Pleasant smell of urine. Why does urine smell

Human urine is many times filtered blood plasma, in which the kidneys leave only those substances that the body no longer needs. Usually this is uric acid, some ions, individual, already used drugs, some substances from food, hormone metabolites, as well as a liquid to dissolve all these substances.

The smell of urine is due to ammonia. It is weak and intensifies if the urine container is left open. But if the urine smells bad immediately after entering the toilet (or potty), while you know for sure that no new drugs or products have been taken, such a sign may be a symptom of the disease. Which one, and what to pay attention to, we will talk further.

What does urine say

Urine is the "product" of the kidneys. Blood passes through the kidneys - every milliliter of it. The blood first passes through the kidney filter, which leaves large molecules in it (mainly proteins and blood cells), and sends the liquid with substances floating and dissolved in it further. This is followed by a system of tubules - tubules. They have special "analyzers" built into them. They test what substances are in the urine, and together with the liquid they take the substances necessary for the body (this is glucose, potassium, hydrogen) back into the blood. As a result, out of 180 liters of former blood that has passed through the filter, 1.2-2 liters of urine remains, which is excreted during the day. Such urine is called "secondary" and is an ultrafiltrate of blood plasma.

Formed in the kidneys, the “final version” of urine passes through the ureters, is collected in the bladder, and then exits through the urethra. In these organs, a few obsolete cells are normally added to the plasma ultrafiltrate, and in diseases - bacteria, blood cells, dead own cells. Then the urine comes out. At the same time, in women, it mixes with some amount of discharge from the genital organs, which is always present in a small amount in the area of the exit from the vagina.

The smell of urine is given by:

some drugs that are excreted mainly through the kidneys;
individual strongly flavored substances contained in food;
metabolites of certain hormones;
pus;
blood;
discharge from the glands of external secretion, located on the way from the kidneys to the skin of the perineum;
some substances that are formed in the internal organs during their illness.

When an unpleasant odor is not a sign of illness

Not always the causes of an unpleasant smell of urine are a symptom of some disease. As is clear from the list in the previous section, they can be observed in the norm. These are the following cases:

when a person takes medication. Basically, these are antibiotics (especially Ampicillin, Augmentin, Penicillin, Ceftriaxone) and vitamins (especially group B), and it doesn’t matter how these drugs were taken: inside or in injections. In this case, there is a smell of urine with medicine;
if the person ate a large number of onions, garlic, asparagus, seasoned food liberally with horseradish, curry, cumin or cardamom seeds. The smell of urine in this case is sharp, but you can also catch notes of the consumed product in it;
during hormonal changes: in adolescence, in women - during menstruation, pregnancy and menopause. In this case, the plasma ultrafiltrate smells simply more strongly and sharply;
with poor hygiene of the external genital organs.

Of course, it cannot be ruled out that against the background of menopause or the use of garlic, some other disease could not have arisen that changed the “aroma” of urine. Therefore, if in any of these conditions the sense of smell picks up notes of acetone, rotten eggs, fish, you need to see a doctor. After eating foods with a sharp "amber", urine stops smelling within 1 day. The "aroma" of the drug can last up to 3 days after the end of the course of treatment.

If urine smells like acetone while on a protein diet (“Kremlin”, Dukan, “dry” fasting or other similar), this is not the norm, but a sign that it needs to be stopped. Such a smell indicates that an acetonemic state has developed, when the body consumes not glucose, but incoming proteins to provide energy for ongoing processes. As a result, acetone (ketone) bodies are formed, which have a toxic effect on the internal organs and the brain. Therefore, the appearance of "notes" of acetone suggests that it is time to stop such a diet.

About when urine smells like acetone, while a person does not adhere to a protein diet and does not starve, we will talk below.

When the smell of urine indicates illness

Consider situations where what our nose catches while urinating is a symptom of an illness. To make it easier to find exactly your condition, we will group the diseases precisely by the nature of the amber. Within their framework, we will name the reasons that are characteristic only for men, for women. Separately, consider the reasons why urine smells in a child.

Urine smells like acetone

In medicine, this condition is called acetonuria and suggests that the body does not use carbohydrates, as it should be, but fats or proteins to provide vital processes with energy. As a result, so many ketone (acetone) bodies appear in the blood that the body tries to get rid of them and excretes them in the urine. They give urine its characteristic flavor.

Acetonuria develops not only in diseases, but also in such cases:

with the predominance of animal proteins in the diet;
during fasting, when an insufficient amount of fluid is consumed. As a result, the body breaks down its own fats, and then proteins, but their concentration has become high due to a decrease in the volume of the liquid part of the blood;
with a prolonged increase in temperature, when liquid is lost with sweat, and proteins and fats (own or from food) are consumed as energy;
during intensive physical work;
with intoxication, when there is a negative effect on the pancreas (for example, when taking large doses of alcohol);
after general anesthesia, which involves deep relaxation of all skeletal muscles.

The main disease in adults that causes the appearance of “notes” of acetone is a complication of diabetes mellitus, such as ketoacidosis, a life-threatening condition. A person does not always know that he has diabetes mellitus, therefore, if there were no reasons listed above, you should immediately think about diabetic ketoacidosis and immediately consult a doctor until he goes into a ketoacidotic coma.

You need to think about diabetic ketoacidosis even in the case when, seemingly against the background of complete health, although the person did not use the day before, neither the missing products, nor salads with mayonnaise that had been in the refrigerator for more than 3 days, nor pies at the market or train station, symptoms of poisoning suddenly appear : nausea, vomiting develops, the stomach may hurt. And before that, it was possible to pay attention to increased thirst, nighttime urination, poor wound healing, deterioration of the teeth. And on the eve of the "poisoning" it could have been just the use of sugary foods, or it might not have happened: some more pancreatic cells that produce insulin died, and now the body can hardly get energy from glucose.

And of course, the appearance of the smell of acetone from the urine of a patient with confirmed diabetes mellitus should definitely immediately make a person think about ketoacidosis and consult a doctor urgently. In diabetics, this condition can be caused by:

skipping insulin injections;
use of an expired insulin preparation;
the development of an infectious disease against the background of diabetes;
injuries;
stress
a combination of diabetes mellitus with other endocrine diseases: thyrotoxicosis, Cushing's syndrome, pheochromocytoma, acromegaly;
surgical diseases and operations.

In addition to diabetes mellitus, acetonuria is characteristic of such diseases as:

1. poisoning with phosphorus, lead, heavy metals;
2. narrowing of the sections of the digestive system (stenosis) due to their inflammation or growth in the wall of the neoplasm - malignant or benign.

Despite the variety of diseases and conditions in which urine acquires an acetone "spirit", the first thing to rule out is diabetes mellitus.

