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Bad Smelling Urine Symptoms

Urine is meant to have a mild odor. If you are well hydrated, it may not smell like anything, or it may take on the aroma of something you ate or drank, like asparagus or coffee. If your urine smells, the odor should be relatively mild. A strongly disagreeable smell can be a sign of illness.

Possible odors in the urine:

  • An ammonia smell
  • An overly sweet, almost sugary smell
  • A musty smell
  • A foul smell
  • A sulfurous smell

Duration of bad-smelling urine:

  • A bout of bad or foul-smelling urine will resolve quickly if it was simply caused by foods or drinks.
  • It may last days if due to an infection.
  • Conditions like diabetes or liver failure may last weeks or months if not treated.

Who is most often affected by bad or foul-smelling urine?

  • Anyone who eats certain foods or takes certain supplements or medications can be affected.
  • Sexually active and older women are at risk for UTI's and are often affected.
  • Anyone with diabetes, liver or kidney failure may experience cases of foul-smelling urine.

When is bad-smelling urine most likely to occur?

  • It is not uncommon for urine to smell stronger in the morning, because it will be more concentrated after you've gone several hours without drinking anything.
  • Being outside in hot weather can cause some dehydration through sweating, with the same result.

Is bad or foul-smelling urine serious?

  • Any changes in urine smell are most often temporary and can be connected with becoming dehydrated, eating certain foods, or starting a new supplement or medication. If you have no other symptoms, it's rarely a concern.
  • If there is also an unusual color to the urine, along with a persistent and very disagreeable odor, you may have a condition that should be treated.
  • If you have the above signs along with pain or other symptoms of illness, you should see your medical provider as soon as possible.

Bad Smelling Urine Causes Overview

Many conditions can have bad or foul-smelling urine as a symptom. The most common are those involving dehydration, eating certain foods, taking certain medications or supplements, and urinary tract infections.

Dehydration:

  • Simply not drinking enough water causes the urine to become dark and concentrated and to smell bad.
  • Drinking alcohol causes dehydration — the same dehydration responsible for the headache that comes with a hangover.
  • Some medications and supplements cause increased urination. Diuretics are meant to rid the body of excess fluid but can leave you somewhat dehydrated.
  • Heavy exercise with sweating can also lead to dehydration.

Food, supplements, and medication causes:

  • Asparagus is a well-known offender when it comes to causing a strong smell to the urine, due to its high sulfur content.
  • Garlic, onions, leafy vegetables, and eggs all contain sulfur too, but like asparagus they are good for you and there is no need to avoid them. Any smell they give to the urine is harmless.
  • Vitamin B6, also called pyridoxine, in doses of more than 10 mg per day, may cause a strong smell to the urine.

Medical causes:

  • Bacterial infection or inflammation of any part of the urinary tract, which tends to cause a foul smell to the urine.
  • High blood sugar, which causes a strong sweet smell to the urine.
  • Liver damage, which causes a sweetish, musty smell to both the breath and the urine, because toxins are not being properly filtered out of the blood.

9 Potential Bad Smelling Urine Causes

Disclaimer: The article does not replace an evaluation by a physician. Information on this page is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes.

  1. 1.Urinary Tract Infection

    In women, the opening to the urethra (the tube that carries urine from the bladder to the outside of the body) is very close to the anus, and bacteria from the anus can easily escape and travel up the urethra. These bacteria can infect the bladder, and cause what is known as a urinary tract infection (UTI).

    Symptoms most often go away within 24 to 48 hours after treatment begins.

    Rarity:
    Common
    Top Symptoms:
    abdominal cramps (stomach cramps), pelvis pain, sudden urgency to urinate, signs of urinary tract inflammation, urinary changes
    Symptoms that always occur with urinary tract infection:
    signs of urinary tract inflammation
    Urgency:
    Phone call or in-person visit
  2. 2.Vaginal Trichomonas Infection

    Trichomonas vaginalis infection (or "Trichomoniasis" or "trich") is a common sexually transmitted disease caused by a parasite of the same name. It affects over 3 million people per year, but only about 30% have any symptoms.

