Re: my 18 yr old has dark brown urine
The brown urine needs to be examined for blood and bilirubin. This can be done initially with a dipstick in any office or lab. She needs to be evaluated for autoimmune disease other than Lyme disease. She may be anemic (paleness) complicated by pregnancy, she may be breaking down red blood cells (hemolytic anemia) and having excess pigments from that in her urine, (bilirubin) or having blood in her urine from autoimmune kidney disease. She sounds very sick, and at high risk with the pregnancy, both for her and the fetus. I would not buy the story of her needing a hysterectomy at age 18. The explanation makes no sense to me, and I would put that issue on the back burner for now. Vasculitis is a very serious condition, and I think she needs immediate help from a rheumatologist to look for lupus and not attribute all this to Lyme disease. An obstetrician for high risk pregnancies should be seen too as soon as possible, but her health should be the priority right now to save both of them.