Strong-smelling urine, frequent urination, and foamy urine?
I'm experiencing very strong-smelling urine (with an ammonia-like odor), foul-smelling sweat, and the first urine in the morning is the same.
I also experience night sweats easily, frequent urination, and I have to run to the bathroom as soon as I drink water.
I do not have spontaneous erections in the morning, and my urine color has consistently been yellow.
Additionally, I notice thick bubbles when I urinate.
Previously, I had a check-up where blood in the urine was detected, but the doctor at Mackay Memorial Hospital said there could be many reasons for this and recommended a follow-up test, which showed no blood.
I have had chronic lower back pain, and six months ago, I had another blood test that also showed no issues.
However, traditional Chinese medicine practitioners have advised me to pay attention to my kidney function, which makes me feel anxious.
I'm unsure whom to trust.
Should I take Chinese medicine? I've heard that it might burden the kidneys.
What do doctors recommend? Should I undergo more detailed examinations? How often should these be done? Could it be due to excessive ejaculation? Should I practice abstinence? How often is it considered healthy to have sexual intercourse? I'm feeling anxious, and it's starting to affect my relationship with my spouse.
Please respond as soon as possible!
Kuai hui da, 30~39 year old female. Ask Date: 2001/12/20
Dr. Pan Zhenqin reply Urology
The strong odor of your urine and sweat may be related to your body constitution, insufficient water intake, and a high-protein diet as a carnivore.
I recommend increasing your fluid intake and rechecking your urine after 1-2 months.
A renal ultrasound and blood tests to assess kidney function should help address your concerns.
At the age of 32, having sexual intercourse once a day is not excessive; however, it is important to consider your physical condition, lifestyle, and work-related fatigue, and to prioritize not overexerting yourself or relying on external medications.
Reply Date: 2001/12/20
More Info
Heavy urine odor, frequent urination, and foamy urine can be concerning symptoms that may indicate underlying health issues. Let's break down these symptoms and explore their potential causes, implications, and recommendations for further action.
Heavy Urine Odor
A strong ammonia-like odor in urine can be attributed to several factors. Dehydration is a common cause; when you are not drinking enough fluids, your urine becomes concentrated, leading to a stronger smell. Additionally, certain foods (like asparagus or coffee), medications, and supplements (such as vitamin B6) can also alter the odor of urine. In some cases, a strong odor may indicate a urinary tract infection (UTI) or other metabolic conditions, such as diabetes, where the body may produce ketones that can lead to a fruity or sweet smell.
Frequent Urination
Frequent urination, especially if accompanied by urgency, can be caused by a variety of factors. These include urinary tract infections, bladder irritants (like caffeine or alcohol), diabetes (both type 1 and type 2), and prostate issues in men. It’s also worth noting that certain medications can increase urinary frequency. If you find that you are urinating more frequently than usual, especially after drinking fluids, it may be worth discussing this with your healthcare provider.
Foamy Urine
Foamy urine can be a sign of protein in the urine, which may indicate kidney issues. The kidneys filter waste from the blood, and when they are not functioning properly, proteins that should remain in the bloodstream can leak into the urine. This can be a sign of conditions such as nephrotic syndrome or other kidney diseases. Foamy urine can also be caused by rapid urination or dehydration, but if it persists, it warrants further investigation.
Additional Symptoms
You mentioned experiencing night sweats and persistent lower back pain. Night sweats can be caused by a variety of conditions, including infections, hormonal changes, and anxiety. Lower back pain can be related to kidney issues, especially if it is accompanied by urinary symptoms.
Recommendations
1. Hydration: Ensure you are drinking enough water throughout the day. This can help dilute your urine and reduce odor.
2. Diet: Pay attention to your diet. Certain foods can affect urine odor and frequency. Keeping a food diary may help identify any triggers.
3. Medical Evaluation: Given your symptoms, it is crucial to follow up with a healthcare provider. A urinalysis can help determine if there are any infections or abnormalities in your urine. If protein is detected, further tests may be needed to assess kidney function.
4. Kidney Function Tests: Regular monitoring of kidney function through blood tests (like serum creatinine and blood urea nitrogen) can provide insight into how well your kidneys are working.
5. Sexual Health: Regarding your concerns about sexual activity and its impact on your health, it is generally considered healthy to engage in sexual activity as long as both partners are comfortable. However, if you feel that your sexual health is being affected by your urinary symptoms, it may be beneficial to discuss this with a healthcare provider.
6. Avoid Self-Medication: While traditional Chinese medicine may offer some benefits, it is essential to consult with a healthcare provider before starting any new treatment, especially if you have concerns about kidney health.
Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional. It’s essential to communicate openly about all your symptoms, including any changes in urination, odor, and associated discomfort. Regular check-ups and tests can help monitor your kidney function and overall health. Remember, early detection and intervention are key to managing any potential health issues effectively.
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