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Clinical Reference Systems: Pediatric Advisor 10.0
Urine with Strong Odor
DESCRIPTION
The urine has a pungent, often unpleasant odor of recent
onset. The color of the urine is usually darker than normal
at these times.
CAUSES
Most strong-smelling urine is produced when your child is
mildly dehydrated. Exercise, a fever, hot weather, or a hot
room can lead to slight dehydration. Children in cloth
diapers can acquire a strong odor of ammonia if the bacteria
in the stool have time to break down the urine. Certain
drugs (e.g., penicillin and ampicillin) are excreted in the
urine and cause an unusual odor. Certain foods (e.g.,
asparagus) or a high-protein diet lead to strong-smelling
urine.
SIMILAR CONDITIONS
A dark-yellow urine may contain bilirubin; check the whites
of the eyes for a yellow color change (i.e., jaundice).
Urinary tract infections cause foul-smelling urine. Blood in
the urine can cause pink, red, or cola-colored urine.
If one of the following is suspected, save time by selecting
that guideline:
Jaundice
Pain with Urination
HOME CARE
Increase your child's water intake during warm weather and
fevers. Reduce your youngster's protein intake (remember
that milk is largely a protein). Most of these odors are
not caused by anything harmful.
CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:
- The unusual odor lasts more than 24 hours without
explanation.
- You have other questions or concerns.
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