"Aroma" of acetone in women

The appearance of such amber in young women who do not sit on a protein diet and do not abuse alcohol is especially dangerous during pregnancy. Arising in the first trimester, when the lady herself may not be aware of her “interesting” position, it indicates dehydration when accompanied by nausea and vomiting.

In the 2-3 trimesters of pregnancy, the appearance of the smell of acetone often indicates the development of a condition called gestational diabetes mellitus, which is complicated by ketoacidosis. If ketoacidosis is stopped in time and then carefully controlled blood glucose, such diabetes disappears after childbirth. But its development suggests that subsequently a woman should carefully monitor her diet, weight and blood glucose levels, since she has an increased risk of developing type 2 diabetes.

Other causes of the "acetone aroma" of urine in women do not differ from those in men. Even during pregnancy, not gestational diabetes mellitus can develop, which goes away on its own, but "real" - insulin-dependent (type 1) or non-insulin-dependent (type 2) diabetes mellitus.

When the smell of ammonia appears

As mentioned earlier, ammonia is the main constituent of urine smell. If the urine smells like ammonia, then it can be said that it has acquired a strong smell due to an increase in the concentration of ammonia in it.

This can happen in such cases:

with dehydration: when a person drank little water, sweated a lot - when working in the heat or at elevated body temperature, with diarrhea or vomiting;
with urethritis (inflammation of the urethra). In this case, it becomes painful to urinate, and streaks or blood clots may appear in the urine. Urethritis often develops after sexual contact;
with cystitis (inflammation of the bladder). Its symptoms almost do not differ from urethritis. The main difference, which does not appear in everyone, is the frequent and painful urge to urinate. Hematuria may also occur;
with pyelonephritis (inflammation of the kidneys), usually chronic. If an acute process is manifested by an increase in body temperature, back pain, a deterioration in general well-being: weakness, nausea, loss of appetite, then a chronic one, except for the smell of urine and the feeling that the lower back is freezing, may not have any other symptoms;
with malignant tumors of the urinary tract. In this case, there may also be a change in the color of urine, the appearance of blood in it. Pain is not always observed, but with a large tumor, urination is difficult;
with some systemic diseases: tuberculosis, renal failure.

If the urine smells strongly in a man, this may be due to prostate adenoma. In this case, urination is difficult (adenoma tightly wraps around the neck of the bladder), and urine stagnates. As a result, an unpleasant odor appears.

If urine has an unpleasant smell in women, even during pregnancy, this is still the same list of reasons that are listed above.

Rotten smell

The smell of hydrogen sulfide can occur after drinking alcohol or a large number of spicy foods. In addition, if the urine smells like rotten eggs, this may indicate diseases such as:

pyelonephritis. Its symptoms have been discussed above;
liver failure. This disease is hard to miss, it is accompanied by poor health, yellowing of the skin and whites of the eyes, bleeding gums, injection sites, heavy menstruation (in women); the body often smells of raw liver. Liver failure develops as a result of liver diseases: chronic hepatitis, cirrhosis. In some sl
urine smells rotten also in cases where, as a result of a long-term inflammation in one of the organs adjacent to each other - the bladder, intestines or tissue between them - a pathological passage forms between them (fistula). Then the gases from the intestines enter the bladder and, dissolving in the urine, give it a specific smell. If feces enter the urinary tract, the urine acquires the appropriate smell of excrement. Before the onset of this symptom, a person may remember that he suffered from chronic cystitis, colitis, paraproctitis.

These pathologies cause an unpleasant smell of urine in women and men.

"Chemical" smell

These words can describe the smell in the diseases discussed above:

taking medication;
cystitis;
diabetes.

The smell of soaked apples

It is characteristic of diabetes. For other diseases, this description does not usually apply.

Urine smells like "mice"

This is how the smell is described in such a hereditary disease as phenylketonuria. It begins to manifest itself from early childhood, and if the child is not transferred to a special diet that does not contain the amino acid phenylalanine, it leads to profound mental retardation.

Now children are tested for phenylketonuria immediately after their birth, so in rare cases it can be detected later at the age of 2-4 months (only if the hospital forgot to do this test or they ran out of reagents). In adults, this disease does not debut.

fishy smell

When urine smells like fish, it could be one of the following:

Trimethylaminuria. This is a genetic disease in which the non-metabolizable amino acid trimethylamine accumulates in the body. As a result, the body itself begins to smell like fish. It is not felt by the sick person, but is felt by everyone around. The fishy "flavor" mixes with urine and sweat, and gives these fluids the appropriate smell. Because of this, a person has social problems that lead to mental disorders.
Gardnerella infection of the genitourinary tract, characteristic mainly for women. Gardnerella is a special bacterium that begins to multiply, mainly in the woman's vagina, when the balance of other microorganisms in it is disturbed. It practically does not cause "particularly malignant" symptoms. Only, basically, the appearance of mild, muco-serous, rotten fish-smelling discharge from the vagina in women or from the urethra in men. In rare cases, mainly with reduced immunity, gardnerella causes the development of cystitis in both sexes, pyelonephritis in men, the development of prostatitis, epididymitis.
Rarely - a bacterial infection (staphylococcus, E. coli, streptococcus) of the urinary tract. In this case, the symptoms of cystitis or urethritis, described above, develop.

The smell of beer

This does not describe the smell of urine in men who have drunk a lot of beer, but a symptom of a disease called malabsorption. This is a condition in which the absorption of food in the intestines is impaired. It is characterized by the appearance of diarrhea with the release of fatty, poorly washed feces from the toilet, weight loss. Since few necessary substances enter the body, the composition of all its biological fluids, including urine, changes.

Hypermethioninemia is an increase in the level of the amino acid methionine in the blood. When it is hereditary (including in diseases of homocystinuria and tyrosinosis), the smells of physiological functions change even in childhood. So, urine acquires the amber of beer or cabbage broth, and feces begin to smell like rancid butter.

Sometimes the smell of beer is characterized by the smell of urine in liver failure. So you can say when this condition developed as a result of the intake of large amounts of methionine into the body, as well as with hereditary diseases of tyrosinosis and homocystinuria (they debut even in children). In most cases of liver failure, urine acquires only a dark color, similar to dark beer, and if the liver suddenly loses its ability to do its job (for example, as a result of acute hepatitis), then an unpleasant smell of raw liver appears from the human body, from his sweat and urine. Some people say that urine in this serious condition begins to smell like rotten fish or garlic.

Purulent, putrid odors

So, basically, acute purulent urethritis or acute purulent cystitis are described. In these cases, pain in the lower abdomen, painful urination, when it seems that after each trip to the toilet, not everything has stood out from the bladder, come to the fore. The urine may contain streaks, blood clots, and even visible yellow or yellow-green pus.

