Causes Of Urine Color Changes

Color

Cause

Red, orange, or brown

Bilirubin

Hemoglobinuria

Foods (eg, beets)

Free myoglobin

Porphyrins

RBCs

Cloudy white

Infection (pyuria)

Lymph (chyluria) due to filariasis or to obstructed retroperitoneal lymphatics

Precipitated phosphate crystals

Green

Pseudomonas infection

Purple (rare)

Gram-negative bacteria in urinary catheters*

Dark brown or black

Melanoma†

† Caused by oxidation of excessive homogentisic acid or melanogen when urine is exposed to air for several hours.