/Abstracts/Publish/106/000697.pdf
DR. AHMED ZAYED
Dr. Ahmed Zayed holds a baccalaureate of Medicine and Surgery. He has completed
his degree at the University of Alexandria, Egypt. Founder of Zayed MD, Dr.
Ahmed believes in making the knowledge as accessible as possible to patients. He
had his work featured in reputable publications such as The Huffington Post.
Other than his passion for writing, Dr. Ahmed spends his time outside the
hospital at the gym or with a good book.
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