Stool-smelling urine

Developing against the background of long-term problems with urination or defecation (their soreness, difficulty), such a symptom indicates the possible development of a fistula - a pathological channel between the genitourinary system and the intestines.

If the urine began to smell like excrement against the background of complete health, perhaps the reason was poor hygiene of the genitals.

Change of "aroma" only in the morning

If urine has an unpleasant odor only in the morning, then this indicates either a small intake of fluid, a low-carbohydrate diet or fasting, or stagnation of urine, which can develop as a result of:

urolithiasis;
tumors and polyps of the urinary organs;
in men - prostatitis, a malignant or benign tumor of the prostate.

In addition, the situation can be caused by poor hygiene of the genitals in the evenings, especially if an adult (it can be both a man and a woman) practices anal-vaginal sex.

When not only the smell changes, but also the color

Now about when dark urine is observed that has an unpleasant odor:

Kidney diseases. If clots and streaks of scarlet blood are more characteristic of cystitis and urethritis, then inflammation or swelling in the kidneys, where urine is directly formed, damaged vessels will directly stain this biological fluid. Tumors of the kidneys can be asymptomatic, and inflammation of this paired organ causes back pain, deterioration in general condition, and increased blood pressure.
Renal failure in the stage of production of a small amount of plasma ultrafiltrate. In this case, the urine is dark (concentrated), there is little of it, it smells strongly of ammonia. Kidney failure develops either as a result of any kidney disease, or due to dehydration, or as a result of almost any serious illness.
Liver failure due to diseases of the liver and gallbladder. Symptoms such as weakness, nausea, bleeding, yellowing of the skin and sclera predominate.
Hypermethioninemia, in adults - developed as a result of either liver or kidney failure.

What diseases can change the smell of urine in a child

A change in the smell of urine in a child may be due to:

congenital disease. In this case, "ambre" appears almost immediately after birth or during the first year of life. Rarely (for example, in diabetes mellitus), a congenital disease manifests itself at an older age;
acquired pathology: this can manifest itself both immediately after birth (as with gardnerellosis, when the bacterium was transmitted from mother to child during childbirth), and at any other time;
immaturity of internal organs.

Congenital diseases include:

Leucinosis is a congenital severe disorder of amino acid metabolism. Parents may notice that after urinating, the diaper emits an unusual "aroma", which is described as both sweet, chemical, and similar to "maple syrup" (the second name for the pathology is urine disease with the smell of maple syrup). Periodically, the sweet aroma changes to acetone "ambre" due to the fact that the body uses fats as an energy substrate. If the pathology is not detected in time and the child is not fed with strictly special mixtures, the pathology ends fatally.
Homocystinuria. It starts at the chest. Such children begin to crawl, sit up late; they may have convulsions, tic-like movements. There is damage to the eyes, thin sparse hair, sweating, dry skin. Over time, if you do not make a diagnosis and start to follow a diet, damage to the nervous system progresses. Since the basis of the disease is an increase in the level of methionine in the blood, urine begins to smell like beer or cabbage broth.
Tyrosinosis is a severe hereditary pathology in which, as a result of a violation of tyrosine metabolism, the kidneys and liver are affected; changes in the state of the skeletal system. It is important to distinguish it from transient (that is, transient, temporary) tyrosinuria, which occurs in one in 10 full-term and one in three premature babies. With this disease, urine smells like beer or cabbage broth.
Diabetes mellitus, when urine smells like baked apples. The disease in children may debut with the development of a ketoacidotic state. Then the urine acquires acetone "ambre", the child develops nausea, vomiting, there may be abdominal pain, which is why children are often hospitalized with "poisoning" or "acute abdomen".
Trimethylaminuria discussed above. In this case, the parents' sense of smell says that the urine, sweat and skin of the baby smells like fish.
Phenylketonuria. From the filtered blood plasma secreted from the urinary tract, it smells like mice.

Acquired pathology is all that is considered in adults:

kidney failure - including dehydration, which could be caused by an intestinal infection with vomiting and diarrhea, diseases with high fever, prolonged exposure to a warm, stuffy room;
pyelonephritis;
urethritis;
cystitis.

With all these pathologies, the smell of urine is assessed subjectively. Some parents feel ammonia, the nose of others speaks of a feeling of hydrogen sulfide, rot, pus or fish.

Acquired also includes a lack of vitamin D in infants. It manifests itself mainly when the child does not receive good nutrition and is little on the street, where the ultraviolet of the sun's rays contributes to the production of this vitamin in the skin. With a lack of vitamin D, even before obvious signs of rickets develop, the child will noticeably sweat (especially on the back of the head), and urine and sweat will begin to smell sour.

The main smell that urine acquires in a child from birth to 12 years old is acetone. In some cases, it may be associated with the development of a complication of diabetes mellitus - ketoacidosis, but in most situations the cause of acetonuria is different. So, the digestive tract and pancreas of a baby up to 12 years old do not yet “know how” to respond correctly to loads, and when the following situations occur, they give a signal to break down either proteins or fats for energy:

bacterial or viral infections: more often - intestinal infections (especially rotavirus), less often - colds;
treatment with certain antibiotics;
dehydration during illness;
worm infection;
stress;
hypothermia or overheating.

The “culprit” of the fact that periodically from the child himself and from his physical functions smells of acetone can be neuro-arthritic diathesis - a special developmental anomaly associated with a gene-programmed violation of uric acid metabolism.

What to do if urine smells bad

The treatment for bad smelling urine depends on the cause of this condition and is prescribed on a case-by-case basis. So, with liver or kidney failure, this is a mandatory hospitalization in a specialized hospital, which has an intensive care unit. There, resuscitators will hourly monitor the state of health and correct it, introducing the necessary substances based on a strict calculation, literally in milliliters.

For urinary tract infections (cystitis, urethritis), treatment consists in taking antibiotics, sometimes washing the inflamed organs with antiseptic solutions.

Tumors of the urinary tract are subject to mandatory removal, and if malignant cells are found in them, then it is supplemented with chemotherapy and / or radiation therapy. If hereditary metabolic disorders are detected, then only a special diet can help, and in some cases experimental gene therapy.

Acetonemic condition in children and adults is treated in a hospital, where the patient's body is saturated with the necessary liquid and glucose. The concentration of acetone decreases when complex carbohydrates (Xylat) are injected into a vein and when solutions such as Citrarginine, Stimol, Betargin are taken through the mouth (they are not given to pregnant women). Children are also prescribed enemas with a 1% solution of soda, and inside they are given to drink "Borjomi" or "Polyana Kvasova", from which gas is released.

