Unpleasant smell of urine units - what is the reason? Sour scent of urine: features appearance in children, women and men.

Of course, it is unlikely that someone expects that the organism urine will have a pleasant smell as a waste liquid, but an unusual sharp smell can not remain unnoticed. The reasons for a sharp smell of urine in a woman are diverse, they include, both safe factors that can provoke a woman itself and some diseases involving cooperation with the doctor. In any case, we are talking about deviation from the norm. What are the main causes unpleasant odor urine in women?

Normal physiological highlights of a healthy person are characteristic of yellowish (golden) color and transparency. They, like most of the normal natural bodily smells, do not fragrant. However, the urine of cloudy and with the smell in women may indicate certain changes in the body. First of all, it is a signal of the need to supplement fluid - body hydration.

If, along with the smell, other deviations from the norm appear - changes in color, pain at the bottom of the abdomen and when urinating, increase temperature, etc., it is advisable to immediately visit the doctor!

Easily explained causes of unpleasant odor of Urin

Often a woman herself provokes the manifestation of this unpleasant symptom. It may have a connection, in particular, with food. Watering with the smell in women is sometimes a consequence of some errors in the lifestyle:

coffee - immediately after drinking a cup of coffee, it is excreted from the body, which is manifested by a short "dear";
polyvitamins - a strong smell of urine in women may arise as a result of intake of vitamin preparations, especially vitamins of the group B; Sometimes multivitamin preparations are able to paint it into a more rich color;
analgesics - the reasons for the pharmacy of urine in women may include the admission of some painkillers and antibiotics;
alcohol - Watering with a sharp odor is often " by-effect»Use alcohol;
aromatic food products - garlic and other aromatic products (onions, black currant ...) are reflected in the appearance of an unpleasant problem;
an exception hormonal contraceptives After long-term use, it is also often the reason why urine in women has an unpleasant smell.

In the case of changes stating even after adjusting the diet and drinking mode, it is recommended to consult a specialist - perhaps the cause is a metabolic disorder.

Colour

Along with the smell, attention should be paid to the color, which can also indicate pathology:

from to brownish green - jaundice, elevated bilirubin - violation of the liver function or bile diseases;
color from pink to - urinary tract infection, glomerulonephritis, renal failure;
color from pink with reddish without turbidity - inflammation of muscles, injuries, burns, hemolytic anemia;
yellow or - indicates the removal of excess carotenoids, vitamin B2, eliminating sulfasalazine sulfonamide antibiotic;
reddish brown - can cause a metronidazole antibiotic;
whitish turbidity is the presence of a protein.

Pathological causes of the appearance of a sharp smell of urine

The problem should not immediately cause anxiety or panic. With urine from the body, various substances are derived, such as proteins, salts or ions. What is the smell of urine in women? It is an indicator of what food or drinks have been used before. The composition of food or drink, naturally, is reflected in the physiological discharge, which is not something exceptional.

In addition to the above factors, causing smell In the urine in women, the causes of the problem may be more serious, and include some diseases.

For diseases of the liver or kidney in the urine, metabolites are found. The violation of the liver function is accompanied by unpleasant odors caused by sulfur-containing amino acids.

Signal of danger!

Sometimes the reasons for urine with the smell in women are in the presence of pathogenic bacteria, which is a sign of infection, as a rule, in the kidneys. Inflammation of the kidneys, both acute and chronic form, is manifested by frequent urination and discomfort when urination. Sometimes the body temperature also rises. Necessary examination is necessary, because In particular, nephritis is able to lead to kidney failure!

If the poor smell of urine in women is associated with a sharpness, burning and difficult urination, with great probability, there is a bacterial inflammation, involving the need to appeal to a doctor who will prescribe appropriate treatment.

The next risk factor is bacterial infections of the lower urinary tract, especially when bacteria breeding for a longer period produce an increased amount of fragile bacterial products. In such cases, the allocations with the smell of urine in women appear.

Often the culprit of inflammation of this kind is an intestinal wand (Escherichia coli). This bacterium usually lives in the digestive tract, but in women due to anatomical features, it easily reaches urinary tract, causing dangerous inflammation. Treatment is to apply antibiotics.

If the unpleasant urine smell in women in the morning is manifested most intensively, this is directly related to its concentration, for example, with insufficient fluid flow. One of the reasons is excessive consumption of oily food. However, such a symptom can be a sign of one of the serious diseases that affect the digestive or or excretory system And, therefore, this signal should not be underestimated.

