I've developed something new over the last week. My urine is frothy and smells sweet. Is this to be expected with cirrhosis or should I be concerned.
Thanks
I've developed something new over the last week. My urine is frothy and smells sweet. Is this to be expected with cirrhosis or should I be concerned.
Thanks
Frothy urine can indicate your kidneys are complaining which can go hand in hand with liver problems. If it continues I would see your Doctor and maybe get a kidney function test.
Have you been checked for type 2 diabetes?
I ask this as a cirrhotic liver may become insulin resistance.
One of the many functions of the liver is to provide glucose as and when the body requires it.
If say a person was to start running for a bus, the muscles in your body require glucose as a fuel. There are a number of special switch genes around the body called the CRTC2 gene. These can be found in various places, including the brain, the placenta, and itโs believed to be in the liver too. It is this gene which monitors the about of sugar thatโs in the body at any one time. If more sugar is required, a message is sent to the liver, and the liver then starts to dump glucose into the blood stream.
Once the person has caught the bus and sits down, the CRTC2 gene sends out a signal to the pancreas. The pancreas then sends out insulin. Insulin is believed to be the signal that tells the liver to stop dumping glucose.
If in the case of cirrhosis, the insulin message often doesnโt get through. This means that the liver has now become insulin resistant. Because the liver is never given the signal to switch off, it will continue to dump sugar into the blood stream. This can then lead to type-2 diabetes.
A build-up of sugar in the kidneys will give urine a sweet smell. Also, because the kidneys see sugar as being a valuable commodity, it will often send it back to the liver for storage, but a build-up of excess sugar will be disposed of by the kidneys.
I would also point out that a person who has liver cirrhosis, and then becomes a type-2 diabetic pre-liver transplant, will still be a diabetic post-transplant. This is because the anti-rejection medication alters the way the hepatocytes in the liver processes sugars.
I would ask your GP of a blood sugar check, just to be on the safe side.
I hope this helps, good luck.
Hi Richard64, I like your comment. I have cirrhosis 2015, I am alcohol free since then, I was diagnosed with diabetes2 in August this year. I'm on metformin, I don't know if diabetes came from my liver or my diet. My doctor never told me anything, she put me on a protein and vegetable diet. Thanks for listening. Peppy05
Are you a doctor Richard
Urine is now normal. I think it was Berocca ๐