With the development of a ketoacidotic state, therapy resembles that of acetonemic syndrome, only intravenous administration of polyionic solutions and glucose occurs simultaneously with a gradual decrease in high sugar levels with insulin.

The cause of the unpleasant odor of urine is clarified with the help of urine tests: general with the determination of glucose and ketone bodies, according to Nechiporenko, bacteriological examination, determination of individual amino acids and their metabolites in the urine. By one smell, without an appropriate diagnosis, no one in their right mind can treat.

In a healthy person, urine is clear, light yellow in color and has an unexpressed specific odor. The reasons for the change in the smell of urine in women are varied. Urine can acquire the smell of rot, ammonia, mold, acetone, sulfur, beer, rotten oil, medicines, maple syrup, mice, etc. The appearance of a fetid smell of urine always indicates the occurrence of serious diseases that require immediate medical attention and treatment.

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Normal state of urine

Urine (urine) is a waste product of the human body, which is formed in the kidneys as a result of secretion, reabsorption and filtration of blood. From the kidneys through the ureters, it enters the bladder and then through the urethra (urethra) is excreted.

Normally, fresh urine has a light yellow color, it is transparent and has an unexpressed characteristic odor. After some time, the urine acquires a pungent smell of ammonia, which is the result of oxidation processes in air.

The appearance of a pronounced unpleasant odor in fresh urine in 100% of cases indicates the development of pathological processes not only of the urinary tract, but also of other organs and systems of the woman's body.

Possible Causes of Bad Urine Smell

The appearance of a pronounced fetid odor of fresh urine in the fair sex occurs for the following reasons:

dehydration of the body;
abuse of certain products: alcohol, asparagus, garlic;
metabolic disease;
genetic diseases;
inflammatory processes of the urinary organs;
violations of the digestive tract;
liver disease;
cholelithiasis;
venereal diseases;
diabetes;
menopause;
pregnancy;
insufficient intake of nutrients from food;
the use of certain drugs: B vitamins, antibiotics: ampicillin, ceftriaxone, penicillin, Augmentin, etc.

Urine is a residual product of metabolism, so its quality and smell can change with a variety of functional disorders of the internal organs involved in these processes.

An important point is to determine the source of the fetid odor: urine or vaginal discharge.

The rapid reproduction of microorganisms occurs with insufficient hygiene of the genital organs or its absence. The appearance of a specific smell is also observed in healthy women during hormonal changes in adolescence or menopause.

Unpleasant smell of urine as a manifestation of the disease

A strong fetid smell of urine in women is always a symptom of a violation of certain processes in the body. Its appearance is due to the addition of pathogenic bacteria to the components of urine.

The reasons for the appearance of an unpleasant "aroma" can be different, and the smell itself is also different.

Ammonia smell

A variant of the norm is the constant presence of ammonia and its derivatives in the urine. If you find the smell of ammonia in a fresh portion of urine, you should always think about your lifestyle, diet and health.

The appearance of an ammonia smell of urine is caused by the following reasons:

dehydration, insufficient fluid intake;
stasis of urine (prolonged abstinence from going to the toilet, kidney stones, pregnancy);
the use of predominantly protein foods;
liver disease;
inflammatory diseases of the kidneys, bladder and urethra;
malignant neoplasm of the urinary tract;
prolonged use of iron and calcium supplements;
kidney failure;
tuberculosis.

A faint smell of ammonia, due to an increased content of the substance in urine, is in rare cases a symptom of a serious illness. With the normalization of the lifestyle and the elimination of the cause of its appearance, it disappears after a few days.

Most often, the appearance of an ammonia smell of urine in women is a manifestation of pathological disorders in the activity of the urinary organs caused by bacterial damage.

According to statistics, females are more prone to developing inflammatory diseases of the bladder, urethra and kidneys than men. The occurrence of a bad smell is the earliest and first sign of these diseases. In addition to changing the smell of urine, patients are concerned about pain and a feeling of fullness above the pubis, in the lumbar region, fever, painful urination, and the urine itself becomes cloudy.

The smell of acetone

In the body of a healthy person, a certain amount of acetone is constantly excreted by the kidneys. The appearance of a sharp acetone aroma in the urine indicates an increase in its concentration in the blood. This symptom occurs for the following reasons:

diabetes;
tumor formation in the stomach;
dehydration and debilitation of the body by intense physical exertion, malnutrition, with prolonged vomiting;
malnutrition;
body poisoning;
thyroid disease;
high body temperature.

The appearance of the aroma of acetone in urine indicates the presence of a large number of ketone bodies in it, which in most cases is a sign of diabetes. This disease is manifested by constant, debilitating thirst, dry skin, weight loss, leg muscle spasms and an increase in the amount of urine excreted.

The accumulation of acetone bodies during the period of bearing a child is very dangerous. This pathological condition develops mainly in the 2nd and 3rd trimesters of pregnancy and is called "gestational diabetes mellitus" or "diabetes in pregnancy." During the bearing of the baby, obstetricians-gynecologists constantly determine the level of blood glucose in order to timely detect this pathology. After the birth of the child, the woman's condition returns to normal.

In addition to diabetes, dehydration, prolonged starvation, or severe infectious diseases can lead to the appearance of an acetone smell of urine in women.

An increase in the concentration of acetone in the blood and urine is noted when using the Dukan and Kremlin diets, with dry fasting. At the same time, the body begins to use the accumulated energy resources, which leads to dangerous violations of its activity and the accumulation of toxins that can have a destructive effect on the nervous system.

An increase in the content of ketone bodies in the body leads to prolonged fever, in which, as a result of increased metabolic processes, there is an increased consumption of fluid and energy. There is a decrease in glycogen stores in the liver and an increase in blood glucose levels. With a decrease in carbohydrate reserves, the breakdown of fats begins, as a result of which the accumulation of ketone bodies in the blood and urine occurs. Fasting of a febrile patient leads to ketonuria, which helps to attract fat reserves from the depot.

Rotten smell

One of the reasons for the smell of rotten eggs or fish in the urine is the ingress of vaginal secretions into it as a result of the formation of a fistula between the vagina and the urinary organs. Only a specialist can detect this pathology with the help of instrumental research methods.

A faint aroma of hydrogen sulfide in the urine appears in case of liver failure. There is also yellowness of the skin, mucous membranes and sclera, heavy menstrual bleeding, and an unpleasant smell of the skin.

Smelly urine with the aroma of rotten eggs is a sign of damage to the genitourinary sphere with Escherichia coli in pyelonephritis or a malignant neoplasm of the rectum.