    Treatment leads to a 100% cure rate in 7-14 days

    Rarity:
    Rare
    Top Symptoms:
    vaginal discharge, vulvovaginal odor, vaginal itch or burning, vaginal bleeding, white/gray vaginal discharge
    Symptoms that always occur with vaginal trichomonas infection:
    vaginal discharge
    Symptoms that never occur with vaginal trichomonas infection:
    vaginal ulcer
    Urgency:
    Primary care doctor
  3. 3.Bacterial Vaginosis

    Bacterial vaginosis (BV) is an infection caused when too much of certain bacteria change the normal balance of bacteria in the vagina. BV is not a sexually transmitted infection and is not caused by poor hygiene (in fact, excessive washing of the vagina may increase the risk). Its symptoms are usually mild, consisting primarily of a white-gray vaginal discharge that has a fishy smell.

    5-7 days antibiotic treatment. May resolve on its own.

    Rarity:
    Uncommon
    Top Symptoms:
    vaginal itch or burning, vulvovaginal odor, bloody vaginal discharge, white/gray vaginal discharge, thick vaginal discharge
    Urgency:
    Primary care doctor
  4. 4.Normal Case of Vaginal Discharge

    Vaginal discharge is a common issue many women experience and is likely nothing to worry about. Your vaginal discharge can change depending on your menstrual cycle. Recent initiation or a change in contraceptives can also cause a temporary change in discharge.

    A few days

    Rarity:
    Common
    Top Symptoms:
    vaginal discharge, mild vaginal discharge, white/gray vaginal discharge, clear vaginal discharge, abdominal pain (stomach ache)
    Symptoms that always occur with normal case of vaginal discharge:
    vaginal discharge
    Symptoms that never occur with normal case of vaginal discharge:
    vaginal itch or burning, painful urination, severe vaginal discharge, vaginal pain, abdominal pain (stomach ache), bleeding after sex, missed period, vulvovaginal odor
    Urgency:
    Wait and watch

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  5. 5.Gonococcal Cervicitis

    Gonorrhea is a common STD and 350,000 cases occur each year in the United States. It is transmitted through unprotected sex.

    1 week with treatment

    Rarity:
    Uncommon
    Top Symptoms:
    vaginal discharge, vaginal bleeding, painful sex, yellow pus vaginal discharge, heavy menstrual flow
    Symptoms that never occur with gonococcal cervicitis:
    improving vaginal discharge
    Urgency:
    Primary care doctor
  6. 6.Yeast Infection

    Recurrent yeast infections are caused by a fungus called "Candida." Candida is the scientific name for yeast that lives almost everywhere, including in the human body. Typically, our immune system keeps it under control, but if you take antibiotics or gets sick, the fungus can multiply and cause an infection. In this case, it is happening in the vagina.

    50% of women have relapses within 2 months, and 9% have more than 4 episodes per year. For those, maintenance therapy is possible.

    Rarity:
    Common
    Top Symptoms:
    vaginal itch or burning, white/gray vaginal discharge, thick vaginal discharge, vaginal pain, vulvovaginal redness
    Urgency:
    Primary care doctor
  7. 7.Pelvic Inflammatory Disease

    Pelvic inflammatory disease (PID) is an infection of the female genital structures like the uterus, fallopian tube, ovary, and the surrounding abdominal wall. It is typically caused by N. Gonorrhoeae or C. Trachomatis.

    Prognosis after treatment within 3 days of symptom onset is great (88%-100%). Those that are hospitalized, older, or have had gynecological surgery have a worse time with this infection.

    Rarity:
    Common
    Top Symptoms:
    fever, abdominal pain or unusual vaginal discharge, vaginal discharge, nausea or vomiting, vaginal bleeding, pelvis pain
    Symptoms that always occur with pelvic inflammatory disease:
    fever, abdominal pain or unusual vaginal discharge
    Urgency:
    In-person visit
  8. 8.Atrophic Vaginitis

    Atrophic vaginitis is an inflammation of the vagina and surrounding structures. It is caused by decreased levels of estrogen which causes the endometrial and vaginal lining to thin and vaginal pH to increase, causing symptoms like dryness, burning, and itching.

    Treatment will effectively manage symptoms.

    Rarity:
    Common
    Top Symptoms:
    vaginal discharge, vaginal bleeding, delay in or irregular periods, vaginal itch or burning, signs of urinary tract inflammation
    Symptoms that always occur with atrophic vaginitis:
    delay in or irregular periods
    Urgency:
    Primary care doctor
  9. 9.Endometriosis

    Endometriosis is a disorder in which the tissue that normally lines the uterine walls grows outside the uterus.

