Funny-Colored Urine =================== ž Differential of Red Urine Causes and Macroscopic Features of Red and Brown Urine. Cause Results of Test for Blood Sediment†‡ Supernatant‡ in Fresh Urine* Hematuria + to ++++ Red Yellow Myoglobinuria + to ++++ Normal Red to brown Hemoglobinuria + to ++++ Normal Red to brown Porphyria Negative Normal Red Bile pigments Negative Normal Brown Food and drugs§ Negative Normal Red to brown * Urine was tested with the use of a dipstick test. This is a semiquantitative test of the number of erythrocytes per microliter. Results range from + (5 to 10 erythrocytes per microliter) to ++++ (approximately 250 erythrocytes per microliter). † Normal refers to white or yellow in color, unremarkable in the absence of cells, crystals, or cylinders. ‡ The sediment and supernatant were examined after centrifugation of 10 to 15 ml of urine at 1500 to 3000 rpm for 5 minutes. § Food and drugs that can cause red urine include beets, blackberries, rhubarb, food coloring, fava beans, phenolphthalein, rifampin, doxorubicin, deferoxamine, chloroquine, ibuprofen, and methyldopa. Those that can cause brown urine include levodopa, metronidazole, nitrofurantoin, iron sorbitol, chloroquine, and methyldopa. [Bosch, X., E. Poch, et al. (2009). "Rhabdomyolysis and Acute Kidney Injury." New England Journal of Medicine 361(1): 62-72.] ž Interesting Colors Blue-Green Methylene blue Amitriptyline Triamterene Black-brown Ochronosis Melanin Metronidazole Methyldopa Nitrofurantoin (e.g., Macrodantin) Dark brown/ Bilirubin foamy Red Porphyria Hemoglobinuria Myoglobinuria Rifampin Phenothiazine Sulfasalazine Phenazopyridine (e.g., Pyridium) Beets White Crystalluria Pyuria