The appearance of a pungent rotten smell of urine in healthy women is observed when eating asparagus in large quantities. This symptom disappears on its own after 6 hours.

fishy smell

The smell of fish, often rotten, urine acquires when the organs of the genitourinary system are infected with Trichomonas. Trichomoniasis is a sexually transmitted infection. The main symptoms of the disease are fetid vaginal discharge of yellow or brown color, swelling of the mucous membrane of the vagina and urethra, hyperemia of the external genitalia, pain during urination.

This smell is due to gardnerellosis. This is a non-inflammatory disease, which is characterized by the reproduction of opportunistic microorganisms - gardnerella - as a result of an imbalance in the vaginal microflora. In addition to the unpleasant fishy smell, a woman is disturbed by abundant green discharge from the genital slit and discomfort during urination.

Urine can smell like rotting fish with a genetic disease called trimethylaminuria. This pathology manifests itself in early childhood and is due to the inability of the liver to produce a specific enzyme, flavin monooxygenase-3, which promotes the conversion of trimethylamine to trimethylamine N-oxide, which has no smell. The main and only manifestation of this pathology is the aroma of rotten fish, which comes from all the fluids emitted by a person: sweat, urine, saliva, exhaled air.

Sour smell

In some situations, urine takes on the smell of sour cabbage or sour milk.

One of the main causes of a sour aroma is the defeat of the genitourinary organs by fungi of the genus Candida: candidal vaginitis or urethritis. The main manifestations of this disease are cloudy urine, white cheesy discharge from the genital slit and urethra, itching and burning of the external genitalia, the formation of white plaque on the mucous membrane of the vagina and labia.

Also, the sour smell of urine in women appears with diseases of the gastrointestinal tract: intestinal dysbacteriosis, chronic hyperacid gastritis, peptic ulcer, pancreatitis, etc.

The development of vaginal dysbacteriosis, vaginitis or other diseases of the reproductive system leads to such a "fragrance" of urine. These pathological processes are the result of an imbalance in the vaginal microflora due to bacterial damage to the vagina or as a result of prolonged use of antibacterial drugs.

Mouse smell

The presence of the smell of mice or mold in the urine indicates a congenital disease called phenylketonuria. This pathology is a hereditary metabolic disorder of the amino acid phenylalanine, in which there is a sharp decrease or complete absence of activity of the liver enzyme phenylalanine-4-hydroxylase, which promotes the conversion of phenylalanine to tyrosine. There is an accumulation of phenylalanine and its toxic products in the tissues, leading to severe damage to the central nervous system.

The disease begins to appear at 2 months of age. Lethargy, convulsions, increased reflexes, a "mouse" smell of sweat and urine or "the smell of a wolf", eczema, and a lag in physical and mental development appear.

Sweet smell of maple syrup

A hereditary disease called leucinosis causes urine to smell like maple syrup. This pathology is characterized by a violation of the synthesis of the enzyme responsible for the breakdown of three amino acids - leucine, isoleucine and valine. As a result, they accumulate in the tissues of the body and have a toxic effect on it.

The disease is detected from infancy, has a severe course and often leads to death. The main signs of leucinosis are developmental delay, impaired coordination of movements, vomiting, convulsive syndrome, depression of the central nervous system, decreased blood glucose, ketoacidosis, low blood pressure. A characteristic symptom of the disease is a specific aroma of urine, reminiscent of the smell of wedge syrup.

Non-specific odors

In some cases, the appearance of an unpleasant smell of urine in a woman is caused by the use of certain foods, spices or medications:

With frequent use of buckwheat porridge, urine begins to smell like buckwheat.
Sulfur compounds, which are found in large quantities in asparagus, garlic, onions, cabbage, radishes, cause the appearance of hydrogen sulfide in the urine.
The aroma of drugs appears after the use of certain antibiotics (ampicillin, ceftriaxone, ciprofloxacin), B vitamins and other drugs.
Spices such as curry, garlic, cumin, horseradish, cardamom contribute to the strange smell of urine.

As a rule, such an aroma disappears on its own 24-48 hours after the use of the above foods or medicines.

Changing the smell of urine during pregnancy

In pregnant women, the appearance of an unpleasant odor in the urine is due to the same factors as in non-pregnant women. The most formidable is the appearance of a sweetish hue, the smell of rotting apples or acetone. The occurrence of the described symptoms indicates the development of diabetes mellitus in pregnant women, nephropathy or eclampsia.

In late pregnancy, the enlarged uterus is more likely to clamp the ureter, which leads to stagnation of urine and the fact that it begins to smell like ammonia.

During the period of bearing a baby, inflammatory diseases of the kidneys and bladder develop much more often, which leads to the appearance of a sour or purulent aroma in the urine.

Treating Bad Urine Smell

In the event of a fetid odor in the urine, you should contact a urologist or gynecologist. If a disease caused by a violation of metabolic processes is detected, the endocrinologist will continue to treat the woman; if hereditary metabolic diseases are detected, consultations of a geneticist and a nutritionist are indicated.

Treatment always depends on the cause of the bad smell of urine in women and consists in its complete elimination.

If a woman has an acetone aroma of urine, she should give up sweet and spicy foods. Sugar and desserts are recommended to be replaced with honey or special tablets, plentiful alkaline drinking and the rejection of fatty foods. In the absence of improvement in the condition, it is necessary to contact a specialist who will conduct a thorough diagnosis and prescribe qualified treatment.

The reason for the appearance of urine smelling of ammonia or chlorine, especially in the morning, is a bacterial inflammation of the urinary organs. The treatment regimen for these conditions includes antibiotics, anti-inflammatory drugs, and symptomatic treatment. At home, you can be treated with folk remedies: a variety of diuretic collections, cranberry and lingonberry juice, decoctions of lingonberry leaves, rose hips, horsetail grass, knotweed. These herbs and plants have a cleansing, diuretic and anti-inflammatory effect.

The key point of therapy is to maintain a proper balanced diet with the rejection of alcohol, salty, fatty, spicy, pickled and spicy foods.

With a putrid smell of urine, antibacterial drugs are also needed. Additionally, washing enemas with a decoction of chamomile flowers are recommended.

A sour smell that occurs due to an imbalance in the vaginal microflora and the addition of a fungal infection. Treatment of this condition is carried out with the help of antifungal vaginal suppositories and systemic tablets.

With a mouse aroma of urine, characteristic of phenylketonuria, treatment is carried out using a special diet that excludes foods rich in protein and phenylalanine: meat, fish, cheese, cottage cheese, eggs, legumes, etc. The patient's diet consists of vegetables, fruits, juices and special low-protein products - amylophenes.

In the treatment of leucinosis, accompanied by the aroma of maple syrup in the urine, special mixtures of amino acids and protein hydrolysates are used, freed from the content of leucine, isoleucine and valine. Instead of protein, a mixture is used, consisting of a mixture of 18 amino acids, fats in it are represented by corn oil, and carbohydrates are represented by dextrin-maltose. Additionally, vitamins and minerals are included.

