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:

bags under eyes

dizziness when standing up

occasional nightmares

very painful urination

forgetting dreams

lighter/paler skin color

bitter taste in mouth

slightly painful urination

garlic intolerance

multiple swollen inguinal nodes

occasional runny nose

dark urine color

... 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:

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.

Concerned or curious about your health? Try The Analyst™