Strong urine smell infant. Strong Urine Smell in Infants: Comprehensive Guide to Baby Pee and Wet Diapers
How many wet diapers should a newborn have. What does baby pee color indicate. When should you be concerned about your infant’s urine output. What causes strong-smelling urine in babies. How to ensure proper hydration for your infant.
Normal Urination Patterns in Newborns
Understanding your newborn’s urination patterns is crucial for monitoring their health and hydration. Let’s explore what’s typical for babies in their first few days and weeks of life.
First 24 Hours After Birth
In the initial 24 hours following birth, it’s common for a newborn to produce only one wet diaper. This is because they’re still adjusting to life outside the womb and haven’t yet consumed much milk.
Increasing Urine Output
As your baby begins to consume more milk, either through breastfeeding or formula feeding, their urine output will gradually increase. By the end of the first week, you can expect to see a more established pattern emerging.
Typical Urination Frequency
After the first week, most babies will have about four to six wet diapers per day. However, it’s important to note that there can be significant variation among infants. Some may urinate every one to three hours, while others may only go four to six times a day.
Is there a specific number of wet diapers parents should aim for? While individual babies may vary, a general guideline is to look for at least four to six wet diapers each day. This can serve as a good indicator that your baby is receiving adequate hydration and nutrition.
Interpreting Your Baby’s Urine Output
The frequency and volume of your baby’s urine can provide valuable insights into their overall health and hydration status. Let’s examine what different urination patterns might signify.
Frequent Urination
If your baby seems to be urinating more frequently than usual, this is often a positive sign. Frequent urination typically indicates that your baby is well-hydrated and receiving sufficient nutrition. For breastfed babies in particular, six or more wet diapers a day during the first month can be a reassuring sign that your milk supply is well-established.
However, it’s important to be aware of potential red flags. If your baby is urinating more than once every hour, it could be a sign of an underlying issue. Urinary tract infections (UTIs) can cause increased urination frequency in infants. Other symptoms of a UTI may include:
- Crying or visible discomfort during urination
- Unusual fussiness
- Fever
- Changes in appetite
If you notice these symptoms along with increased urination, it’s advisable to consult your pediatrician.
Infrequent Urination
On the other hand, if your newborn is urinating less than four times a day, it could be a cause for concern. Several factors might contribute to decreased urine output:
- Illness
- Fever
- Hot weather
- Insufficient milk intake
During illnesses, fevers, or hot weather, it’s not uncommon for a baby’s urine output to decrease by up to 50%. This is usually temporary and should resolve once the underlying condition improves or the weather cools down.
How can you tell if your baby isn’t getting enough to eat? For breastfed babies, it can be challenging to gauge milk intake. Look out for these additional signs of potential underfeeding:
- Lethargy or unusual sleepiness
- Prolonged sleep periods (4 hours or more) without waking to feed
- Lack of weight gain
- Dry mouth or lips
- Fewer than 3-4 bowel movements per day after the first week
If you observe these signs along with infrequent urination, it’s important to consult your pediatrician promptly.
Decoding Baby Urine Color
The color of your baby’s urine can provide valuable information about their hydration status and overall health. Let’s explore the various hues you might encounter and what they could signify.
Shades of Yellow
Healthy newborn urine typically ranges from light to dark yellow. The intensity of the yellow color can indicate the concentration of the urine:
- Pale yellow: This indicates good hydration and is the ideal color.
- Light yellow: Also a sign of proper hydration.
- Dark yellow: This suggests more concentrated urine, which could mean your baby needs more fluids.
While dark yellow urine doesn’t always indicate a problem, if it persists or is accompanied by other symptoms, it’s worth mentioning to your pediatrician.
Unusual Colors
Occasionally, you might notice your baby’s urine taking on a different hue. Here’s what various colors could mean:
- Pink or red: This could be due to urate crystals, which are harmless and common in newborns. However, it could also indicate blood in the urine, which requires medical attention.
- Orange: Often a sign of dehydration or could be caused by certain foods or medications.
- Brown: May indicate severe dehydration or liver problems. Always consult a doctor if you notice brown urine.
It’s important to note that while many color variations are harmless, persistent unusual colors should be evaluated by a healthcare professional.
Understanding Strong-Smelling Urine in Infants
A strong odor in your baby’s urine can be concerning for parents. Let’s explore the potential causes and when you should seek medical advice.
Common Causes of Strong-Smelling Urine
Several factors can contribute to a strong urine smell in infants:
- Dehydration: When your baby isn’t getting enough fluids, their urine becomes more concentrated, leading to a stronger smell.
- Urinary Tract Infection (UTI): A bacterial infection can cause a foul or strong ammonia-like odor.
- Diet: For older infants starting solid foods, certain foods like asparagus can affect urine odor.
- Metabolic disorders: Rarely, a strong, sweet, or musty odor could indicate a metabolic problem.
How can you distinguish between these causes? Pay attention to other symptoms and the consistency of the odor. If the strong smell persists for more than a day or two, or is accompanied by fever, irritability, or changes in feeding habits, consult your pediatrician.
Addressing Strong-Smelling Urine
What steps can you take if you notice your baby’s urine has a strong odor?
- Increase fluid intake: If your baby is exclusively breastfed or formula-fed, offer more frequent feedings.
- Check diaper changing frequency: Ensure you’re changing diapers often enough to prevent urine from becoming concentrated.
- Monitor for other symptoms: Keep an eye out for signs of illness or discomfort.
- Consult your pediatrician: If the strong odor persists or is accompanied by other concerning symptoms, seek medical advice.
Remember, while a temporary strong odor might not be cause for alarm, persistent issues should always be evaluated by a healthcare professional.
Ensuring Proper Hydration for Your Infant
Proper hydration is crucial for your baby’s health and development. Let’s discuss how to ensure your infant is getting enough fluids.
Hydration for Babies Under 6 Months
For infants under 6 months, breast milk or formula should be their sole source of hydration. These provide not only the necessary fluids but also essential nutrients for growth and development. How can you tell if your baby is well-hydrated?
- Adequate number of wet diapers (4-6 per day after the first week)
- Pale yellow urine
- Moist mouth and lips
- Tears when crying
- Good skin elasticity
If you’re concerned about your baby’s hydration, especially during hot weather or illness, consult your pediatrician about increasing feeding frequency.