If a person is healthy, then his urine will have a light yellow color, should be transparent, and the smell should not have unpleasant pungent shades. The appearance of an extremely unpleasant odor may indicate the development of pathology, and not only in the urinary tract, but also in other body systems. Unfortunately, people generally do not attach importance to the unpleasant pungent smell of urine, and postpone a visit to the doctor. But this sign can become one of the symptoms of the development of complex, with a severe course of diseases.

Diseases of the genitourinary system

The most common cause of a pungent ammonia odor in urine is an infectious disease of the urinary system - for example, (inflammation of the walls of the bladder), (inflammation of the calyces and pelvis of the kidneys), (inflammation of the walls of the urethra). The appearance of an unpleasant odor is due to the ingress of pathogenic bacteria and their metabolic products into the urine. It is the unpleasant pungent smell of urine that often becomes the first symptom of these pathologies, for a long time it can generally be present in a single amount. But usually, along with the symptom under consideration, there are pulling or in the area of the anatomical location of the bladder, pain and cloudy urine.

Cystitis may also have a non-infectious origin. This inflammatory process in the walls of the bladder can develop as a result of prolonged use of drugs that have an irritating effect on the specified organ of the urinary system. In this case, the smell of urine will be characterized as chemical, pharmacy.

The development of more serious inflammatory processes, which are characterized by suppuration, will be accompanied by a putrid smell of urine. The same symptom will also appear in the case of the formation of vesical-rectal fistulas - such pathological conditions require immediate medical intervention.

In men, an unpleasant smell of urine may indicate progression. But in this case, the symptom in question will not be the only one, the man will definitely complain about pain in the perineum, sexual dysfunction and difficulty urinating.

Women should be alerted by the pungent smell of urine, which intensifies after intercourse - this symptom may indicate the presence of sexually transmitted diseases or violations of the vaginal microflora. For the same reasons, an unpleasant smell of urine appears in a woman after childbirth.

Diabetes

If the urine has a sharp acetone smell, then this clearly indicates the presence of ketone bodies in it. And this, in turn, is one of the symptoms. As a rule, the acetone smell of urine is accompanied by increased thirst, constant dryness in the mouth, spasms of the calf muscles, and too much urine. The same signs may appear in a woman during pregnancy, in which case doctors will conduct examinations for the development of gestational diabetes.

Note:the acetone smell of urine can appear not only with the development of diabetes. The same symptom is inherent in such pathological conditions as starvation, severe infectious diseases.

Metabolic disorders

If there are violations of metabolic processes in the body, then the smell of urine will “tell” about this for sure:

Unpleasant fishy smell. It may indicate trimethylaminuria, a rare disease associated with impaired metabolic processes. This pathology is characterized by the accumulation of trimethylamine - this substance gives the urine the smell of fish.
Mouse smell. It will be characteristic of phenylketonuria, a genetic disease characterized by a violation of the metabolism of the amino acid phenylalanine. As the pathology progresses, the indicated acid accumulates in the tissues of the body, an increase in its amount in the urine - this is what gives the urine a mouse smell.
The smell of burnt sugar or maple syrup. It appears with leucinosis - a hereditary disease in which the activity of the enzyme system decreases. Leucinosis manifests itself from the first days of a newborn's life and requires emergency treatment.

In addition, urine can acquire the smell of mold, beer, sauerkraut, sulfur, sweat - this will also indicate progressive metabolic disorders in the body. In any case, you should immediately contact the experts.

External factors

It is worth knowing that the appearance of an unpleasant odor in the urine does not always indicate the development of pathology in the body. A completely healthy person can also face the problem under consideration! It is well known that alcohol and certain foods (eg, spicy foods, asparagus, salty foods) contain substances that give urine an extremely unpleasant odor. Doctors recommend waiting 48 hours - it is during this period that the smell of urine should be restored, otherwise you should definitely seek qualified medical help.

In some cases, an unpleasant odor of urine appears against the background of long-term use and vitamins - especially ciprofloxacin and ampicillin "sin" with such a side effect,. The problem is easily solved - it is enough to stop taking these drugs and the smell of urine returns to normal within 5-7 days.

Note:the appearance of a sharp ammonia smell of urine may be due to imbalance due to diets and dehydration. To eliminate the syndrome, you need to adjust the diet and consume at least one and a half liters of water per day.

Unpleasant smell of urine in a child

In newborns, urine does not have any smell at all (subject to the absolute health of the baby), as it grows older, the smell becomes identical to that present in adults. The appearance of an unpleasant smell of urine may be due to the following factors:

Note:the appearance of an unpleasant smell of urine in a child is not always evidence of the development of pathological processes in his body. For example, if the baby is breastfed, then an unpleasant smell of urine may appear if the mother ate cabbage. The smell of urine can be enhanced by changing the milk formula, introducing complementary foods.

Urine serves to remove metabolic products, toxins, and excesses of other substances from the body. Periodically, its physical indicators can change. At the same time, foreign impurities appear. It is impossible to ignore these signals in order not to miss the development of the disease and to prevent the occurrence of complications in time. Such metamorphoses are evidence that a focus of inflammation has arisen in the urinary system. But most of the signs are detected in the laboratory during a general analysis. Changed color and aroma of urine allow you to notice something wrong on your own. What are the causes of urine odor in women?

When a person is healthy, his urine is clear, light yellow in color. It smells barely noticeable or does not exude a bad aroma at all. Women's urine always contains a small amount of ammonia, so it smells accordingly. The strong odor builds up over time the urine is in a container with a tightly ground lid. If the smell of urine becomes noticeable immediately after going to the toilet and additional signs are added to this, you should immediately consult a doctor.

Different origins explain the causes of the smell of urine in women. Only an experienced specialist is able to give them an adequate interpretation, based on the collected anamnesis and the results of examinations. Therefore, it is not necessary to delay the trip to the hospital. Remember that timely treatment is the key to a quick and successful recovery!

Reasons for the smell of acetone

Acetone is gradually excreted regularly with urine. This means that the kidneys are functioning normally. If its aroma becomes clear, it is worth talking about exceeding the acetone norm. The increased content of ketones in urine poses a threat to the well-being of a woman (especially a future mother) and can cause coma. To determine why a bad smell of urine has formed, you will have to undergo tests and a number of instrumental studies. The specific aroma of acetone, for example, can be a symptom of:

Intoxication of the body, including due to drinking alcohol;
Frequent vomiting of vomit due to poisoning, toxicosis, eclampsia;
Diseases in which an elevated body temperature persisted for a long time;
Exhaustion as a result of a strict diet, starvation, excessive expenditure of physical strength;
Wrong diet, in which the basis was protein and fat-containing meals;
Serious pathologies such as diabetes, stomach cancer, thyroid disorders.

