Sharp smell of urine

Very often doctors meet with a patient's complaint about the pungent smell of urine. Why this happens, you can understand only by conducting a series of diagnostic tests. The big mistake of patients is that they try to treat certain diseases and syndromes on their own, thereby erasing the clinical picture and preventing a quick cure.

To begin with, normal urine is transparent, with acid reaction and density up to 1030 (although this figure should already alert). The color of the urine of a healthy person is straw-yellow. It is allowed to have up to 4-6 epithelial cells and 2-4 leukocytes in the field of vision. Protein, glucose and erythrocytes in the urine should not be present.

The sharp smell of urine is the first sign that something is wrong in the body and it is necessary to be examined. For example, a distinct smell of ammonia during urination is observed in patients with diabetes mellitus. In such cases, you can find a sweetish odor from the mouth. Some doctors note that in patients with diabetes, urine smells of fresh apples or other fruits (this is due to the high content of acetone in it). Diabetes is often diagnosed for the first time in patients who complain of an unpleasant smell of urine. Such patients should be fully examined, and then sent to a consultation with the endocrinologist.

The sharp smell of urine can be observed in the presence of fecal fistula. In such a situation, urine will have the smell of feces, and with it the particles of stool will be released through the urethra. Typically, these patients, in addition to the unnatural smell of urine, there is a pronounced pain syndrome in the pelvic region and perineum. The bladder and urethra become inflamed, which disrupts the normal function of urination.

In this situation, it is necessary to consult a surgeon and determine the further tactics of treatment.

A strange smell of urine can appear with various urogenital infections, including those transmitted sexually. Specific may be a fishy odor with bacterial vaginosis or an unpleasant odor for thrush, chlamydia or ureaplasmosis. As a rule, patients have a clinical picture of mucous membranes of the genital organs (edema, hyperemia, reddening and itching), as well as special discharge from the urethra. Urine in this state becomes turbid, it can have various impurities, many leukocytes.

The putrefactive sharp smell of urine is observed in purulent processes in the pelvic area. It can be the disintegration of a tumor, abscess or gangrene of the body. Most often, such processes are localized in the intestinal region, but can be diagnosed in the bladder and genital organs. Then in the analysis of urine a large number of leukocytes is determined, there may be erythrocytes and an admixture of pus. The patient needs to be fully examined and carry out the necessary diagnostic manipulations to determine the further treatment tactics.

A sharp smell of urine can be observed in patients with cystitis, especially with a long-term ongoing process. Urine gets the smell of acetone, and the heavier the condition, the more distinctly the smell.

Do not forget that some foods used in food can not only change the color of urine, but also its smell. For example, the use of a large amount of garlic, horseradish or other spices very often provokes a change in the smell of urine. At laboratory diagnostics all parameters of structure of urine within the limits of norm.

An unpleasant smell of urine may indicate insufficient hygiene of the genitals or infrequent change of clothes. In such a situation, laboratory analysis is absolutely normal, one can only detect an increased content of epithelial cells. After thorough hygiene, the odor is eliminated.