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Author
Nobel Hygiene

In This Article

Introduction

Seema woke up in the morning feeling refreshed, but while urinating, she suddenly noticed a distinct and unpleasant odour, which she had never experienced before. This wasn't just a sign of something unusual, but it was alarming and embarrassing too. She paused, and a subtle, sweet aroma lingered, making her wonder, 'What's happening inside?’ Could it be a sign of something more serious, like diabetes? 

Well, if you or your loved one is experiencing the same situation, then this blog is for you. While generally harmless, stinky urine can often occur due to simple reasons like dehydration or diet. However, it can sometimes indicate various underlying medical conditions, including urinary tract infections (UTIs), diabetes, hyperglycemia, or diabetic ketoacidosis. In this blog, we will shed light on stinky urine and understand the connection between diabetes and urine smell.

What is Stinky Urine?

Stinky urine, or urine with an unusually strong or foul odour, can indicate a sign of various issues, including dehydration, certain dietary choices, or underlying health conditions. While a slight ammoniacal smell is generally considered normal, especially when concentrated, a strong or persistent odour may need medical attention.

What Does Stinky Urine Smell Like?

Stinky urine can have a smell like ammonia, a strong and unpleasant odour, which is generally linked to dehydration or a urinary tract infection (UTI). While diabetes can lead to a sweet or fruity smell due to high blood sugar levels, a musty or rotten smell can potentially indicate liver problems or bacterial infections. Certain foods, like asparagus, can also cause a distinct, sometimes foul-smelling urine. 

Here are some common causes and their corresponding urine Smells:

  • Dehydration: Dehydration can lead to a smell like ammonia, which occurs because of insufficient fluid intake. 

  • Diabetes: Due to excess blood sugar levels, the smell in urine in diabetes can be sweet or fruity. 

  • Urinary Tract Infections (UTIs): UTIs can lead to a strong, foul odour, potentially indicating bacteria. 

  • Dietary Factors: Including foods like asparagus, broccoli, fish, and eggs in your diet can also cause a strong-smelling urine, sometimes unpleasant smell. 

  • Liver Disease: A musty or rotten smell can lead to liver problems. 

  • Other Conditions: Specific metabolic disorders, some STIs, and menopause can cause a foul-smelling odour in urine. 

  • Supplement Use: Certain supplements, like those containing lecithin, can make urine to have a fishy odour.

Link Between Diabetes and Smelly Urine

Type 2 diabetes urine can smell sweet or fruity due to uncontrolled blood sugar levels, which the body tries to eliminate. This smelly urine can also be a sign of Diabetic Ketoacidosis (DKA), a serious condition that requires immediate medical attention. Other causes of smelly urine include urinary tract infections (UTIs), yeast infections, and certain medications. 

So, let’s understand what causes type 2 diabetes urine smell like sweet or fruity:

  • High Blood Sugar: Due to high blood sugar levels (hyperglycemia), the kidneys are unable to reabsorb all the glucose back into the bloodstream. This excess glucose is then excreted in the urine, leading to a sweet, fruity, or honey-like smell.

  • Diabetic Ketoacidosis (DKA): DKA is a serious condition of diabetes in which the body breaks down fat for energy instead of glucose, producing ketones in the blood. These ketones are acids that can gather in the blood and urine, causing a fruity or sweet smell. DKA requires immediate medical attention, as it is a life-threatening condition if untreated. 

Other Diabetes-Related Urinary Changes

Diabetes can lead to various other diabetes-related urinary changes beyond increased urination, including bladder dysfunction, high risk of UTIs, and changes in urine clarity or appearance. This occurs due to diabetic neuropathy (nerve damage) that affects bladder function or high sugar levels in urine, promoting bacterial growth.

Some other diabetes-related urinary changes include:

  • Frequent Urination

  • Urine Incontinence

  • Difficulty Urinating

  • Pain or Burning During Urination

  • Cloudy Urine

  • Foamy Urine

  • Changes in Urine Colour

  • Kidney Failure

If you or someone you know has diabetes-related urinary changes and notices a strange urine smell arising from his/her clothes, then you can trust Friends Adult Diapers. These products, such as adult diaper pants and tape-style diapers for adults, are designed to address urinary incontinence with features like strong urine absorption and built-in odour control.

Conclusion

While concerning, stinky urine may not be a serious issue. In most cases, it may occur due to dehydration, dietary changes, or medications that can be managed by drinking enough water. However, if experiencing persistent or severe stinky-smelling urine, followed by other symptoms like pain or fever, then seeking medical help is always a good idea. Moreover, individuals with type 2 diabetes can have uncontrolled blood sugar levels, leading to a sweet or fruity smell in urine. 


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Frequently Asked Questions

Q1. Can diabetes cause my urine to smell sweet or fruity?

Ans. Yes, sweet or fruity-smelling urine can lead to diabetes, especially when it's poorly controlled or blood sugars are high.

Q2. Why does high blood sugar lead to strong-smelling urine?

Ans. High blood sugar, particularly in the context of diabetes, can cause urine to have a sweet or fruity smell, due to the body's attempt to filter out the excess glucose through urination.

Q3. Is stinky urine an early sign of undiagnosed diabetes?

Ans. Yes, stinky urine, particularly a sweet or fruity smell, can be a sign of undiagnosed diabetes, particularly if blood sugar levels are high.

Q4. What foods make urine smell worse in diabetics?

Ans. In diabetics, certain foods can lead to a stronger, sweet or fruity smell in urine. This is because the body tries to remove excess glucose through urination due to high blood sugar levels. Here are some foods that can contribute to smelly urine in individuals with diabetes.

  • Asparagus

  • Onions & Garlic

  • Alcohol

  • Coffee

  • Certain Spices, like Cumin, Curry and Coriander 

  • Other Foods, like Cabbage, Broccoli, Brussels Sprouts, Cauliflower, Fish, and Meat

Q5. What infections are common in diabetics that make urine smell bad?

Ans. Urinary tract infections (UTIs) are a common cause of bad-smelling urine, including other factors like uncontrolled diabetes and kidney problems. UTIs, whether bacterial or fungal, can lead to changes in urine clarity and odour.

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