Diseases in which the body temperature rises for a long time affect the smell of urine

The smell in the urine of acetone can occasionally change the tone. It ceases to be sharp, it becomes soft. Then the urine can smell a little cloying - with a hint of overripe and rotting apples. However, even if a bad smell with acetone notes appeared as a single symptom, it is necessary to consult with a competent physician who will select an effective treatment regimen.

Causes of Ammonia Aroma

Ammonia is found in trace amounts in the urine of healthy people. This is not surprising, because it is a substance that is obtained by amino acid cleavage. By consuming food with a predominance of protein, you can ensure that the bad smell of urine acquires a shade of ammonia. The reasons for the smell of urine in women may also be associated with a lack of fluid. With an increase in the concentration of urine, its aroma becomes distinct. Finally, the ammonia smell in the urine occurs when a woman holds back the urge to defecate for a long time. This often happens in the morning, in the II-III trimesters of pregnancy, when the uterus squeezes the urinary canal, narrowing it, as well as when stones are found that clog the lumen in the ureter.

The strong smell of ammonia in urine is also a consequence of:

Taking iron-containing drugs and drugs that increase calcium levels;
Inflammation in the organs of the genitourinary tract (pyelonephritis, cystitis);
Hepatic pathology.

If the reasons for the smell of urine in women are physiological, they can be eliminated by strengthening the drinking regimen, timely visits to the restroom and making changes to the daily menu. Sometimes bad smelling urine is a reason to seek medical attention.

Sometimes women's urine takes on a sour aroma, similar to the aroma of sauerkraut and sour milk. Why does urine smell like this? There are several explanations for this:

vaginal candidiasis or urethritis (fungal infection);
Imbalance of the vaginal microflora (long-term antibiotic therapy);
Vaginitis, vaginal dysbacteriosis (bacterial infection);
Dysbacterial disorders of the intestine;
Gastric juice with a high degree of acidity.

The cause of the sour aroma is vaginal dysbacteriosis

After the cause of the pungent smell of urine is established, the doctor selects the appropriate methods of treatment: local (vaginal suppositories, ointments) and general (antibacterial agents). Medicines that restore the intestinal microflora also help in the fight against the disease.

Reasons for the fishy smell

Basically, the smell of rotten fish is inherent in vaginal discharge. They pass into the urine with the emptying of the bladder. Impregnated with a fishy spirit, an unpleasant smell of urine is characteristic of:

Trichomoniasis;
Vaginal dysbacteriosis against the background of the reproduction of gardnerella bacteria;
Trimethylaminuria (impaired production of the hepatic enzyme trimethylamine).

In the first cases, the prevention of the cause of the smell of urine in women consists in the use of barrier contraception, in the latter, with a low-protein diet and the use of adsorbents.

Sweet smell of maple syrup

When women's urine smells like maple syrup, this indicates the presence of a hereditary disease of leucinosis. It lies in the fact that the body loses the ability to produce enzymes that ensure the breakdown of individual amino acids. Such a Diagnosis is made in infancy, but the disease may manifest itself later.

Urine smells especially sweet during exacerbations that occur during stress, weakened immunity, and overwork. Treatment is a lifelong diet and regular medical supervision. In the absence of therapy, a fatal outcome is possible.

Moldy smell (urine smells like mice)

The smell of mice or the musty stink of urine is a symptom of congenital liver disease. The fermentation of the organ is weakened and its activity is not enough for the breakdown of phenylalanine that accumulates in the tissues. At the same time, all body secretions (sweat, saliva) have a strong smell of mold and mice.

A constant diet helps to restrain the manifestations of the disease, non-compliance with which threatens with irreversible disturbances in the functioning of the brain and central nervous system.

Smell of rotten eggs or rotting

The bad smell of rotten eggs or rot is a serious symptom. Urine becomes cloudy, it contains various inclusions. If the unpleasant smell of urine does not go away during the day, you should consult a doctor. Urine smells like spoiled eggs under the following conditions:

Pyelonephritis;
Cancer of the rectum;
Inflammation of the kidneys and bladder.

A strong smell of rotten eggs can also be caused by eating asparagus, but then the effect will subside in 5-6 hours.

Non-specific odors

The reasons for the smell of urine in women in most cases lie in the peculiarities of nutrition. The following foods can make urine smell unusual:

Spices and seasonings (garlic, cardamom, curry);
Cabbage (intensifies the smell of sulfur);
Antibiotics and other drugs (smell of ampicillin).

Dark, garlic-scented urine indicates liver dysfunction. Urine with the smell of sweat indicates a disorder of fermentation metabolism and the development of gastritis, pancreatitis and duodenal ulcer.

Changing the smell of urine during pregnancy

During pregnancy, an unpleasant smell of urine can be both the result of an aggravated perception and a real excuse for concern. The most common changes are:

Sweet smell of rotten apples, acetone (nephropathy, diabetes mellitus, eclampsia);
Sour and purulent smell - inflammation of the kidneys, bladder;
A sharp ammonia stench - clamping of the urinary canal, stagnation of urine.

Vaginal discharge

Features of the structure of the body (the close location of the urethra and the entrance to the vagina) complicate the recognition of the cause of the smell of urine in women. It is not uncommon for the aromas of vaginal discharge and urine to mix. This happens due to the presence of cystitis, partial urinary incontinence (most often observed during pregnancy) and the lack of proper hygiene of the intimate area. To eliminate bad smell, it is recommended to use urological pads and do not forget about water procedures.

Diabetes

The smell in the urine of soaked apples is characteristic of diabetes mellitus. In other situations, this feature does not apply. Progressive diabetes mellitus can also contribute to a change in the smell of urine to a sweetish or rich acetone. Severe forms of the disease are accompanied by an acidic acetone stench and the smell of vinegar.

The smell of beer

The unpleasant smell of urine with a beer spirit is inherent in the rather rare disease malabsorption (impaired absorption of food in the intestines). In addition to the fact that urine begins to stink of beer, the patient loses weight dramatically. He develops severe diarrhea. Feces are oily and difficult to wash off the toilet.

A beer smell in the urine also accompanies hypermethioninemia (an excess of the amino acid methionine). The disease is genetic in nature and is diagnosed in childhood. The strong smell of beer is also characteristic of manifestations of liver failure.

Stool-smelling urine

The reasons for the smell of urine in women are not limited to all of the above. In some circumstances, urine acquires the smell of feces. This may happen:

In the absence of proper care for the intimate area;
With problems with urination and defecation against the background of their soreness (development of a fistula).