Introducing Water After 6 Months
Once your baby reaches 6 months and starts solid foods, you can begin offering small amounts of water. How much water should you give? Start with just a few sips from a cup with meals. Breast milk or formula should still be the primary source of hydration at this stage.
When to Seek Medical Attention for Urinary Issues
While many variations in your baby’s urine output and appearance are normal, certain signs warrant prompt medical attention. What should you watch out for?
Red Flags in Infant Urination
Contact your pediatrician if you notice any of the following:
- No urine output for 6-8 hours
- Consistently dark yellow or orange urine
- Blood in the urine
- Persistent strong odor
- Signs of pain or discomfort during urination
- Fever along with changes in urination
These symptoms could indicate dehydration, infection, or other medical issues that require prompt evaluation.
Preparing for Your Doctor’s Visit
If you need to consult your pediatrician about your baby’s urination, how can you prepare? Keep a log of:
- Number of wet diapers per day
- Color and odor of urine
- Any changes in feeding habits
- Other symptoms you’ve noticed
This information can help your doctor make an accurate assessment and provide appropriate treatment if necessary.
The Impact of Feeding Methods on Infant Urination
The way you feed your baby can influence their urination patterns. Let’s explore how different feeding methods might affect your baby’s urine output.
Breastfed Babies
Breastfed infants often have a different urination pattern compared to formula-fed babies. What might you notice?
- More frequent urination, especially in the early weeks
- Lighter colored urine
- Less strong-smelling urine
These differences are due to the composition of breast milk and its easy digestibility. Breastfed babies may also have more variation in their urination patterns as your milk supply establishes and changes throughout the day.
Formula-Fed Babies
Formula-fed infants might have slightly different urination patterns:
- More consistent urine output
- Possibly darker yellow urine
- Potentially stronger-smelling urine
These differences are not cause for concern as long as your baby is producing an adequate number of wet diapers and showing other signs of good health and hydration.
Transitioning to Solid Foods
As you introduce solid foods around 6 months, you might notice changes in your baby’s urine:
- Potential changes in urine color or odor due to certain foods
- Possible decrease in urine frequency as solid foods replace some milk feedings
Remember, breast milk or formula should still be the primary source of nutrition and hydration during the first year, even as you introduce solids.
Understanding these variations can help you interpret your baby’s urination patterns more accurately and identify any potential issues early on. Always consult your pediatrician if you have concerns about your baby’s urination or overall health.
Baby Pee and Wet Diapers—The Ultimate Guide
You may not have given much thought to the topic of baby pee, other than during a diaper change. But many parents have questions about their baby’s urine, such as how often a newborn should pee or what different baby pee smells and colors might signify. Our guide to baby pee answers all these questions and more! By the end, you’ll have a clearer picture of how many wet diapers you should expect from your newborn and when to contact your child’s healthcare provider.
How Many Wet Diapers Should a Newborn Have?
Within 24 hours after birth, your newborn will probably pee once, so you can expect one wet diaper. In the following days, and as your baby consumes more milk, the number of wet diapers increases. After about a week, a typical peeing routine for a baby will result in about four to six wet diapers per day.
Counting the number of wet diapers each day can help you understand your baby’s normal peeing routine and indicate how your little one is doing. There’s quite a wide range of healthy urinary frequency for a baby, with some babies peeing every one to three hours and others just four to six times a day. But in general, you’ll want to look for at least four to six wet diapers each day.
What Does It Mean if Your Baby Is Peeing a Lot?
If it seems that your baby is peeing a lot, that’s usually a good thing and typically means they’re getting enough to eat. In your baby’s first month, if you are breastfeeding and your milk supply is well established, six or more wet diapers a day generally indicates that your baby is getting adequate nourishment.
However, if you notice your baby is peeing a lot more than what’s “normal” (such as more than once every hour), look for other signs and contact your child’s healthcare provider if you have concerns. For example, children with a urinary tract infection (UTI) may pee more frequently or show signs of pain or discomfort while urinating, such as crying or body tension.
What Does It Mean if Your Newborn Is Not Peeing?
If you notice your newborn is not peeing very often (fewer than four times a day), your baby could
be ill
have a fever
be managing the heat.
With illnesses, fevers, or hot weather, your baby’s output of urine may drop by half, which is actually quite normal. Once your baby’s health improves and the weather cools, your little one will likely return to their typical pee routine.
If your newborn isn’t eating enough, however, that’s another reason they might not be peeing very much. When you’re breastfeeding your baby, it can be hard to judge how much your baby is consuming. Look for other signs that your baby isn’t getting enough to eat, which (along with not peeing or pooping) may include the following:
Lethargy. If your little one isn’t eating enough, they might be very sleepy or seem extra “easy” to care for.
Prolonged sleep. If your baby is regularly sleeping for four or more hours at a time, it could be an indication of inadequate nutrition. It’s best to contact your child’s healthcare provider if this happens.
Of course, if your newborn is still not peeing after a fever breaks or heat wave has passed, when no illness persists, or after feeding, contact your child’s healthcare provider ASAP, especially if your baby doesn’t pee at all within a span of six to eight hours.
Newborn Pee Color
Baby pee looks similar to adult pee, in that the urine of healthy newborns has a light to dark yellow pee color. Darker shades indicate concentrated urine, which may mean that your baby is slightly dehydrated. But in general, a normal pee color for a newborn is a shade of yellow.
However, your little one’s urine may have a slightly different color from time to time. Many colors are totally normal and nothing to worry about, whereas others may indicate a problem.
You’ll find a baby urine color chart below, and we’ll also provide information about various shades of newborn pee, which can include tints of light yellow, dark yellow, pink, red, orange, or brown.
Light to Dark Yellow Baby Pee
As mentioned above, light yellow urine is healthy. It means your baby is getting enough nourishment and peeing regularly. The darker the yellow color, the more concentrated the urine. Although a healthy baby can have dark-yellow urine, this color could also indicate that your little one needs to consume more liquids to stay hydrated.
Keep in mind that babies younger than 6 months should drink only breast milk or formula to stay hydrated. Once your little one turns 6 months old, you can start introducing small amounts of water.
Pink, Orange, Red, or Brown Baby Pee
A pink, orange, red, or brown hue to your baby’s pee can mean a few different things. Some conditions are temporary, some are harmless, and some need medical attention.
Pink
It’s easy to assume that a pink spot on your baby’s diaper is blood, but this is often just highly concentrated urine. As long as your baby is peeing a lot, then there’s likely no cause for concern. However, if this color persists, contact your child’s healthcare provider.
