Chyluria is endemic in South-east Asia, China, India, Japan, Taiwan and parts of Africa, Australia and South America. W. bancrofti infestation is responsible for >95% of parasitic chyluria in endemic regions. Although this disease is not life threatening, 5-10% of our patients have presented with considerable weight loss and weakness secondary to chronic chyluria. Chyluria is due to the passage of chyle into the urine giving it a typical milky appearance. Filariasis is the commonest cause, which is endemic problem in various Indian states. On chyluria a study was done by A. Suri and A. Kumar at Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India . Over the 18 years they have managed about 600 cases of chyluria. The patients presented with various complaints like passage of white colour urine, haematuria (haematochyluria), passage of chylous clots in urine and dysuria. Treatment was customized by them according to severity of chyluria. In patients presenting with occasional history of chyluria, they prescribed dietary modifications like high protein low fat diet, promoting medium chain triglyceride intake along with diethylcarbamazine for 3 weeks. Those not responding to the treatment were subjected to renal pelvic instillation of sclerosant (RPIS). In the management of chyluria they said that most of the patients respond to dietary management, antifilarial drugs and one or at the most two courses of sclerotherapy. Small number of patients who fail this treatment, chylolymphatic disconnection (open or laparoscopic) was a good surgical option with dependable long-term results.

Is there any role of homoeopathy in treatment of Chyluria?

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