Strong-Smelling Urine

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:
negative reaction to coffee
dizziness when standing up
cigarette smoke sensitivity
very painful urination
significant bitter taste in mouth
excess perspiration
bizarre/vivid/nightmarish dreams
slightly painful urination
fatty food intolerance
multiple swollen inguinal nodes
tetracycline use
having a CFS diagnosis
... 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
Chronic Fatigue-Fibromyalgia 95% Confirm
Urinary Tract Infection 23% Unlikely
Kidney Disease 4% Ruled out
Liver Congestion 0% 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:
Urinary Tract Infection (UTI)
Cloudy, bloody or strong-smelling urine are symptoms of bacterial cystitis.