For a newborn baby girl, a pinkish stain on the diaper could indicate blood in her pee, but it’s typically temporary and caused by the mother’s hormones. If your baby girl continues to have pink spots on her diaper or pink pee after she turns 1 week old, contact her healthcare provider.
Orange, Red, or Brown
An orange, red, or brown tint may indicate the presence of blood in your newborn’s urine. Whether you have a baby boy or girl, blood in pee (after 1 week for girls) is not normal and usually means there’s a problem. The medical name for this condition is hematuria, and it can be caused by many things, including
physical injury
inflammation
infection
blood clotting
exposure to toxins
kidney stones
medications
high levels of minerals in the urine
hereditary conditions
immune system abnormalities.
If you suspect blood in your newborn’s urine and see a pink, orange, red, or brown tint, contact your child’s healthcare provider ASAP. If it’s hematuria, the provider can address it quickly.
However, once your baby is past the newborn stage and you’ve introduced solid foods, these colors could be a result of your baby eating something colorful, like beets or blackberries. Either way, you’ll probably feel better once you contact the healthcare provider, who will identify the underlying cause and make sure your little one gets any necessary treatment.
Red or Brown and Cloudy Baby Pee
If your baby’s pee is cloudy and accompanies a color change, it could be a urinary tract or kidney infection. A kidney infection is actually a type of UTI, so these can go hand-in-hand. Contact your child’s healthcare provider ASAP if you notice any cloudy urine, especially if it also has a red or brown hue.
“Brick Dust” Baby Pee
A common descriptor of a red-brown hue in baby pee is “brick dust. ” It actually looks a bit like dust from red bricks sprinkled into the urine, often mistaken for blood. When you see this in your baby’s pee, it could mean they’re not nursing enough or consuming enough formula. This “dust” is actually urate crystals, which will not appear once your baby consumes more fluids and nutrients.
Baby Urine Color Chart
Much like our color chart for newborn poop, we’ve created one for pee, so you’ll have an easy guide as to what your baby’s urine may be telling you.
Baby Pee Smells
Along with concerns about your newborn’s pee color, you may also wonder what it means when your baby’s urine is especially smelly. Sometimes, colorful pee and smelly pee indicate the same thing.
Strong Smelling Urine in Babies
In some cases, strong, foul-smelling pee may indicate a bacterial infection, such as a urinary tract infection (UTI), which can cause serious illness if left untreated. When a baby’s urine smells particularly strong, kind of like ammonia, look for signs of an infection, which include blood in urine, plus cloudy and smelly pee. Babies with a UTI may also have a fever, start peeing a lot more frequently, or show signs of discomfort while urinating.
Toddlers can get UTIs, too, and when that’s the case, they may complain about pain while peeing, need to pee frequently, or have accidents during or after potty-training. Consult your child’s healthcare provider if your baby’s pee smells foul or strong like ammonia, or if they have any of the above symptoms.
However, a strong pee smell doesn’t always indicate an infection. If your breastfed baby’s urine smells strong and is highly concentrated with a dark yellow color, your little one may be dehydrated. Giving your baby more fluids (just breast milk or formula until 6 months old) will typically do the trick.
Diet and medication can also be reasons that baby pee smells strong. Check in with your little one’s healthcare provider with any concerns about this.
Sweet-Smelling Pee
This may sound a little odd, but your baby’s pee might smell sweet like maple syrup. This odor indicates a rare, serious illness called Maple Syrup Urine Disease (MSUD), which typically shows signs either within the first three days of birth or between 5 months and 7 years. It’s a metabolic disorder that stops the body from properly converting food to energy.
Diabetes is another disease that could cause sweet-smelling baby pee. Because both diabetes and MSUD are very serious conditions, contact your child’s healthcare provider if you notice a sweet smell to your baby’s pee.
The Bottom Line
As you’ve discovered, baby pee can sometimes be more complicated than just changing a diaper! Still, those daily diaper changes offer opportunities to monitor your baby’s health. Pay attention to the number of wet diapers, the color of your baby’s pee, and even the smell of your baby’s pee. All of these can reassure you that your little on is thriving or suggest that you’ll need contact your child’s healthcare provider. To sum it up:
Urinary frequency. Most newborns should have at least four to six wet diapers a day, although how many your baby produces could end up being one every hour or every three hours.
Urine color. A healthy baby has yellow pee—either light, dark, or somewhere in between. Pink-tinted pee usually means highly concentrated urine, whereas red, orange, or brown hues indicate blood, which isn’t normal.
Urine smell. Baby pee can smell strong without any issues. But if your baby’s pee smells particularly strong or foul, it could be a sign of a UTI.
Now that you understand the ins and outs of baby pee, you’ll have a better idea of how many wet diapers will come your way and when your baby’s urine (or lack of it) indicates a problem. In the meantime, download the Pampers Club App and reward yourself for all those diaper changes with Pampers Cash!
Why Does My Child Have Stinky Pee?