Sweet, strong urine smell in a woman, most often, is a symptom of metabolic disorders. As a rule, this problem is present in phenylketonuria, the hereditary disease, which consists in violating the metabolic processes of aromatic acids. Phenylalanine in the body turns into tyrosine, which accumulates in fluids. This disease is very serious and is characterized by excessive belching, sometimes - vomiting and disruption of motor functions. Very often the disease is already manifested in infancy.

The smell of acetone in the urine

The composition of urine depends on a number of other metabolic disorders, such as diabetes mellitus. The smell of acetone in the urine in women occurs when it is bad compensation.

Diabetes 1 type is one of the most serious reasons for urine with the smell of acetone in women. This symptom causes ketones (in particular, acetone). There is also a specific smell of mouth.

Type 1 diabetes mellitus may be accidentally discovered by a doctor during a preventive inspection in a patient without any obvious symptoms. However, most often, the disease is accompanied by the following features:

feeling fatigue;
night sweating;
weight loss;
mental changes;
stomach ache.

Classic diabetes symptoms include frequent urination with a large volume of urine, subsequent dehydration and thirst.

Ammonia urine smell in women

The smell of ammonia in the urine in women is quite natural, but it should not be strongly expressive.

Watering with the smell of ammonia in women testifies to insufficient fluid consumption.

With the study of breathing and, possibly, the increase in sweating occurs the loss of a significant amount of fluid, which should be supplemented in the near future. After compensating for dehydration and adjust the drinking mode, the ammonia smell disappears.

Smell fish

Watering with the smell of fish in women causes can have quite serious. This symptom is accompanied by the diseases of the lungs (including tuberculosis), bronchi, as well as a large intestine. If this feature appears, a visit to the doctor for research and treatment of treatment is needed.

Hydrogen sulfide smell

The hydrogen sulfide indicates the presence of a pus! In case of constant and intensive expression of this symptom, a dangerous disease or infection may occur. Do not underestimate it - contact a specialist!

Urine smell during pregnancy early timing It does not necessarily indicate pathology. As a rule, it is a symptom accompanying the coming changes in the body. But, at the same time, the smell of urine during pregnancy, as in any other case, may be a sign of infection, for example, bladder. It will not be further an appeal to a doctor who will help solve the problem.

The change in smell and color, urine turbidity, as a rule, indicates an excess of certain substances. These symptoms can also be caused by the presence of pus from current infections of urinary tract, ovaries or uterus. Such changes should not be ignored - this will help in a timely manner to diagnose diseases (in the case of its presence) and begin treatment.

What do you know about urine change - color and smell? Your comment will be extremely useful. Share your opinion and experience!

Violations in the activities of the body may indicate a variety of symptoms. Among them are not only a general change in well-being, but not very pronounced signs, for example, changing the color of the skin or selection. And such symptoms should not be ignored, as they may indicate the beginning of the development of serious diseases. Today, on this page, "popular about health" we will talk about how it can arise a unpleasant urine smell in men, the causes and treatment of such a violation discuss.

In healthy men urine is a transparent liquid, and has a stravenous yellow color. It has a specific, but rather weak odor. In general, this smell in men depends on the concentration in the recycled liquid of various chemical substances, as well as toxins that kidney derive from the body. The characteristic smell of such a fluid is explained by the presence in its composition of urea, and the greater will be its concentration, the more pronounced it will be. The smell of urine directly depends on the degree of dilution, because the concentrated urine has a strong sharp odor. It is possible to increase water consumption throughout the day to 8 glasses to come to normal.

Urine acquired a "alien" smell - the reasons for this?

Especially sharp smell of urine may be a consequence of temporary physiological states or a symptom of serious illness. Such a phenomenon can be observed during dehydration when the body loses a particularly much fluid when a man just drinks little water (especially in the heat or during physical Loads).

Specific unpleasant urine smell in a man can be a symptom. In this case, such a phenomenon is explained by the attack of bacteria. Sometimes the allocation takes place the characteristic "fish" smell.

A sharp and unpleasant urine smell can be a symptom of diabetes mellitus, in which the blood level increases in the blood. In such a situation, the amount of glucose in the urine is also increasing, it also contains ketone bodies represented by acetone, acetoxus and beta-hydroximaceous acid. Watering at the same time acquires a specific and sharp smell of rotten apples.

Sometimes the unpleasant smell of urine in men is a symptom of cystitis. Such a disease has a bacterial origin. It begins in the urethra, further applies to the prostate, and after - in the bladder, provoking the appearance of frequent urges to urination, pain or unpleasant feeling burning.

What else affects the smell of urine? The reasons for this can be more domestic. It is worth noting that silent urine is sometimes only a consequence of a certain power mode. So, if a man eats a lot of asparagus and green vegetables, the selection acquire the smell of rotting cabbage, rotten eggs or ammonia.

