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Urine odor, mild incontinence... what could be causing this?

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Urine odor, mild incontinence... what could be causing this?

Postby pippinsweet1 » Mon Nov 10, 2008 5:40 pm

I'm a 48 year old single woman recently diagnosed with adult-onset asthma.

In addition to using my Pro-Air (Albuterol) on a daily basis - 4-5 puffs in the morning (sometimes more if I'm having a bad spell) - I'm taking a One a Day Womans vitamin, as well as probiotic supplements to help my digestion and 800mg Chromium to treat my insulin resistance. I've been using the Albuterol for about four months now, and the supplements for about four weeks.

My urine has taken on a very strong odor over the last several days, and I have slight urine leakage on and off throughout the day. No other UTI symptoms are present, though... could my supplements be causing this, or the Albuterol?

Both symptoms presented at the same time, about one week ago.

Thank you in advance for any information you might be able to provide.
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Re: Urine odor, mild incontinence... what could be causing this?

Postby Dr. Safaa Mahmoud » Fri Nov 14, 2008 6:38 am

Hello,

Urine odor may change due to many causes that may be physiological (benign) or pathological (disease related).

These physiological causes include:
- Food and medication can causes abnormal urine odor as their metabolic products are excreted by the kidney into the urine.
Asparagus containing food
Vitamins especially B6 Supplementation
In these conditions you may notice the change in the smell of urine few hours after ingesting these elements.

-Concentrated Urine is another causes and commonly seen in dehydrated persons.

- Diseases like:
- Urinary tract infection that can be diagnosed by a simple urine analysis and culture, in addition to symptoms of UTI like dysuria, frequency and or urgency.
Despite your symptoms are not typical for UTI it should be excluded.

- Metabolic diseases like Diabetes but other symptoms of the disease will be present like polyuria etc. And blood sugar test will help in the diagnosis.

I would advise you to drink a large amount of fluids every day and see its effect, it dehydration was the cause, the urine odor and color should change with proper hydration.

If the condition persists you better be checked by your doctor. He might recommend urine analysis & cultures as well tests for exclusion of systemic diseases.

Please keep us updated.
Best regards.
This answer does not substitute for direct medical consultation.

Dr. Safaa Mahmoud.
MB BCh, MSc Internal Medicine. MD Medical Oncology.
PhD Experimental Medicine and Biochemical Science.
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Dr. Safaa Mahmoud
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