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How often do you pay attention to the smell and color of your urine? You may find it embarrassing or gross, but your urine can reveal a lot about your health. Here are 13 reasons why your pee may smell awful, according to doctors.

Infection

If your urine looks cloudy, has a foul odor, and stings or burns when you pee, it may be a sign of a urinary tract infection (UTI). UTIs are caused by bacteria that invade your bladder, urethra, or kidneys and cause inflammation and irritation. Women are more prone to UTIs than men, especially after sex.

Dehydration

When you don’t drink enough fluids, your urine becomes more concentrated and can smell stronger and darker. So, if you’ve been sweating a lot, exercising, or traveling, make sure to hydrate yourself with water, herbal tea, or fruit juice. Coffee, alcohol, and sugary drinks may worsen dehydration and odor.

Ketosis

If you’re following a low-carb, high-fat diet like the ketogenic diet, your body may produce ketones as a byproduct of burning fat for energy. Ketones can give your breath, sweat, and urine a sweet or fruity smell, which some keto dieters call “ketobreath” or “ketopiss”. However, if your ketone levels are too high, it may indicate ketoacidosis, a dangerous condition that requires medical attention.

Asparagus

Asparagus contains a sulfur compound that can make your urine smell like rotten eggs or ammonia. Not everyone can smell this odor, as it depends on your genes and sense of smell. But if you notice a sudden change in your urine odor after eating asparagus, don’t worry. It’s harmless and goes away once the asparagus is metabolized.

Vitamins

If you take certain vitamins or supplements, such as vitamin B6, riboflavin, or multivitamins, they may cause your urine to turn bright yellow or greenish. This is because these vitamins are water-soluble and excess amounts are excreted through urine. However, if you notice blood, foam, or sediment in your urine, it may indicate a kidney or bladder problem.

Medications

Some medications, such as antibiotics, chemotherapy drugs, antifungal agents, and antidepressants, can affect the color, smell, or acidity of your urine. For example, phenazopyridine, a pain reliever for urinary tract infections, can turn your urine bright orange or red. If you’re not sure whether your medication is causing your urine changes, ask your doctor or pharmacist.

Metabolic disorders

Some metabolic disorders, such as diabetes, liver disease, and rare genetic conditions, can alter the composition of your urine and cause odor, color, or sediment changes. For example, high blood sugar levels in diabetes can lead to sweet-smelling urine, while liver problems can make your urine look brownish and foamy. If you have frequent or consistent changes in your urine, especially with other symptoms, see your doctor for a checkup.

These are just a few examples of why your urine may smell awful or different than usual. Other reasons may include certain foods, drinks, or diseases. If you have concerns about your urine, don’t hesitate to talk to your healthcare provider. They can perform a urinalysis, a simple test that examines your urine for signs of infection, inflammation, or other problems.

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