Urine smell

Introduction Fresh urine has a special weak aroma. After being placed in the bacteria for a long time, it is ammonia-stained. After using peppers and garlic, the urine can have an odor. However, if there is abnormal smell in the urine under normal circumstances, you will need to go to the hospital for examination.

Cause

Usually drinking less water, or the genitourinary system is infected, or suffering from some diseases, etc., may lead to symptoms of heavy urine smell.

If the male foreskin is too long or phimosis, and local chronic inflammation infection can cause male urine smell. If the foreskin is too long or the local secretions of the phimosis are not discharged well, smegma will gradually form, and the smegma will not only have an odor, but also easily cause inflammation of the foreskin and glans, and eventually the urine will be smelly.

an examination

Related inspection

Urine routine urine sediment red blood cells

1. In addition to general urine routine examination, urinary sediment smear Gram stain for bacterial examination, if necessary, 1h urine cell discharge rate determination (method: emptying the bladder, collecting 3h clean urine, calculate 1h urine white blood cells and non-squamous The number of epithelial cells. Judgment: 300,000 has diagnostic significance). This method is more accurate than the 12h urine sediment counting method.

2. Clean mid-stage urinary bacteria culture, colony count and drug sensitivity determination, Gram-negative bacilli colony count 100,000 / ml have diagnostic significance, 10,000 ~ 100,000 / m1 is suspicious, 10,000 / ml are there Diagnostic significance. Infection should be considered when the Gram-positive cocci colony count is 100-10000/ml.

3. Special culture and inspection: For the detection of pathogenic bacteria in conventional bacteria and fungal culture, high-permeability culture (0.3M sucrose medium) can be used to exclude L-type bacterial infection; anaerobic culture is used to exclude anaerobic Bacterial infection. Check for viruses, mycoplasmas, and saprophytic parasites when necessary.

4. Renal function test: including glomerular filtration rate measurement and renal tubular concentration function, acidification function test, chronic cases should be checked for blood and urine potassium, sodium, chlorine, calcium, phosphorus, magnesium, pH, arterial blood gas analysis.

5. Repeated episodes of routine double-B-ultrasound examination, as appropriate for intravenous pyelography or retrograde urography, if necessary, CT examination. Women should undergo gynecological examinations and pelvic venography should be performed if necessary to exclude the presence of predisposing factors.

6. Diagnostic criteria are often divided into upper and lower urinary tract infections according to the location of urinary tract infection. Upper urinary tract infection refers to pyelonephritis, which can be divided into acute and chronic pyelonephritis according to clinical features. Pyelonephritis may be associated with a lower urinary tract infection, while lower urinary tract infections are often present separately.

Differential diagnosis

Stinky smell:

90% may be a sign of bacterial infection. There may be E-COLI bacteria, which can make your urine smell bad. You should immediately pay attention and see a doctor as soon as possible. E. coli, commonly known as Escherichia coli, is a normal parasite in the large intestine of all mammals. On the one hand, it can synthesize vitamin B and K for absorption and utilization by the body. On the other hand, it can inhibit excessive proliferation of spoilage bacteria and pathogenic bacteria and fungi. However, when they leave the parasite of the intestine and enter other parts of the body, they can cause infection. Some bacterial types are pathogenic and cause intestinal or urinary tract infections. In short, Escherichia coli = E. coli. Usually treated with antibiotics. The specific drug needs to go to the hospital for examination and other drug susceptibility results.

2. The smell of burning sulfur:

The optimistic estimate may be because you have eaten too much asparagus. The sulphur-containing amino acids in the asparagus will give your urine this taste. As the asparagus is completely digested, this taste will gradually disappear. If the smell of sulfur lasts for more than two days, it is necessary to go to the hospital for a urine test.

3. Sweet fruit flavor:

If your urine gives off the smell of sweet fruit, it can't be said that you have eaten too much fruit salad. Doctors believe that the smell in the urine is most likely due to an infection called Ketoacidosis. When the body is trying to exclude glucose, an acid called ketone in the blood releases the taste. If this situation is not taken seriously, it is likely to pose a threat to your life. So, once you find that your urine produces a sweet fruit flavor, you should see a doctor immediately.

Some people with diabetes have a lot of sugar in their urine, which attracts some sweet-smelling bugs. Therefore, the urine of diabetic patients often exudes the taste of sweet fruits.

4. Caramel flavor:

If your urine has a strong caramel taste, then there is reason to suspect that you have "diabetes diabetes." Maple diabetes is a genetic disease, and the situation is very rare, with an average of 225,000 people. The body of "Maple Diabetes" patients usually cannot metabolize protein normally, so there is a caramel taste in the urine.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.