AddictionAllergies & AsthmaAmbulatoryAudiologyAutismAwardsBC4TeensBehavioral HealthBehind the ScenesBurn CenterCancerCardiologyCenter for Healthy Weight and NutritionCenter for Injury Research and PolicyChild BehaviorChild DevelopmentColorectal and Pelvic ReconstructionCommunity EducationCommunity ResourcesCoronavirusDentistryDermatologyDiseases & ConditionsDiversity and InclusionEndocrinologyENTEpilepsyEverything MattersFertility and Reproductive Health ProgramFundraising EventsGastroenterologyGeneticsGynecologyHematologyHomecareHospiceHospital NewsInfants & NewbornsInfectious DiseaseKids & TeensLaboratory ServicesMake Safe HappenMarathonNeonatologyNephrologyNeurologyNeurosurgeryNew HospitalNICUNutrition & FitnessOccupational TherapyOncologyOphthalmologyOrthodonticsOrthopedicsOur PatientsOur staffPalliative CareParentingPediatric NewsPharmacyPhysical Therapy – Sports and OrthopedicPlastic SurgeryPopulation HealthPregnancyPrimary CarePsychologyPulmonaryRadiologyReach Out and ReadRehabilitationResearchRheumatologySafety & PreventionSports MedicineSurgical ServicesThe Center for Family Safety and HealingTherapeutic RecreationTherapyTHRIVE ProgramToddlers & PreschoolersUrgent CareUrology
Aaron Barber, AT, ATC, PESAbbie Roth, MWCAbby Orkis, MSW, LSWAdam Ostendorf, MDAdriane Baylis, PhD, CCC-SLPAdrienne M. Flood, CPNP-ACAdvanced Healthcare Provider CouncilAila Co, MDAimee K Heslop, PT, DPTAkua A. Amponsah Chrappah, MDAlaina White, AT, ATCAlana Milton, MDAlana Milton, MDAlecia Jayne, AuDAlena SchuckmannAlessandra Gasior, DOAlex Kemper, MDAlexandra Funk, PharmD, DABATAlexandra Sankovic, MDAlexis Klenke, RD, LDAlice Bass, CPNP-PCAlison PeggAllie DePoyAllison Rowland, AT, ATCAllison Strouse, MS, AT, ATCAmanda E. Graf, MDAmanda GoetzAmanda Smith, RN, BSN, CPNAmanda Sonk, LMTAmanda Whitaker, MDAmber Patterson, MDAmberle Prater, PhD, LPCCAmit Lahoti, MDAmy Brown Schlegel, MDAmy Coleman, LISWAmy Dunn, MDAmy E. Valasek, MD, MScAmy Fanning, PT, DPTAmy Garee, CPNP-PCAmy Hahn, PhDAmy HessAmy Leber, PhDAmy LeRoy, CCLSAmy Moffett, CPNP-PCAmy Randall-McSorley, MMC, EdD CandidateAmy Thomas, BSN, RN, IBCLCAmy Wahl, APNAnastasia Fischer, MD, FACSMAndala HardyAndrea Brun, CPNP-PCAndrea M. Boerger, MEd, CCC-SLPAndrea Sattler, MDAndrea ShellowAndrew AxelsonAndrew Kroger, MD, MPHAndrew SchwadererAndrew Tran, MDAndria Haynes, RNAngela AbenaimAngela Billingslea, LISW-SAnn Pakalnis, MDAnna Lillis, MD, PhDAnnette Haban-BartzAnnie Drapeau, MDAnnie Temple, MS, CCC-SLP, CLCAnnie Truelove, MPHAnthony Audino, MDAnup D. Patel, MDAri Rabkin, PhDAriana Hoet, PhDArielle Sheftall, PhDArleen KarczewskiAshlee HallAshleigh Kussman, MDAshley Debeljack, PsyDAshley Ebersole, MDAshley EcksteinAshley Karimi, MSW, LISW-SAshley Kroon Van DiestAshley M. Davidson, AT, ATC, MSAshley Minnick, MSAH, AT, ATCAshley Overall, FNPAshley Parikh, CPNP-PCAshley Parker MSW, LISW-SAshley Parker, LISW-SAshley Tuisku, CTRSAsuncion Mejias, MD, PhDAurelia Wood, MDBailey Young, DOBecky Corbitt, RNBelinda Mills, MDBenjamin Fields, PhD, MEdBenjamin Kopp, MDBernadette Burke, AT, ATC, MSBeth Martin, RNBeth Villanueva, OTD, OTR/LBethany Uhl, MDBethany Walker, PhDBhuvana Setty, MDBill Kulju, MS, ATBlake SkinnerBonnie Gourley, MSW, LSWBrad Childers, RRT, BSBrandi Cogdill, RN, BSN, CFRN, EMT-PBrandon MorganBreanne L. Bowers, PT, DPT, CHT, CFSTBrendan Boyle, MD, MPHBrian Boe, MDBrian K. Kaspar, PhDBrian Kellogg, MDBriana Crowe, PT, DPT, OCSBrigid Pargeon, MS, MT-BCBrittany Mikuluk, M.Ed., CCLSBrittney Hardin, MOT, OTR/LBrooke Sims, LPCC, ATRCagri Toruner, MDCaitlin Bauer, RD, LDCaitlin TullyCaleb MosleyCallista DammannCallista PoppCami Winkelspecht, PhDCamille Wilson, PhDCanice Crerand, PhDCara Inglis, PsyDCarl H. Backes, MDCarlo Di Lorenzo, MDCarly FawcettCarneshia EdwardsCarol Baumhardt, LMTCarolyn FigiCarrie Rhodes, CPST-I, MTSA, CHESCasey Cottrill, MD, MPHCasey TrimbleCassandra McNabb, RN-BSNCatherine Earlenbaugh, RNCatherine Jordan, MDCatherine Sinclair, MDCatherine Trimble, FNPCatrina Litzenburg, PhDCharae Keys, MSW, LISW-SCharles Elmaraghy, MDChelsea Britton, MS, RD, LD, CLC Chelsea Kebodeaux, MDChelsie Doster, BSCheryl Boop, MS, OTR/LCheryl G. Baxter, CPNPCheryl Gariepy, MDChet Kaczor, PharmD, MBAChris MarreroChris Smith, RNChris Westgarth-Taylor, MDChristina Ching, MDChristina DayChristine Johnson, MA, CCC-SLPChristine Koterba, PhDChristine Mansfield, PT, DPT, OCS, ATCChristine PrusaChristopher GerityChristopher Goettee, PT, DPT, OCSChristopher Iobst, MDChristopher Ouellette, MDChristy Lumpkins, LISW-SCindy IskeClaire Kopko PT, DPT, OCS, NASM-PESCody Hostutler, PhDConnor McDanel, MSW, LSWCorey Rood, MDCorinne Syfers, CCLSCourtney Bishop. PA-CCourtney Brown, MDCourtney Hall, CPNP-PCCourtney Porter, RN, MSCristina Tomatis Souverbielle, MDCrystal MilnerCurt Daniels, MDCynthia Holland-Hall, MD, MPHDana Lenobel, FNPDana Noffsinger, CPNP-ACDane Snyder, MDDaniel Coury, MDDaniel DaJusta, MDDanielle Peifer, PT, DPTDavid A Wessells, PT, MHADavid Axelson, MDDavid