What Causes Strong-Smelling Urine?

Strong-smelling urine can have various causes, ranging in severity from 'needs attention' to 'life-threatening'. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose strong-smelling urine, we could:

Research the topic
Find a doctor with the time
Use a diagnostic computer system.

The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "strong-smelling urine" as a symptom. Here are four possibilities:

Kidney Disease
Liver Congestion
Urinary Tract Infection
Chronic Fatigue-Fibromyalgia

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:

serious mid-right abdominal pain

liver/gallbladder cleanses help

occasional unexplained nausea

fatigue for over 3 months

bizarre/vivid/nightmarish dreams

six to ten tender points

severe hemorrhoids

possibly jaundiced skin

forgetting dreams

positive results from coffee enemas

variable duration morning stiffness

fatigue after slight exertion

... and more than 90 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of strong-smelling urine:

Cause	Probability	Status
Urinary Tract Infection	98%	Confirm
Liver Congestion	25%	Unlikely
Chronic Fatigue-Fibromyalgia	2%	Ruled out
Kidney Disease	2%	Ruled out

* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Urinary Symptoms section of the questionnaire, The Analyst™ will ask the following question about strong-smelling urine:

Does your urine usually have a strong odor?

Possible responses:

→ No / don't know
→ Fairly strong
→ Very strong

Based on your response to this question, which may indicate strong-smelling urine, The Analyst™ will consider possibilities such as:

Chronic Fatigue / Fibromyalgia Syndrome

Kidney Disease

Liver Detoxification / Support Requirement

Urinary Tract Infection (UTI)

Cloudy, bloody or strong-smelling urine are symptoms of bacterial cystitis.