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.

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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:
liver/gallbladder cleanses help
anal itching at night
somewhat disturbed sleep
metallic taste in mouth
severe tinnitus
occasional unexplained nausea
possibly jaundiced skin
fatty food intolerance
positive results from coffee enemas
severe morning stiffness
frequent morning stiffness
gradual decline in speaking ability
... 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 96% Confirm
Liver Congestion 20% Unlikely
Chronic Fatigue-Fibromyalgia 4% Ruled out
Kidney Disease 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.

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