Symptom 6: Dark Urine
Dark urine can be a startling discovery for many. While it may sometimes result from certain foods or medications, in the context of AIH, it carries a deeper significance. Typically, urine’s yellow hue comes from a pigment called urobilin, a product of bilirubin processing. In AIH, the liver’s compromised function leads to increased bilirubin levels, which in turn darken the urine.
It’s like a chain reaction. As the liver struggles with AIH-induced inflammation, its ability to process bilirubin efficiently wanes. This excess bilirubin is then excreted through urine, leading to its darker appearance. While such a change can be unsettling, it offers a vital clue into liver health.
The key is to not dismiss dark urine as a mere dietary quirk. Paired with other AIH symptoms, it can provide a comprehensive picture of the liver’s state. Moreover, understanding the reasons behind this symptom can help in its management. (6)