Stukus, MDDean Lee, MD, PhDDebbie Terry, NPDeborah Hill, LSWDeborah Zerkle, LMTDeena Chisolm, PhDDeipanjan Nandi, MD MScDenis King, MDDenise EllDennis Cunningham, MDDennis McTigue, DDSDiane LangDominique R. Williams, MD, MPH, FAAP, Dipl ABOMDonna M. Trentel, MSA, CCLSDonna Ruch, PhDDonna TeachDoug WolfDouglas McLaughlin, MDDrew Duerson, MDEd MinerEdward Oberle, MD, RhMSUSEdward Shepherd, MDEileen Chaves, PhDElena CamachoElise Berlan, MDElise DawkinsElizabeth A. Cannon, LPCCElizabeth Cipollone, LPCC-SElizabeth Grove, MS, RD, LD, CLCElizabeth T. Murray, MDElizabeth Vickery, PhDElizabeth Zmuda, DOEllyn Hamm, MM, MT-BCEmily A. Stuart, MDEmily Decker, MDEmily GetschmanEmma Wysocki, PharmD, RDNEric Butter, PhDEric Leighton, AT, ATCEric Sribnick, MD, PhDErica Domrose, RD, LDEricca L Lovegrove, RD, LDErika RobertsErin Gates, PT, DPTErin Johnson, M.Ed., C.S.C.S.Erin McKnight, MD, MPHErin Shann, BSN, RNErin TebbenFarah W. Brink, MDFatimah MasoodFrances Fei, MDGail Bagwell, DNP, APRN, CNSGail Besner, MDGail Swisher, ATGarey Noritz, MDGary A. Smith, MD, DrPHGeri Hewitt, MDGina Hounam, PhDGina McDowellGina MinotGrace Paul, MDGregory D. Pearson, MDGriffin Stout, MDGuliz Erdem, MDHailey Blosser, MA, CCC-SLPHanna MathessHannah Barton, PhDHannah Hays MD, FACMT, FACCT, FACEP Heather Battles, MDHeather ClarkHeather L. Terry, MSN, RN, FNP-C, CUNPHeather Yardley, PhDHenry SpillerHenry Xiang, MD, MPH, PhDHerman Hundley, MS, AT, ATC, CSCSHersh Varma, MDHilary Michel, MDHiren Patel, MDHolly Deckling, MSSW, LISWHoma Amini, DDS, MPH, MSHoward Jacobs, MDHunter Wernick, DOIbrahim Khansa, MDIhuoma Eneli, MDIlana Moss, PhDIlene Crabtree, PTIrene Mikhail, MDIrina Buhimschi, MDIvor Hill, MDJackie Cronau, RN, CWOCNJacqueline Taylor, BSWJacqueline Wynn, PhD, BCBA-DJacquelyn Doxie King, PhDJaime-Dawn Twanow, MDJaimie D. Nathan, MD, FACSJames Murakami, MDJames Popp, MDJames Ruda, MDJameson Mattingly, MDJamie Macklin, MDJamie ReedyJane AbelJanelle Huefner, MA, CCC-SLPJanice M. Moreland, CPNP-PC, DNPJanice Townsend, DDS, MSJared SylvesterJason JacksonJason P. Garee, PhDJaysson EicholtzJean Hruschak, MA, CCC/SLPJeff Sydes, CSCSJeffery Auletta, MDJeffrey Bennett, MD, PhDJeffrey Hoffman, MDJeffrey Leonard, MDJen Campbell, PT, MSPTJena HeckJenn Gonya, PhDJennie Aldrink, MDJennifer Borda, PT, DPTJennifer HofherrJennifer LockerJennifer PrinzJennifer Reese, PsyDJennifer Smith, MS, RD, CSP, LD, LMTJennifer Walton, MD, MPH, FAAPJenny Worthington, PT, DPTJerry R. Mendell, MDJessalyn Mayer, MSOT, OTR/LJessica Bailey, PsyDJessica Bogacik, MS, MT-BCJessica Bowman, MDJessica BrockJessica Bullock, MA/CCC-SLPJessica Buschmann, RDJessica Scherr, PhDJim O’Shea OT, MOT, CHTJoan Fraser, MSW, LISW-SJohn Ackerman, PhDJohn Caballero, PT, DPT, CSCSJohn Kovalchin, MDJonathan D. Thackeray, MDJonathan Finlay, MB, ChB, FRCPJonathan M. Grischkan, MDJonathan Napolitano, MDJoshua Prudent, MDJoshua Watson, MDJulee Eing, CRA, RT(R)Julia Colman, MOT, OTR/LJulie ApthorpeJulie Lange, MDJulie Leonard, MD, MPHJulie Racine, PhDJulie Samora, MDJun Yasuhara, MDJustin Indyk, MD, PhDKady LacyKaitrin Kramer, DDS, MS, PhDKaleigh Hague, MA, MT-BCKaleigh MatesickKamilah Twymon, LPCC-SKara Malone, MDKara Miller, OTR/LKaren A. Diefenbach, MDKaren Allen, MDKaren Days, MBAKaren Rachuba, RD, LD, CLCKari A. Meeks, OTKari Cardiff, ODKari Dubro, MS, RD, LD, CWWSKari Phang, MDKarla Vaz, MDKaryn L. Kassis, MD, MPHKasey Strothman, MDKatelyn Krivchenia, MDKatherine Deans, MDKatherine McCracken, MD FACOGKatherine ReddenKathleen (Katie) RoushKathleen Nicol, MDKathryn Blocher, CPNP-PCKathryn J. Junge, RN, BSNKathryn Obrynba, MDKatia Camille Halabi, MDKatie Brind’Amour, MSKatie DonovanKatie Thomas, APRKatrina BoylanKatrina Hall, MA, CCLSKatrina Ruege, LPCC-SKatya Harfmann, MDKayla Zimpfer, PCCKaylan Guzman Schauer, LPCC-SKeli YoungKelley SwopeKelli Dilver, PT, DPTKelly AbramsKelly BooneKelly HustonKelly J. Kelleher, MDKelly McNally, PhDKelly N. Day, CPNP-PCKelly Pack, LISW-SKelly Tanner,PhD, OTR/L, BCPKelly Wesolowski, PsyDKelly Wise, PharmDKent Williams, MDKeri Streby, MDKevin Bosse, PhDKevin Klingele, MDKim Bjorklund, MDKim Hammersmith, DDS, MPH, MSKimberly Bates, MDKimberly Jones, PharmDKimberly Sisto, PT, DPT, SCSKimberly Van Camp, PT, DPT, SCSKirk SabalkaKris Jatana, MD, FAAPKrista Winner, AuD, CCC-AKristen Armbrust, LISW-SKristen Cannon, MDKristen E. Beck, MDKristen Martin, OTR/LKristi Roberts, MS MPHKristina Booth, MSN, CFNPKristina Reber, MDKristol Das, MDKyle DavisLance Governale, MDLara McKenzie, PhD, MALaura Brubaker, BSN, RNLaura Dattner, MALaura Martin, MDLaurel Biever, LPCLauren Durinka, AuDLauren Garbacz, PhDLauren Justice, OTR/L, MOTLauren Madhoun, MS, CCC-SLPLauryn Rozum, MS, CCLSLeah Middelberg, MDLee Hlad, DPMLeena Nahata, MDLelia Emery, MT-BCLeslie Appiah, MDLinda A. Baker, MDLinda Stoverock, DNP, RN NEA-BCLindsay Kneen, MDLindsay Pietruszewski, PT, DPTLindsay SchwartzLindsey Vater, PsyDLisa GoldenLisa Halloran, CNPLisa M. Humphrey, MDLogan Blankemeyer, MA, CCC-SLPLori