Pink Urine in Infants: Nutrition and Dietary Concerns - Pediatrics

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Changes in urine color & nutritional issues


Hello, my baby is currently over 8 months old.
Following the doctor's instructions, we have been feeding him beets for 2 days, and I noticed that his urine has turned pink.
Is this normal? I live abroad, and since my baby was 6 months old, the doctor provided a chart for complementary foods, advising me to try one new food each week.
We are still in the vegetable stage, and it will be at least another 3 months before we start introducing meats.
Currently, he is being fed breast milk four times a day and complementary foods twice a day.
I would like to ask if this feeding method is sufficient in terms of nutrition, as I feel my baby hasn't gained much weight and seems to be getting thinner.
Thank you, Dr.
Hsiao.
Wishing you peace and joy.

Qi, 30~39 year old female. Ask Date: 2010/02/09

Dr. Xiao Kaiwen reply Pediatrics


The color of urine can be influenced by food and medications, but pink urine is less common.
It is advisable to seek medical attention for examination (a simple urinalysis can check for infections or hematuria, and a renal ultrasound can assess for hydronephrosis or kidney stones).
Without height and weight data, it is difficult to provide an explanation; generally, if the height and weight meet the standards in the pediatric growth chart (not below the last percentile line or consistently dropping in percentile), it is considered normal.
At over 8 months old, soft pureed fish can be introduced, but it is recommended to introduce one type at a time (after 4 to 5 days of adaptation, other types can be added).

Reply Date: 2010/02/09

More Info


When it comes to the observation of pink urine in infants, particularly after the introduction of beets into their diet, it is important to understand that certain foods can indeed affect urine color. Beets contain pigments called betalains, which can cause urine to appear pink or reddish. This phenomenon is generally harmless and is often referred to as "beeturia." However, it is essential to monitor the infant for any other symptoms, such as discomfort, changes in appetite, or signs of dehydration. If the pink urine persists or is accompanied by other concerning symptoms, it would be prudent to consult a pediatrician for further evaluation.

Regarding your infant's diet, at 8 months old, it is crucial to ensure that they are receiving a balanced and varied diet to support their growth and development. The current feeding regimen of breast milk four times a day and two servings of solid foods is a good start, but it may need to be adjusted to ensure adequate nutrition. At this age, infants should be introduced to a wider variety of foods, including fruits, vegetables, grains, and proteins such as pureed meats, fish, and legumes. This variety is essential for providing the necessary vitamins and minerals that are critical for growth.

If you are concerned that your child is not gaining enough weight or appears to be losing weight, it is important to consult with a healthcare provider. They can assess your child's growth patterns using growth charts and determine if there are any underlying issues that need to be addressed. It's also worth noting that weight gain can vary significantly among infants, and some may gain weight more slowly than others, especially during periods of increased activity or developmental milestones.

In terms of the introduction of solid foods, it is advisable to follow a gradual approach, introducing one new food at a time and waiting a few days before introducing another. This method helps to identify any potential food allergies or intolerances. If your child is experiencing gastrointestinal issues such as gas or diarrhea after consuming certain foods, it may be beneficial to pause those foods and consult with a pediatrician or a registered dietitian for personalized guidance.

Additionally, if you are considering the nutritional adequacy of your child's diet, it is essential to include a variety of food groups. For instance, incorporating iron-rich foods is crucial, as infants have higher iron requirements, especially after six months of age. Foods such as pureed meats, fortified cereals, and legumes can help meet these needs.
Lastly, if you notice any unusual physical signs, such as pale or white toes, this could indicate a potential nutritional deficiency or other health concerns, and it would be wise to seek medical advice. Overall, maintaining open communication with your healthcare provider and monitoring your child's growth and development will help ensure that they are on the right track nutritionally.

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