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   Smelly urine    
   Introduction    
      
   Healthy urine should be clear and straw-coloured, and shouldn't be   
   particularly smelly.   
   Some people find that their urine smells stronger and is darker first thing in   
   the morning when it's more concentrated, or generally when they're dehydrated.   
   Also, certain food and drinks, including asparagus, beer, garlic and coffee,   
   may temporarily give urine a stronger smell.   
   Certain medicines and vitamin and mineral supplements can also alter the odour   
   of urine – but never stop taking any medication without speaking to your GP   
   first.   
   You may find the smell of your urine improves by drinking more fluids.   
   Generally, make sure you drink enough fluid so you're not thirsty for long   
   periods, and steadily increase your fluid intake when exercising and during   
   hot weather.   
   Do I ever need to see my GP?   
   It's not necessary to see your GP about smelly urine unless you're concerned   
   – for example, if you have other symptoms too.   
   See your GP if:   
   You have symptoms of a urinary tract infection (UTI), such as pain or a   
   burning sensation when urinating and a need to urinate often. This is the most   
   likely cause of unexplained foul-smelling urine. A UTI will often get better   
   on its own, especially if    
   you increase your fluid intake. It is less likely to get better without   
   treatment in men than in women.   
   You have diabetes and feel you're not managing it properly – urine can smell   
   abnormally sweet in uncontrolled diabetes.   
   Could it indicate any other medical condition?   
   The following conditions can sometimes cause smelly urine, but they are   
   uncommon:    
   urinary stones – these may cause an ammonia-like odour (read about bladder   
   stones and kidney stones)   
   a bladder fistula – this is an abnormal connection between your intestines   
   and bladder   
   maple syrup urine disease – this rare genetic disease means you have   
   difficulty breaking down certain amino acids   
   liver failure (read about the different types of liver disease that can lead   
   to liver failure)   
   diabetic ketoacidosis – this dangerous complication of diabetes happens when   
   the body is unable to use blood glucose because there isn't enough insulin, so   
   it breaks down fat as an alternative source of fuel, causing a build-up of a   
   by-product called    
   ketones    
      
      
      
      
   Page last reviewed: 16/10/2014   
   Next review due: 16/10/2017   
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   Useful links   
      
   NHS Choices links   
      
   Urinary tract infections in adults   
   Kidney health   
   Cystitis   
   External links   
      
   Cystitis and Overactive Bladder Foundation   
      
   Blood in your urine   
   Finding blood in your urine can be scary and must be investigated by a doctor,   
   but it's not usually a sign of anything life threatening   
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   http://www.nhs.uk/conditions/smelly-urine/Pages/Introduction.aspx   
      
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