Grisez PT, DPTLorraine Kelley-QuonLouis Bezold, MDLourdes Hill, LPCC-S Lubna Mazin, PharmDLuke Tipple, MS, CSCSLynda Wolfe, PhDLyndsey MillerLynn RosenthalLynne Ruess, MDMaggy Rule, MS, AT, ATCMahmoud Kallash, MDMandy Boetz, LISW-SManmohan K Kamboj, MDMarc DutroMarc P. Michalsky, MDMarcel J. Casavant, MDMarci Johnson, LISW-SMarcie RehmarMarco Corridore, MDMargaret Bassi, OTR/LMaria HaghnazariMaria Vegh, MSN, RN, CPNMarissa Condon, BSN, RNMarissa E. Larouere, MBA, BSN, RNMark E. Galantowicz, MDMark Smith, MS RT R (MR), ABMP PhysicistMark Winerman, MDMarnie Wagner, MDMary Ann Abrams, MD, MPHMary Fristad, PhD, ABPPMary Kay SharrettMary Shull, MDMatthew Washam, MD, MPHMeagan Horn, MAMegan Brundrett, MDMegan Dominik, OTR/LMegan FrancisMegan Letson, MD, M.EdMeghan Cass, PT, DPTMeghan Fisher, BSN, RNMeika Eby, MDMelanie Fluellen, LPCCMelanie Luken, LISW-SMelissa and Mikael McLarenMelissa McMillen, CTRSMelissa Winterhalter, MDMeredith Merz Lind, MDMichael Flores, PhDMichael T. Brady, MDMichelle Ross, MHA, RD, LD, ALCMike Patrick, MDMindy Deno, PT, DPTMitch Ellinger, CPNP-PCMolly Dienhart, MDMolly Fuchs, MDMolly Gardner, PhDMonica Ardura, DOMonica EllisMonique Goldschmidt, MDMotao Zhu, MD, MS, PhDMurugu Manickam, MDNancy AuerNancy Cunningham, PsyDNancy Wright, BS, RRT, RCP, AE-C Naomi Kertesz, MDNatalie DeBaccoNatalie I. Rine, PharmD, BCPS, BCCCPNatalie Powell, LPCC-S, LICDC-CSNatalie Rose, BSN, RNNathalie Maitre, MD, PhDNationwide Children’s HospitalNationwide Children’s Hospital Behavioral Health ExpertsNeetu Bali, MD, MPHNehal Parikh, DO, MSNichole Mayer, OTR/L, MOTNicole Caldwell, MDNicole Dempster, PhDNicole Greenwood, MDNicole Parente, LSWNicole Powell, PsyD, BCBA-DNina WestNkeiruka Orajiaka, MBBSOctavio Ramilo, MDOliver Adunka, MD, FACSOlivia Silvera, CPNP-PCOlivia Stranges, CPNP-PCOlivia Thomas, MDOmar Khalid, MD, FAAP, FACCOnnalisa Nash, CPNP-PCOula KhouryPaige Duly, CTRSParker Huston, PhDPatrick C. Walz, MDPatrick Queen, BSN, RNPedro Weisleder, MDPeter Minneci, MDPeter White, PhDPitty JenningsPreeti Jaggi, MDPriyal Patel, DORachael Morocco-Zanotti, DORachel D’Amico, MDRachel Schrader, CPNP-PCRachel Tyson, LSWRajan Thakkar, MDRaymond Troy, MDRebecca Fisher, PTRebecca Hicks, CCLSRebecca Lewis, AuD, CCC-ARebecca M. Romero, RD, LD, CLC Reggie Ash Jr.Reilly Harrington, CCC-SLPReno Ravindran, MDRichard Kirschner, MDRichard Wood, MDRobert A. Kowatch, MD, Ph.D.Robert Hoffman, MDRobert Treviño, MD, PhDRochelle Krouse, CTRSRohan Henry, MD, MSRose Ayoob, MDRose Schroedl, PhDRosemary Martoma, MDRoss Maltz, MDRustin Morse, MDRyan Ingley AT, ATCSamanta Boddapati, PhDSamantha MaloneSammy CygnorSandra C. Kim, MDSara Bentley, MT-BCSara Bode, MDSara Breidigan, MS, AT, ATCSara N. Smith, MSN, APRNSara O’Rourke, MOT, OTR/L, Clinical LeadSara Schroder, MDSarabeth Mills-Wolf, AuDSarah A. Denny, MDSarah Cline, CRA, RT(R)Sarah Driesbach, CPN, APNSarah GreenbergSarah Hastie, BSN, RNC-NIC Sarah Keim, PhDSarah Mannon, CCLSSarah MyersSarah O’Brien, MDSarah SaxbeSarah Schmidt, LISW-SSarah ScottSarah TraceySarah VerLee, PhDSasigarn Bowden, MDSatya Gedela, MD, MRCP(UK)Scott Coven, DO, MPHScott Hickey, MDSean EingSean Rose, MDSean Tams, PhDSeth Alpert, MDShalini C. Reshmi, PhD, FACMGShana Moore, MA, CCC-AShannon Reinhart, LISW-SShari UncapherSharon Wrona, DNP, PNP, PMHSShaun Coffman PT, DPT, OCSShawn Pitcher, BS, RD, USAWShawNaye Scott-MillerShea SmoskeSheena PaceSheila GilesShelly BrackmanSimon Lee, MDSini James, MDStacy Ardoin, MDStacy Whiteside APRN, MS, CPNP-AC/PC, CPONStefanie Bester, MDStefanie Hirota, OTR/LStephanie Burkhardt, MPH, CCRCStephanie CannonStephanie Santoro, MDStephanie TownsendStephanie Vyrostek BSN, RNStephen Hersey, MDSteve Allen, MDSteven C. Matson, MDSteven Ciciora, MDSteven CuffSuellen Sharp, OTR/L, MOTSurlina AsamoaSusan Colace, MDSusan Creary, MDSwaroop Pinto, MDTabatha BallardTabbetha GrecoTabi Evans, PsyDTabitha Jones-McKnight, DOTahagod Mohamed, MDTamara MappTammi Young-Saleme, PhDTaylor Hartlaub, MD, MPHTenelle JonesTerry Barber, MDTerry Bravender, MD, MPHTerry Laurila, MS, RPhTheresa Miller, BA, RRT, RCP, AE-C, CPFTThomas Pommering, DOTiasha Letostak, PhDTiffanie Ryan, BCBA Tim RobinsonTim Smith, MDTimothy Cripe, MD, PhDTimothy Landers PhD RN APRN-CNP CIC FAANTishia Gunton, MSW, LISW-STracey L. Sisk, RN, BSN, MHATracie Steinke RD, LD, CDETracy Mehan, MATravis Gallagher, ATTrevor MillerTria Shadeed, NNPTyanna Snider, PsyDTyler Congrove, ATValencia Walker, MD, MPH, FAAPVanessa Shanks, MD, FAAPVenkata Rama Jayanthi, MDVidu Garg, MDVidya Raman, MDVidya Sivaraman, MDW. Garrett Hunt, MDWalter Samora, MDWarren D. Lo, MDWendy Anderson, MDWendy Cleveland, MA, LPCC-SWhitney McCormick, CTRSWhitney Raglin Bignall, PhDWilliam Cotton, MDWilliam J. Barson, MDWilliam Ray, PhDWilliam W. Long, MD
Pediatric urology-andrology
