About all

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:

  1. Illness
  2. Fever
  3. Hot weather
  4. 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:

  1. Dehydration: When your baby isn’t getting enough fluids, their urine becomes more concentrated, leading to a stronger smell.
  2. Urinary Tract Infection (UTI): A bacterial infection can cause a foul or strong ammonia-like odor.
  3. Diet: For older infants starting solid foods, certain foods like asparagus can affect urine odor.
  4. 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:

  1. Number of wet diapers per day
  2. Color and odor of urine
  3. Any changes in feeding habits
  4. 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

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