TL;DR: The data suggest that beeturia does not arise from deficiencies in hepatic metabolism or renal excretion of betacyanins, and that variability in the biological fate of beetroot pigments may be determined largely by gastric pH and emptying rate.
Abstract: Beeturia, the passage of pink or red urine after the ingestion of beetroot, is said to occur in 10–14% of the population, and is more common in iron deficiency and malabsorption. A specific HPLC assay for betacyanins, the red beetroot pigments, in biological fluids was developed to study the prevale
TL;DR: Because beeturia is not an uncommon pediatric problem, its relation to iron deficiency in children was studied and it was found that beeturia occurred with increased frequency among adults with iron deficiency.
Abstract: BEETURIA is a term applied to the deep red or pink coloration of urine which may occur after the ingestion of beetroot. The color is due to the presence of betanin, a red pigment which is chemically different from the anthocyanins, the reddish violet pigments of most plant species. Beeturia is often misinterpreted as hematuria by the unsuspecting. Beeturia has repeatedly been noted in a small percentage of the population. It has variously been attributed to a genetic trait 1 or to beet allergy. 2 Watson and associates 3 were the first to observe that it occurred with increased frequency among adults with iron deficiency. Because beeturia is not an uncommon pediatric problem, its relation to iron deficiency in children was studied. Materials and Methods Patients selected for study were in-patients on the pediatric ward of the Hospital of the University of Pennsylvania. All patients at the time of study
TL;DR: I was interested to read your article ‘How to manage warfarin therapy’ (Aust Prescr 2015;38:44-8) and subsequent online quiz, which mentions beetroot as being one of the foods that can affect INR, which I found rather unusual.
Abstract: The recent Letter to the Editor about warfarin and beetroot by Louise Vanpraag and the response from Philip Tideman and colleagues1 both miss the point about warfarin and beetroot. It is commonplace for those eating beetroot to have red urine (beeturia) or red faeces, or both, and such symptoms in those taking warfarin can be worrying. On many occasions, warfarin dosage has been adjusted unnecessarily and there have been many unnecessary urinary and bowel investigations. The beetroot-induced symptoms are of no importance and of course can occur in anyone eating beetroot.
TL;DR: A 43 years old woman who presented with suspicious painless hematuria and melaena after ingestion of beets is reported, commonly seen in individuals with abnormalities in iron metabolism.
Abstract: Excretion of red to brown urine is observed in a variety of clinical settings. Beeturia is defined as red to brown discolouration of urine after consumption of beets. The reddish colouration of the urine is due to the excretion of the reddish pigment betalaine (betanin). It is commonly seen in individuals with abnormalities in iron metabolism. Beeturia can also cause unnecessary anxiety among patients, their families and can lead to expensive investigations. We report a 43 years old woman who presented with suspicious painless hematuria and melaena after ingestion of beets. doi:10.4021/jcs3w