Urological problems in children can often be almost asymptomatic , but they can greatly affect the quality of a child’s future adult life. Parents should pay special attention to the health of the genitourinary system of the baby and regularly show the child to a pediatric urologist. This will detect any abnormalities or disorders at the initial stage and prevent the development of serious disorders of the urogenital area in boys and girls.
What problems do we solve?
- Scheduled inspections. Children are not protected from diseases of the genitourinary system. Sometimes these ailments are asymptomatic, and children are not aware of them. Annual scheduled examinations by a pediatric urologist will help to diagnose the pathological condition in time and prescribe effective treatment.
- Inflammations . Inflammatory processes of the genitourinary system occur due to hypothermia, improper hygiene, and also due to poor nutrition. Often accompanied by itching, burning, redness in the vulva.
- Cloudy or discolored urine. If the child’s urine has changed: color, unpleasant odor, turbidity – this may indicate serious changes in the state of the genitourinary system. In this case, it is necessary to show the child to a pediatric urologist.
- Injuries of the external genital organs. Mechanical injuries of the external genital organs can be accompanied by edema, soreness and are a serious problem due to the complex anatomy, especially with combined injuries. In this case, the help of a pediatric urologist is needed.
- Painful urination, urinary incontinence. May occur as a result of hypothermia, improper use of diapers, bacterial or viral infection. To prevent the disease from becoming chronic, it is necessary to visit a pediatric urologist as soon as possible.
- Anomalies in the development of the external genital organs. It makes sense to contact a urologist if a boy’s scrotum is asymmetric: due to an increase in one of its halves or due to the absence of testicles in one of its halves, or in both. With curvature of the penis or in the absence of disclosure of the foreskin, with its redness or swelling. With an abnormal appearance of the penis and associated problems with urination. As a rule, when it comes to newborns, correction of congenital defects and anomalies is relevant. Some of them (such as hypospadias) do not require emergency treatment and are corrected at an older age. Such a pathology in boys, like varicocele, becomes noticeable only at the beginning of puberty.
Symptoms
Try to carefully monitor the child’s well-being, listen to what he complains about. Seek immediate medical attention if you experience any of the following symptoms:
- Redness of the skin of the external genitalia
- Burning and itching, painful urination
- Discoloration, odor, cloudiness of urine
- Enlargement of one or both halves of the scrotum
- Redness or swelling of the foreskin
- Urinary incontinence
An appointment with a pediatric urologist begins with a conversation and examination. Urologists of the children’s clinic “Health from the Diaper” act carefully and delicately, they will not scare the baby and help the teenager overcome embarrassment. Often the urologist requires additional examinations. After collecting all the data, the doctor makes a diagnosis and prescribes treatment.
Primary appointment (examination, consultation) with a urologist-andrologist | 1000 |
Appointment (examination, consultation) with a urologist-andrologist repeated | 850 |
Dispensary appointment (examination, consultation) with a urologist-andrologist | 650 |
Possible Causes of Smell, Symptoms and Solutions
Your baby’s urine that smells strongly and smells bad can be a signal for urgent medical attention. The cause of such an unpleasant situation may be natural causes, for example, the introduction of new foods into the diet. However, it is best to make a diagnosis and prevent the development of a possible disease with medical treatment, if necessary. For many diseases of the internal organs, an unpleasant odor in the urine of the baby is characteristic.
What should a baby’s urine smell like
People often wonder why a baby’s urine smells so strong. In a healthy young child, it should be free of impurities, without a specific and pungent odor. A few months after birth, complementary foods are introduced to the baby, as a result of which a mild, unobtrusive odor appears in the urine. The urine of formula-fed babies usually has a stronger odor than that of breastfed babies.
Urinary tract infections in children: therapy, prescribed medications,…
Parents should constantly monitor how the urine of the child smells. This is especially important until the baby has reached a conscious age and cannot report his health problems himself.
The smell of children’s urine is a kind of indicator of the state of the child’s internal organs and the functioning of the organism as a whole. That is why, with any change in the color of urine or the appearance of an unpleasant odor, you should consult a doctor for advice. This will help keep the baby healthy, as well as prevent the development of an infectious disease.