If the urine smells like maple syrup, this indicates the presence of a rather rare genetic disease in a man, in which the metabolism is disturbed. In such a situation, the body is not able to recycle components of proteins. This ailment becomes clear with early age.

Sometimes a specific unpleasant urine smell is a consequence of consumption of certain medicines, vitamin B6 and biologically active additives.

Among other things, such symptoms can be provoked by other pathological conditions, among which the infectious kidney lesions, Ketonuria (starvation in diabetes), prostatitis, etc.

To eliminate a bad smell, start treatment without delay!

When a sharp smell of urine is detected, the patient needs to analyze his lifestyle. If such a symptom has arisen due to dehydration, you should simply drink more fluid (ordinary clean water). If it is a consequence of nutritional features or drug reception (bid, vitamins), then you should not worry, such a phenomenon will go by itself after changing the diet or the end of therapy.

If there are no logical explanations to a sharp and unpleasant smell of urine in a man, it is worth seeking doctoral help. Specialists will help to find out what factors provoked the emergence of such symptoms, and will select the most effective methods their corrections.

So, for example, when infectious lesions Doctors usually prescribe antibacterial drugs. They are chosen individually, focusing on the type of disease and on the features of the identified pathogen. Such medications should be taken over one week (sometimes longer). Antibacterial therapy It can be complemented by using anti-inflammatory drugs, multivitamin agents, drugs to improve the activities of the urogenital system, etc.

Diabetes detected in the patient is a reason for major changes in lifestyle. The patient must be adhered to diet nutritionAnd also keep track of your weight and play sports. Doctor can register the use of a number medicinal preparationsthat will help control. Unfortunately, diabetes mellitus is an incurable disease, so therapy is lifelong.

Alternatively, the causes of the unpleasant smell of urine can only determine the causes of the urine after a number of diagnostic procedures.

It should be noted that the appearance of a sharp and unpleasant smell of urine, which is complemented by the emergence of other disorders of well-being - this is a reason to ask for doctoral help and not engage in self-medication. Dangerous additional symptoms should include the appearance of blood in the urine, apathy, jaundice, etc. So refer to the therapist. Assessing the results that were given your urine tests, treatment can be appointed without delay and the most accurate as possible.

Catherine, www.Syt.
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In a situation where a sharp smell of urine appears, the causes can be different. This usually speaks of violations of both the urinary and other organism systems. Normally, urine does not have an unpleasant smell, so if the urine smells unusually or at all has a malware, then it is necessary to visit the specialist to clarify the reason for the change in the fraud properties of Urin.

Urine acquires different odors depending on diseases that provoke a change in urin properties. Most often, the shade of ammonia and acetone appears, which is characteristic of many diseases. However, quite specific, such as the smell of rotten fish, mold or cheese may appear.

Types of smell

Depending on the disease, urine may smell differently:

rotten apples - often occurs during diabetes and indicates an increase in the level of ketone bodies;
acetone - indicates complications of diabetes, with long starvation, dehydration, pregnancy and serious infections;
kaloma - can talk about the presence of urohy-fiscal fistula and inflammation caused by the activities of intestinal bacteria;
ammonia - indicates the presence of diseases of the genitourinary system, such as cystitis, urethritis and pyelonephritis;
live sugar or maple syrup - indicates such a disease like leucine;
rotten meat, rotten cabbage - possibly hypermethionmia;
rotten fish - a sign of such a disease as trimethylamination;
cheese - Isovalerician Atcidemiya;
the stencil smell - occurs with purulent inflammatory processes in the urinary system;
sharp smell in the morning - means the prestitutional phenomena in the kidneys;
pharmacy odor - can be caused by a long use of some drugs;
mouse - indicates such a disease as phenylketonuria.

Causes of change

The change in the smell may indicate a variety of violations in the body. The reasons for which the sharp smell of urine appears, can be:

diseases of the urogenital system;
complications of diabetes;
dehydration;
pregnancy;
menopause;
urogenital infections;
vaginal dysbiosis;
liver failure;
congenital metabolic disorders;
reception of certain medicines;
eating some foods.

Most often, the change in the odorous properties of urin is caused by diseases of the genitourinary system. The smell of ammonia appears when cystitis, pyelonephritis and urethritis. In addition to salty, these diseases accompany the complex of symptoms: pain in the area of \u200b\u200bthe belt and the abdominal at the bottom, change in urine transparency, painful urination. When cystitis, various foreign discharge and decay products are mixed as a result of the inflammatory process. They are the reason for the appearance of a sharp unusual smell.

