Urinary Symptoms: Why Does My Urine Smell and Feel Urgent?

Shoulder pain?

Doctor, I would like to ask why I notice a certain odor every time I urinate, and I still feel the urge to urinate even after I'm done.

Shuǐmǔ, 10~19 year old female. Ask Date: 2015/11/23

Dr. Lin Wenxu reply Urology

Insufficient information is available to answer your question.
It is recommended that you visit a urology clinic for evaluation and urine testing to establish a diagnosis.

Reply Date: 2015/11/23

More Info

When experiencing urinary symptoms such as a strong odor in urine and a persistent feeling of urgency to urinate, it is essential to understand the potential underlying causes and the physiological mechanisms involved.
Firstly, the strong odor of urine can be attributed to several factors. One common reason is dehydration, which can concentrate the urine and intensify its smell. Foods such as asparagus, garlic, and certain spices can also alter the odor of urine due to the breakdown of specific compounds during digestion. Additionally, urinary tract infections (UTIs) are a significant cause of foul-smelling urine. Infections can lead to the presence of bacteria and other substances in the urine that produce a strong odor.
The sensation of urgency, or the constant feeling of needing to urinate, can be linked to various conditions. In the case of a UTI, the infection irritates the bladder and urethra, leading to inflammation. This inflammation can cause the bladder to contract more frequently, resulting in a feeling of urgency even when the bladder is not full. Other potential causes of urgency include bladder overactivity, interstitial cystitis, or even prostate issues in males.

Given your symptoms, it is crucial to consider the possibility of a urinary tract infection. UTIs are often accompanied by other symptoms such as burning during urination, frequent urination, and sometimes even lower abdominal pain. If you have been experiencing these symptoms for an extended period, it is advisable to seek medical attention. A healthcare provider can perform a urinalysis and possibly a urine culture to identify any bacterial infection and determine the appropriate treatment.

In addition to infections, other factors that could contribute to your symptoms include bladder stones, which can irritate the bladder lining, or even diabetes, which can lead to changes in urine odor and frequency due to excess glucose in the urine.
To address these symptoms, it is essential to stay well-hydrated, as this can help dilute the urine and reduce odor. Avoiding irritants such as caffeine, alcohol, and spicy foods may also help alleviate urgency and discomfort. However, these measures are not substitutes for professional medical evaluation and treatment.

In summary, the combination of a strong odor in urine and a persistent feeling of urgency can indicate an underlying issue, most commonly a urinary tract infection. It is crucial to consult with a healthcare professional for a thorough evaluation and appropriate management. Early intervention can prevent complications and improve your overall urinary health.

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