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What does diabetes pee smell like?

Diabetes: Strong sweet-smelling urine is a sign of advanced diabetes, which can be diagnosed with urinalysis. With advanced diabetes, sugar and ketones, which are normally absent, can accumulate in the urine and create a strong odor.

newsnetwork.mayoclinic.org - Strong-smelling Urine Not Necessarily Cause for Concern

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Shawn Bishop Strong-smelling Urine Not Necessarily Cause for Concern

Strong-smelling Urine Not Necessarily Cause for Concern

April 16, 2010

What could be causing my husband's urine to have a very strong odor? Is it cause for concern? He is 74 years old.

Answer:

Strong-smelling urine has several possible causes. One possibility, diabetes, is a serious medical concern. Other reasons can range from diet — specifically asparagus — to a urinary tract infection, which requires treatment.

Causes for strong urine odor include:

Urine concentration: It's normal for urine to have a stronger odor first thing in the morning. After a night's sleep, urine is more concentrated and odorous as well as brighter yellow in color. Dehydration also increases urine concentration, causing stronger smelling urine. Have your husband try drinking more water to see if the odor lessens. Hot weather or intense physical activities can contribute to dehydration, too. Concentrated urine, without any other symptoms, generally isn't harmful. Diet: For some people, eating asparagus causes urine to produce a sulfur-like smell. There are no health concerns associated with this odor. Urinary tract infection: Foul-smelling urine is a symptom of a urinary tract infection. Other symptoms are cloudy urine, an urgent need to urinate, or a burning sensation while urinating. The foul smell may be the only symptom of a urinary tract infection. With a persistent foul smell from the urine, your husband should see a physician for a urinalysis and diagnosis. A urinary tract infection needs to be treated with antibiotics to prevent kidney infection and kidney damage. Diabetes: Strong sweet-smelling urine is a sign of advanced diabetes, which can be diagnosed with urinalysis. With advanced diabetes, sugar and ketones, which are normally absent, can accumulate in the urine and create a strong odor. According to the American Diabetes Association, an estimated 5.7 million people have undiagnosed diabetes. If the odor in your husband's urine persists, I'd suggest he see a physician for a simple urine test. One other consideration is urine leakage/incontinence. When this occurs, the smell may seem stronger than usual because it clings to clothing. Temporary or chronic incontinence has many possible causes. Temporary causes can be too much fluid in the bladder. Coffee and alcohol especially can cause a sudden need to urinate and urine leakage. Dehydration and other sources of bladder irritation — carbonated drinks and spicy, sugary or acid foods — can irritate the bladder and cause leakage of urine. Causes of chronic incontinence can involve prostate and bladder disorders, including enlargement of the prostate and a weakened bladder. If incontinence is contributing to the smell, your husband should talk with his primary care doctor to determine the cause and develop a treatment plan.

— Amy Krambeck, M.D., Urology, Mayo Clinic, Rochester, Minn.

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How do you rule out prostate cancer?

A biopsy is the main tool for diagnosing prostate cancer, but a doctor can use other tools to help make sure the biopsy is made in the right place. For example, doctors may use transrectal ultrasound or magnetic resonance imaging (MRI) to help guide the biopsy.

cdc.gov - How Is Prostate Cancer Diagnosed? | CDC

A biopsy is when a small piece of tissue is removed from the prostate and looked at under a microscope. A biopsy is a procedure that can be used to diagnose prostate cancer. A biopsy is when a small piece of tissue is removed from the prostate and looked at under a microscope to see if there are cancer cells. A Gleason score is determined when the biopsy tissue is looked at under the microscope. If there is a cancer, the score indicates how likely it is to spread. The score ranges from 2 to 10. The lower the score, the less likely it is that the cancer will spread. A biopsy is the main tool for diagnosing prostate cancer, but a doctor can use other tools to help make sure the biopsy is made in the right place. For example, doctors may use transrectal ultrasound or magnetic resonance imaging (MRI) to help guide the biopsy. With transrectal ultrasound, a probe the size of a finger is inserted into the rectum and high-energy sound waves (ultrasound) are bounced off the prostate to create a picture of the prostate called a sonogram. MRI uses magnets and radio waves to produce images on a computer. MRI does not use any radiation.

Staging

If prostate cancer is diagnosed, other tests are done to find out if cancer cells have spread within the prostate or to other parts of the body. This process is called staging. Whether the cancer is only in the prostate, or has spread outside the prostate, determines your stage of prostate cancer. The stage of prostate cancer tells doctors what kind of treatment you need.