    Recovery is dependent on severity of disease and treatment approach.

    Rarity:
    Uncommon
    Top Symptoms:
    vaginal discharge, abdominal pain (stomach ache), vaginal bleeding, pelvis pain, painful periods
    Urgency:
    Primary care doctor

Bad Smelling Urine Treatments and Relief

Seek immediate treatment for foul-smelling urine in the emergency room or call 911 if:

  • You have extreme fatigue, ongoing thirst, and increased urination along with a strangely sweet smell to the urine.
  • You have back pain along with chills, fever, and foul-smelling urine that looks pink or red.
  • You have ongoing fatigue with yellowing of the skin and eyes (jaundice), swollen ankles, and a musty smell to the urine and breath.

Schedule an appointment if:

  • You are on a diuretic medication and have bad-smelling urine. Your medical provider may be able to change or adjust the dosage of the diuretic.
  • You have lower abdominal pain with foul-smelling urine.
  • You have foul-smelling urine and urinary urgency or frequency

Remedies that you can try at home for bad-smelling urine:

  • Drink more water on a regular basis.
  • Take vitamin C tablets.
  • Drink green tea.
  • Drink unsweetened cranberry juice or take over-the-counter cranberry concentrate tablets. Do not use cranberry products if you've had a kidney stone or you are taking a blood thinning medication (an anticoagulant).

FAQs About Bad Smelling Urine

Here are some frequently asked questions about bad smelling urine.

Can bad smelling urine be a STD?

Yes, foul-smelling urine can be caused by an STD also known as a sexually transmitted infection (STI). Sexually transmitted infections and bladder infections can change the smell of urine. One type of sexually transmitted infection, known as trichomonas, can lend a fishy odor to urine. A urinary tract infection (UTI) can cause pus within the urine and may also cause pungent and foul-smelling urine — this is usually the primary cause. Foods can also change the smell of urine. This includes coffee or asparagus, as consumption can lead to changes in the smell of urine. Because "bad" smelling urine is subjective, it can be mistaken for infections.

Can pregnancy cause bad smelling urine?

Yes. Pregnancy can increase the chances of a bladder infection because the gravid (pregnant) uterus can change the ability of the bladder to empty sufficiently. The bladder with urine in it for a long time can allow bacteria to grow and produce foul-smelling urine. If this happens, it should be treated immediately.

Does bad smelling urine mean infection?

Foul-smelling urine can come from many sources. Most commonly, bladder infection. If you have a sudden change in the smell of your urine, you may be experiencing this due to the consumption of certain foods or vitamins (e.g. B vitamins, asparagus). However, a change in the smell of urine (or the appearance) is a hint that you may have a bladder infection. This can be caused by improper hygeiene, catheterizations, kidney stones or anything that keeps you from completely voiding your bladder.

Is foul smelling urine a sign of dehydration?

Dehydration may increase the concentration of one's urine. Urine is also often darker. Foul-smelling urine is different from a change in the intensity of the smell of urine. The quality of the smell is also different from simply being stronger, and the color may change from yellow to orange or cloudy or red. These may be signs of a urinary tract infection (UTI) or a sexually transmitted infection (STI) and require medical attention.

What causes bad smelling urine with no other symptoms?

Eating foods that are partially excreted via the urinary tract can change the smell of urine and cause "bad-smelling urine." Foods like asparagus are commonly associated with bad-smelling urine and is a genetic predispostion. Usually, foul-smelling urine is associated with infections and can happen in the absence of other symptoms. It may also be accompanied by bladder pain and possibly fever/chills in most cases. Dehydration and concentration of urine can also increase the intensity of the smell of urine.

Questions Your Doctor May Ask About Bad Smelling Urine

  • Q.Do you feel pain when you urinate?
  • Q.Any fever today or during the last week?
  • Q.Are you sexually active?
  • Q.Have you experienced any nausea?

If you've answered yes to one or more of these questions, try our bad smelling urine symptom checker to find out more.

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Bad Smelling Urine Symptom Checker Statistics

  • People who have experienced bad smelling urine have also experienced:

    • 8% Vaginal Discharge
    • 6% Painful Urination
    • 5% Vaginal Itch or Burning
  • People who have experienced bad smelling urine were most often matched with:

    • 16% Urinary Tract Infection
    • 3% Vaginal Trichomonas Infection
    • 2% Bacterial Vaginosis
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

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