Whatever the reasons for the smell of urine in women, the main thing is to notice the changes in time and contact competent specialists who will not allow the situation to worsen and complications develop.

Defeating severe kidney disease is possible!

If the following symptoms are familiar to you firsthand:

persistent back pain;
difficulty urinating;
violation of blood pressure.

The only way is surgery? Wait, and don't act radically. The disease can be cured! Follow the link and find out how the Specialist recommends treating...

Most people know that the urine of a healthy person is a light yellow liquid or completely colorless, which does not have any unpleasant odor. Any deviation from this norm signals the development of pathology in the human body. Well, if the disease is not serious, but what if the disease is dangerous enough?

Given all the potential risks, we can definitely say that every person who cares about their health needs to monitor the state of urine. As a rule, the suspicion of the disease is caused by an unpleasant odor emanating from the urine. In more detail about exactly what to do when it appears, we will talk in the article below.

The strong smell emanating from urine and its dark color is a phenomenon that should alert absolutely every person. Of course, when a problem is discovered, it is not worth sounding the alarm, but it is necessary to approach it with a due measure of responsibility. First, try to remember your diet for the last 1-2 days. At

surprisingly, a number of foodstuffs often change the color of urine and give it an unpleasant odor. The most used of them are the following:

garlic
horseradish
most seafood
asparagus
sugar cane

In addition to food, a change in the properties of urine can occur under the influence of certain medications and decoctions, herbal infusions. Given these features, it is very important to identify them specifically for your situation. It should be understood that over time, the smell will pass and the color of the urine will return to normal. For example, in the case of a drug etiology of the problem, it will disappear after 2-3 days after the completion of the course of therapy, and in case of a food problem, it will take no more than a day to recover.

There is absolutely no need to worry under such circumstances, since the change in urine in such situations is absolutely natural and indicates the normal functioning of the urinary system of the body.In the absence of the previously presented features of cases of problems with the smell and color of urine, the problem most likely lies in the pathological condition of one of the nodes of the body.

It is almost impossible to identify an ailment without the help of a specialist, so contacting him cannot be avoided.

As a rule, the cause of an unpleasant smell of urine is the development of one of the following diseases:

cystitis (chemical smell)
venereal diseases (fishy smell)
(blood particles are additionally observed in the composition of the blood)
inflammation of the kidneys (accompanied by severe lower back pain)
(ranging from sweet apple to strong chemical)
disturbances in the body caused by starvation, or dehydration (the smell of ammonia)
liver failure (beer smell)
a number of hereditary ailments - leucinosis, for example (odors of a completely different nature: from sweetish to chemical and ammonia)

It is important to understand the seriousness of the problem and take appropriate measures if the urine smells or changes in color. Otherwise, the risk of launching an existing ailment is enormously high, which is very bad for any person, because treating diseases in the early stages is much easier than already running ones.

Causes of bad breath in urine

The unpleasant smell of urine in a child is a phenomenon that requires tremendous attention from his parents. Often the causes of urine modification are the same as in adults, but in some cases there may be completely different ones, inherent exclusively in children.

The most striking example of this etiology of the problem is a lack of vitamin D in a child. This pathology is accompanied not only by an unpleasant smell of urine, but also by increased sweating and groundless weight gain.

In addition, the modification of urine in children can be caused by:

colds
metabolic disorders in the body
lack of fluid intake
in the case of infants - the wrong diet of a nursing mother

It is important to understand that a strong smell of urine in a child is quite a serious problem, especially if it does not disappear for several weeks. In this case, self-medication is not worth it, but it is necessary to immediately take the child to the clinic, conduct a comprehensive examination of his body and identify the true cause of the problem.

Only by such actions any parent can guarantee that his child will grow up healthy and the existing disorders in his body will be eliminated on time, and also without consequences.

What to do? Which doctor to contact

Submit urine for analysis!

As mentioned earlier, the appearance of an unpleasant odor in urine is not a reason to panic. This phenomenon, of course, cannot be ignored, therefore, at the first signs of pathology, it is advisable to observe its course. If the smell and other changes in urine disappeared within 1-7 days of observation, then the trip to the clinic, at least, can be postponed, but in the opposite situation, you need to act more globally.

In most cases, the problem of urine stench is addressed to two main specialists: a general practitioner or a urologist. Regardless of the specific specialization of the doctor, he will without fail listen to the patient, analyze the etiology of his illness and send him to the necessary examinations.

Useful video - What does the unpleasant smell of urine indicate:

After passing through these, the patient can safely go to his doctor, who, with the maximum guarantee of veracity, will make a diagnosis. As a rule, the results of the analyzes finally confirm one or another cause of the smell and the patient is redirected to the appropriate specialist:

endocrinologist
venereologist
urologist
surgeon and so on

In any case, it is undesirable to ignore the strong smell of urine and other changes in the structure of this substance or self-medicate. It is important to understand that only a doctor, a professional in his field, can make the correct diagnosis and prescribe the right course of therapy.

Treatment and prevention of pathology

Given the versatility of the possible causes of the stench of urine, it is irrational to speak unambiguously about its treatment without knowing the features of a particular case. In most situations with a similar problem, drug methods are prescribed to combat the pathology that caused urine modifications. Much less often, doctors resort to more global treatment methods, such as surgery.

Despite such ambiguity in getting rid of the problem we are considering today, there are a number of basic ways to overcome unpleasant symptoms - the smell and discoloration of urine.

The most common methods of treatment and prevention of "urinary stench" are as follows:

Taking various medications from the urological pharmaceutical field: uroantiseptics, phytomedications, and the like.
Using folk methods to get rid of the smell of urine. Tinctures and decoctions of lingonberries, knotweed and cranberries have the greatest effect.
Complete refusal of cigarettes, as well as significant restrictions in terms of the use of salt and beer.
Following a certain diet that completely eliminates the consumption of foods that provoke changes in the color and smell of urine.
And vice versa, adding to the diet of products that accelerate the work of the diuretic system and cleanse it. A striking example of these are watermelon and green tea.

Do not forget that the methods presented above are aimed only at stopping the unpleasant symptoms of the disease, which causes changes in the urine.

In order to completely overcome the pathology, it is very important to conduct a detailed diagnosis, identify the true cause of the problem and, with the participation of a professional, determine the only correct course of therapy.

Otherwise, the smell of urine is likely to remain and the existing pathologies will progress further.As you can see, it is extremely easy to figure out what to do when urine smells strongly or has changed color. The main thing in the process of diagnosing and treating an illness is a competent approach and action exclusively in the order presented earlier. We hope that today's material has answered your questions. Health to you!