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Urine is a bodily fluid that can reveal a lot about a person’s health. Its color, odor, and texture can vary depending on various factors, such as hydration, diet, medication, infections, and underlying medical conditions. If you notice any changes in your urine, particularly an unpleasant smell, it’s worth paying attention to and discussing with your healthcare provider.

13 Possible Reasons Your Urine Smells Awful, According to Doctors

The smell of your urine can indicate different things depending on the source, intensity, and frequency of the odor. Here are some common reasons why your urine might smell bad, according to medical professionals:

• Dehydration: If you’re not drinking enough fluids, your urine can become concentrated and darker, with a stronger odor. Try to drink more water or other hydrating beverages throughout the day.
• Diet: Some foods and drinks can affect the smell of your urine, such as asparagus, coffee, alcohol, and spicy foods. These substances can be eliminated through your urine and alter its chemical composition.
• Urinary tract infections (UTIs): These are bacterial infections that can affect any part of your urinary system, including the bladder, urethra, and kidneys. UTIs can cause pain, discomfort, and a foul-smelling urine, as well as other symptoms. See your doctor if you suspect a UTI.
• Sexually transmitted infections (STIs): Some STIs, such as chlamydia, gonorrhea, and trichomoniasis, can cause unusual discharge and odor from the genitals and urine. Get tested and treated if you’re sexually active and experience any symptoms or have unprotected sex.
• Bladder or kidney stones: These are hard mineral deposits that can form in your urinary tract and cause pain and inflammation. Stones can also create an obstruction or infection that affects your urine. See a urologist if you have recurrent or severe symptoms.
• Liver or kidney disease: These are conditions that affect the function and filtering of your organs, potentially leading to a buildup of toxins and waste products in your body. Kidney failure can also cause a urine odor similar to ammonia or fish.
• Uncontrolled diabetes: If you have high blood sugar levels, your body may attempt to eliminate excess glucose through your urine, leading to a sweet or fruity odor. Diabetes can also affect your kidneys and nerves, causing other complications.
• Medications: Some prescription and over-the-counter drugs can affect the smell of your urine, such as antibiotics, vitamins, and laxatives. Ask your pharmacist or doctor if you’re concerned about any side effects.
• Vaginal infections: If you have a yeast or bacterial infection in your vagina, it can also affect the odor of your urine, especially if there’s some cross-contamination during urination or cleaning. See your gynecologist if you experience itching, discharge, or odor from your genitals.
• Cystitis: This is inflammation of the bladder, often caused by bladder infections or irritants such as chemicals or radiation. Cystitis can cause urgent and frequent urination, pain, and odor. Your doctor may prescribe antibiotics or other treatments.
• Cancer: Although rare, some types of cancer can cause a foul-smelling urine, such as bladder or kidney cancer. If you have persistent symptoms or risk factors, such as smoking or exposure to toxins, talk to your doctor about screening or testing.
• Aging: As you get older, your body may produce less of certain enzymes and hormones that can affect the smell of your urine. You may also experience other changes in your urinary system, such as incontinence or prostate enlargement. Talk to your doctor about managing these issues.
• Unknown causes: Sometimes the cause of a bad-smelling urine can be unclear or multifactorial. Don’t hesitate to seek medical advice if you’re worried or have other symptoms.

Blood In Urine No Pain - Can We Trust Urine Dipsticks

In addition to smell, urine can also reveal the presence of blood, which can be a sign of various health issues, such as infections, kidney stones, tumors, or bladder cancer. If you notice blood in your urine, even if you don’t feel any pain or discomfort, it’s important to consult with your doctor and get further tests.

However, not all blood in urine is visible to the naked eye, and traditional urine dipsticks may not detect it reliably. A recent study published in the Journal of Urology found that some dipsticks missed up to 80% of microhematuria cases, which are small amounts of blood that are not visible but can still indicate an underlying problem.

The researchers suggested that clinicians should use a more sensitive test, such as urine microscopy or low-dose computed tomography (CT) scan, to confirm the presence and cause of microhematuria, especially in patients without a clear risk factor or cause of bleeding.

Therefore, if you’re concerned about blood or other changes in your urine, don’t rely solely on dipsticks, and ask your doctor for more comprehensive evaluations.

Take care of your urinary health by staying hydrated, eating a balanced diet, practicing safe sex, and seeking prompt medical attention if you notice any persistent or unusual symptoms. Your urine can speak louder than words, so listen to it.

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