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Why Does My Urine Smell Bad?

Unpleasant-smelling urine can result from dehydration, certain foods, infections, or underlying health conditions. Learn the common causes, when to seek medical help, and how to improve urine odour naturally.

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Written by Dr. Vasanthasree Nair

Reviewed by Dr. Md Yusuf Shareef MBBS

Last updated on 11th Aug, 2025

Noticing a strange or unpleasant odour in your urine can be concerning, but it’s not always a sign of a serious problem. Many factors—from what you eat to underlying health conditions—can affect how your urine smells. In this article, we’ll explore the common reasons behind smelly urine, when to worry, and what you can do about it.

Common Causes of Bad-Smelling Urine

1. Dehydration

When you don’t drink enough water, your urine becomes more concentrated, leading to a stronger ammonia-like smell. Dark yellow or amber-colored urine is a sign of dehydration.

What to do: Drink plenty of water (at least 8-10 glasses a day) to dilute your urine and reduce the odour.

2. Certain Foods and Drinks

Some foods contain sulfur compounds or strong-smelling chemicals that can change the odour of your urine. Common culprits include:

  • - Asparagus (gives urine a sulfur-like smell)

  • - Coffee (can make urine smell bitter)

  • - Garlic and onions (strong-smelling compounds pass into urine)

  • - Alcohol (can cause a strong, unusual odour)

What to do: If the smell is temporary and linked to a recent meal, it’s usually harmless. Drinking more water can help flush out the odour faster.

3. Urinary Tract Infections (UTIs)

A strong, foul-smelling urine—especially if accompanied by a burning sensation, frequent urination, or cloudy urine—could indicate a UTI. Bacteria in the urinary tract cause this infection, leading to an unpleasant odour.

What to do: If you suspect a UTI, consult a doctor. Antibiotics are usually needed to treat it.

4. Diabetes or High Blood Sugar

People with uncontrolled diabetes may have sweet-smelling urine due to excess sugar (glucose) being excreted. This condition, called glycosuria, can also cause frequent urination and extreme thirst.

What to do: If you notice sweet-smelling urine along with other diabetes symptoms (fatigue, blurred vision, excessive thirst), get your blood sugar checked.

5. Liver or Kidney Problems

Liver disease or kidney dysfunction can cause urine to smell musty or fishy. This happens when waste products build up in the body instead of being filtered out properly.

What to do: If you also have symptoms like jaundice (yellow skin), swelling, or fatigue, see a doctor immediately.

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6. Medications and Supplements

Some medications (like antibiotics or vitamin B6) and supplements (such as fish oil) can change the smell of urine.

What to do: Check the side effects of your medications. If the odour is bothersome, ask your doctor if an alternative is available.

7. Sexually Transmitted Infections (STIs)

Certain STIs, like trichomoniasis, can cause foul-smelling urine or discharge.

What to do: If you suspect an STI, get tested and treated promptly.

When Should You See a Doctor?

Most cases of smelly urine are harmless, but you should seek medical attention if you notice:

  • Persistent foul odour (lasting more than a day or two)

  • Pain or burning during urination

  • Blood in urine

  • Fever, nausea, or back pain (could indicate kidney infection)

  • Sweet-smelling urine (possible sign of diabetes)

Tips to Improve Urine Odour

1. Stay Hydrated – Drinking enough water dilutes urine and reduces strong smells.

2. Maintain Good Hygiene – Clean the genital area properly to prevent bacterial growth.

3. Avoid Strong-Smelling Foods – If certain foods cause odour, limit their intake.

4. Treat Underlying Conditions – If an infection or disease is causing the smell, proper treatment will help.

Need Help? Consult a Doctor Online

If you’re worried about changes in your urine odour or have other symptoms, don’t ignore them. You can book a quick online consultation with Apollo 24|7 doctors to get expert advice and necessary tests.

Conclusion 

While smelly urine is often harmless, it can sometimes signal an underlying health issue. Pay attention to other symptoms and seek medical advice if needed. Staying hydrated and maintaining a balanced diet can help keep your urine smelling normal.

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