Why Does My Urine Smell Fishy? Causes and Solutions - Urology

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Urine with a fishy odor?


Hello, doctor.
I started having a habit of masturbation around the second year of junior high school, and now I'm in my second year of high school and trying to quit.
However, recently I've been experiencing urinary incontinence, and the urine has a fishy odor.
What could be the reason for this? What should I do?

stu1010517, 10~19 year old female. Ask Date: 2016/10/30

Dr. Sun Hongshun reply Urology


Hello, do you know what medications you are using? Urinary tract infections and psychological stress are both possibilities.
It is recommended to visit a urology clinic for examination and treatment.
Wishing you good health.

Reply Date: 2016/10/30

More Info


Experiencing a fishy odor in urine can be concerning, and it's important to understand the potential causes and solutions. The fishy smell in urine can arise from several factors, including dietary choices, dehydration, infections, and other medical conditions.

1. Dietary Factors: Certain foods can significantly affect the odor of urine. For instance, asparagus is well-known for causing a distinct smell due to the breakdown of asparagusic acid. Fish, particularly certain types, can also lead to a fishy odor. If you've recently consumed a lot of fish or other strong-smelling foods, this could be the culprit.

2. Dehydration: When you're dehydrated, your urine becomes more concentrated, which can intensify its odor. It's crucial to drink enough water throughout the day to keep your urine diluted and reduce any strong smells.

3. Urinary Tract Infections (UTIs): A fishy smell can also indicate a urinary tract infection. UTIs are often accompanied by other symptoms, such as a burning sensation during urination, frequent urges to urinate, or cloudy urine. If you suspect a UTI, it's essential to consult a healthcare provider for diagnosis and treatment.

4. Sexually Transmitted Infections (STIs): Some STIs can cause changes in urine odor. If you are sexually active, it's important to consider this possibility, especially if you have other symptoms like unusual discharge or discomfort.

5. Medical Conditions: Certain metabolic disorders can lead to changes in urine odor. For example, trimethylaminuria (fish odor syndrome) is a rare condition where the body cannot break down trimethylamine, leading to a fishy smell in urine and sweat. If the odor persists despite changes in diet and hydration, it may be worth discussing with a healthcare professional.

6. Hormonal Changes: Hormonal fluctuations, particularly during puberty, can also affect body odor, including urine. This is a normal part of development, but if you notice significant changes, it may be worth consulting a doctor.


Solutions and Recommendations:
- Hydration: Ensure you are drinking enough water daily. Aim for at least 8-10 glasses, or more if you are active or live in a hot climate.

- Dietary Adjustments: Monitor your diet for foods that may contribute to the odor. Reducing intake of strong-smelling foods may help.

- Hygiene Practices: Maintain good personal hygiene, especially after sexual activity, to reduce the risk of infections.

- Consult a Healthcare Provider: If the fishy odor persists, especially if accompanied by other symptoms (like pain, burning, or changes in urine color), seek medical advice. A healthcare provider can perform tests to rule out infections or other underlying conditions.

- Avoid Self-Diagnosis: While it’s helpful to research symptoms, self-diagnosing can lead to unnecessary anxiety. Professional evaluation is crucial for accurate diagnosis and treatment.

In summary, while a fishy smell in urine can be caused by various factors, it’s important to pay attention to your body and seek medical advice if the issue persists. Maintaining hydration, being mindful of your diet, and practicing good hygiene can help mitigate the problem. If you have concerns about your urinary health or any related symptoms, don’t hesitate to reach out to a healthcare professional for guidance.

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