Causes of changes in the smell of urine
To answer the question of why a child has a strong smell of urine, you should know that in children who have reached the age of 12, the smell of urine changes dramatically. The reason for this phenomenon lies in the change in the work of the endocrine glands. The restructuring of the hormonal background in adolescence greatly affects the vital activity of the body, including the urinary system. Also, the cause of an unpleasant odor can be physical overwork. If the unpleasant odor from the urethra is similar to ammonia and acetone, then the child should be taken to a specialist in the field of urology.
The baby’s urine also smells strongly due to some natural cause, such as infrequent diaper and diaper changes. In addition to the smell, failure to comply with basic hygiene can lead to more serious consequences, namely, provoke hives, skin diaper rash, dermatitis, and unpleasant allergic reactions.
Factors affecting the smell of urine
Parents often wonder why their child’s urine began to smell of extraneous odors. The following factors can provoke this:0005
- Changing baby’s diet. With age, the infant is introduced to new foods, such as vegetables and fruits, which have their own specific flavors. They can greatly affect the smell of urine, making it more pronounced, sometimes even pungent.
- Dehydration. It is very important for the baby to drink enough liquid. Exhaustion of the body can occur as a result of acute poisoning with food or poisons. The body, as a result of intoxication, releases a large amount of a not always pleasant-smelling liquid.
- Lack of vitamin D. Usually such a useful element in the body is not enough if the child spends little time outside. Sometimes this leads to the development of rickets. One of the symptoms of this disease is the pungent odor of the fluid that is excreted by the genitourinary organs. Also, a lack of vitamin D leads to a decrease in appetite, increased sweating and poor hair growth.
- Taking strong drugs and antibiotics. Antiviral drugs are partially or completely excreted through the genitourinary system, giving the urine a specific odor. After the course of drug treatment is completed, all indicators return to normal.
- Breastfeeding. In this case, the smell of urine may be due to a change in the mother’s diet. White cabbage and asparagus can significantly change the smell of urine.
- Colds. With rhinitis, SARS and bronchitis, urine always begins to emit an unpleasant odor. The body is exhausted as a result of the fight against infection. After complete recovery, the smell of urine disappears completely.
- Hepatitis. A sign of this serious illness is an unpleasant odor and dark color of urine.
- Diabetes. Patients with this disease usually have colorless urine. The frequency of going to the toilet increases. Urine has an ammonia or vinegar smell.
- Pyelonephritis or cystitis. With such diseases, sometimes urine dramatically changes its smell.
Ammonia smell
Mothers often wonder why their baby smells like urine. Many doctors by smell can guess what disease a small patient suffers from. For example, if an ammonia smell is noticed, then most likely this is a pronounced sign of a violation of the urinary tract. This disease occurs as a result of improper functioning of the endocrine glands. In the blood, and then in the urine, a large number of ketone bodies are formed. Most likely, the patient suffers from diabetes mellitus or acetonemia. The characteristic symptoms of diseases are: the child’s complaints of thirst, pain when urinating, dry skin and a sharp loss of body weight. If the above signs are absent, but the child’s urine is dark when urinating, this means that a focus of infection has appeared in the urinary system. To get rid of the disease, you will need to undergo antibiotic treatment.
Urine smells like ammonia or has other odors. What does it mean?
Smell of acetone
If your child’s urine smells like acetone, this may be due to the child’s excessive mobility. Under heavy loads, ketones are formed in the urine, which cause such an unpleasant odor. In this case, no treatment is required. To get rid of the smell, it is enough just to adjust the child’s daily routine so that the baby is not overexcited during the day. Sometimes the cause of the acetone smell can be stress caused by various reasons (divorce or constant quarrels of parents, change of housing or environment in the playroom). Sometimes a child may need the help of a psychologist.
Smell of burnt sugar
If a child’s urine smells strongly of burnt sugar after urinating, this may be a sign of a disease called leucinosis (branched chain ketonuria). This disease occurs as a result of a genetic predisposition and manifests itself from the first days of a baby’s life. The system responsible for the production of enzymes reduces its activity. Amino acids inside the body are not oxidized, resulting in a characteristic smell of urine. As a treatment, a rather long treatment with medications is required.
Other odors and possible causes
If the child’s urine smells like fish, this indicates a genetic disease. Not only urine can exude an odor, but also the sweat of a child, and even exhaled air.
A strong, mousey odor is most likely a congenital disorder called phenylketonuria. One of the signs of the disease is the accumulation of amino acids and metabolic products in the urinary tract. If you do not see a doctor in time, the disease can damage the nervous system.
How to identify a urinary tract disease
Often the child’s urine smells as a result of kidney and bladder disease. One of the most common causes of pathology is inflammatory processes inside the body. Fighting pathogenic organisms, human immunity secretes white blood cells to fight the disease. Due to the fact that the immune system has not yet formed in children, the disease can continue to progress. You can understand that the child’s body cannot cope with pathogenic organisms by the following symptoms:
- The sick person rarely goes to the toilet.
- Urine is cloudy and sometimes mixed with blood clots. May have curd sediment.
- Urination is accompanied by pain in the abdomen and in the lumbar region, there is also pain in the genitals.
What to do to avoid smell
“Why does my baby’s urine smell?” – This is one of the most common questions for new mothers. If the smell of urine in your baby has changed, has become sharp and unpleasant, then you should not be afraid and diagnose him. If the next day everything returned to normal, then the cause of this phenomenon, most likely, was overwork or a new product in his diet. If the smell persists day after day after each trip to the toilet, then you should consult a pediatrician. The health care facility should take a urine sample to determine the content of the following substances:
- uric acid;
- ketones;
- leukocytes;
- proteins.
If a child has inflammation in the organs responsible for urination, then it is necessary to inoculate a biological sample in a nutrient medium. Then, according to the number of colonies formed, the doctor can conclude that there are or are no infectious foci. Also, when a pungent odor appears in the urine, a blood test is prescribed for the presence of sugar in the body.
Disease prevention
To avoid problems with urination in a child, it is necessary to give him clean water. Sugary drinks should be completely eliminated from the diet. If a high body temperature occurs and with severe vomiting, it is recommended to drink special saline solutions, they can be found in pharmacies. Often children refuse such medicines. In this case, the child must be given a medicinal solution in a tablespoon every 20 minutes. After recovery, the smell of urine and the general condition of the body should return to normal.
As a preventive measure, doctors recommend protecting your child from emotional upheavals and heavy physical exertion. In order for the child to be healthy, one should strictly adhere to the diet and drink plenty of water, especially in the heat.