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:
high systolic blood pressure
negative reaction to coffee
tetracycline use
history of tender muscles
metallic taste in mouth
tinnitus
anal itching
mid-left abdominal discomfort
garlic intolerance
bags under eyes
morning stiffness for 45-120 minutes
severe morning stiffness
... 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:
Urinary Tract Infection (UTI)

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