Orange Urine: Is It a Mix of Yellow and Blood? - Internal Medicine

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Hello, doctor.
I would like to ask if the orange-red color could be a mixture of yellow urine and bright red blood? (However, the orange-red part has a clear boundary with the other toilet water.) Does my current situation have any relation to not having undergone an examination? Or would you recommend that I get checked? I have heard that the effectiveness of a colonoscopy lasts for 5-10 years, and I haven't experienced this symptom for several days.
Currently, I am taking traditional Chinese medicine for my gastrointestinal issues, and the practitioner believes that food is a contributing factor.
Generally, bleeding does not present as orange-red, which aligns with your opinion.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2021/09/02

Dr. Hong Yuanbin reply Internal Medicine


Hello, mixed urine is also a possibility, but these are all speculations.
In summary, the only way to know for sure is to get tested.
I recommend temporarily avoiding foods that may cause food coloring.
If the color fades, it should just be due to food coloring.
If it persists, I suggest testing urine and stool to check for occult blood.
Thank you for your question.

Reply Date: 2021/09/02

More Info


The observation of orange or reddish urine can indeed be concerning and warrants a thorough understanding of its potential causes. The color of urine can be influenced by a variety of factors, including hydration levels, diet, medications, and underlying medical conditions. In your case, the possibility that the orange-red color could be a mixture of yellow urine and fresh red blood is plausible, especially if there is a distinct separation between the orange-red portion and the rest of the toilet water.

First and foremost, it is essential to consider the potential causes of orange or reddish urine. Dehydration is a common reason for concentrated urine, which can appear darker in color. If you have been consuming less fluid, this could explain the change in urine color. Additionally, certain foods, such as beets, berries, or foods with artificial coloring, can also lead to changes in urine color. Medications, particularly those that affect urine color, such as phenazopyridine (often used to relieve urinary tract discomfort), can also result in orange or reddish urine.

However, the presence of blood in the urine (hematuria) is a more serious concern. Blood can appear in urine due to various reasons, including urinary tract infections (UTIs), kidney stones, or more serious conditions such as tumors or glomerulonephritis. It is important to note that while the color may appear orange or red, the actual presence of blood can only be confirmed through laboratory testing.

Given that you have not experienced this symptom for several days, it may suggest that it was a transient issue, possibly related to dietary factors or hydration status. However, the fact that you are experiencing changes in urine color, especially if accompanied by any other symptoms such as pain, frequency, or urgency, should not be overlooked.

Regarding your mention of not having undergone any examinations, it is advisable to seek medical evaluation if you notice any persistent changes in urine color or if you experience any accompanying symptoms. A urinalysis can help determine if there is blood in the urine, and further tests may be warranted based on those results.
As for the mention of a colonoscopy, it is true that the recommended interval for screening can vary based on individual risk factors and previous findings. If you have a history of gastrointestinal issues, such as ulcerative colitis, regular monitoring is essential. However, the relationship between your gastrointestinal health and urinary symptoms may not be directly correlated.

In conclusion, while the orange-red color of your urine could be attributed to a variety of benign factors, it is crucial to remain vigilant and consult a healthcare professional for a thorough evaluation. They may recommend urine tests, blood tests, or imaging studies to rule out any underlying conditions. Early detection and intervention are key to managing any potential health issues effectively.

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