The cerebral aroma of rotten apples or acetone in diabetes indicates that ketoacidosis can develop. Diabetic ketoacidosis is an extremely dangerous state that requires immediate appeal to the doctor and the appointment of therapy.

In addition to diabetes mellitus, ketoacidosis can be caused by a long starvation, an incorrect diet, non-compliance with the level of physical exertion. Regardless of the cause, ketoacidosis is a reason for immediate contacting to specialists.

Liquid deficiency in the body, regardless of its causes (vomiting, diarrhea, low flow of fluid into the body), causes an increase in urin concentration, which provokes the appearance of ammonia odor. Therefore, it is very important to use a sufficient amount of water, especially with diseases provoking the abundant loss of fluid to prevent dehydration.

The frequency of urination also plays a role in changing the odoric properties of Urin. Rare trips to the toilet provoke an increase in concentration and stagnation of urine, as a result, a saturated unpleasant smell may appear.

The scent of the urine may appear in a woman during pregnancy. The reasons for which the urine of pregnant women smells can be both harmless and requiring treatment. Changing the fragile properties of urin can occur, for example, with dehydration, i.e. With insufficient fluid flow into the body. In this case, it suffices to increase the amount of liquid consumed. However, the reasons for the smell can be wound and in the presence of various urinary tract infections. A sharp smell of urine in women during pregnancy can be caused by toxicosis of both medium and severe. Often, toxicosis is accompanied by repeated vomiting, dehydration and weight loss. All this disrupts the normal flow of biochemical processes in the body and provokes the appearance of smell in the urine. If the urine of a pregnant woman smells like ammonia, it may be a sign of urinary bubble diseases.

The sharp smell may appear in women during menopause, after childbirth or operations, and the incontinence of urine can cause it. The permanent leakage of Urin creates favorable conditions for breeding bacteria and determines the fact that urine smells sharply. In addition, the change in the vaginal flora increases the risk of urinary tract infections.

The unpleasant smell of urine in women can be due to various urogenital infections or vaginal dysbiosis. Urin itself, it will not necessarily smell, the stench can be selected from the vagina. The reasons why urine smells, there may be such infections as chlamydia and ureaplasmosis. These diseases change not only the odorous properties of urin, but also its color and composition. In addition to infections, a bad smell can be caused by the imbalance of the bacterial flora of the vagina after menstruation. Bacterial vaginosis can cause the appearance of fish smell.

It smells strongly and in cases of violations in the work of the liver. With liver failure caused by viral, alcoholic or drug damage, an unusual saturated smell of Urin may appear.

Causes of the pathological smell of urine can congenital violations of amino acid exchanges, such as isovalerician acidemia, trimethylaminuria, tyrosinemia, phenylketononeururia, maple syrup disease, a disease of Khmelesushkili, Hokinsinuria. These metabolic disorders are quite rare and cause a rather specific change in the odorous properties of urin.

Unusual stench may appear when using certain products. Many asparagus lovers notice that after her use, Urina smells like ammonia or rotten eggs. In addition to asparagus, unpleasant smell of urine can give such products like garlic, horseradish, some sharp seasonings and seafood, alcohol.

The pharmacy smell may appear due to the reception of some drugs or vitamins.

Diagnosis and treatment of unpleasant odor

The change in the smell of urine is not an independent disease, but only a symptom, so it is most important to establish the root cause and treat a disease that caused this unpleasant phenomenon.

For diagnostics, a specialist consultation is needed, which will appoint all the necessary surveys and analyzes.

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The body has many opportunities in his "arsenal" to inform the person about "malfunctions". One of the symptoms to be paid attention to is the changed smell of urine. If Urin began to smell sharply and unpleasant, you need to make sure that everything is in order with health. Silver water can be like a harmless sign, and the first "calling" about the pathology. For what reasons for women smells urine?

Unpleasant urine smell in women: the reasons associated with the inflammatory process

Women are very susceptible to the diseases of the urinary system - to this contribute anatomical features. The inflammatory process arises as a result of entering the body of infection, which is easily covered by internal organs, "preferring" to settle in the bladder, urethra, kidneys.

Among the most common pathologies provoking the unpleasant smell of Urin:

Pyelonephritis. The disease is striking the kidney channel system and is mainly caused by an intestinal wand. Acute current The disease is characterized by strong lower back pains and a significant increase in temperature.
Cystitis. The problem with the urinary bubble can be complicated by pyelonephritis, and on the contrary - provoke the inflammation of the kidneys. Cystitis develops as a result of entering an intestinal or sinic stick, streptococci, staphylococci, chlamydia, etc. The main symptoms of the disease - the dying when urinary, frequent urges in a small, constant sensation of gravity in the bubble.
Urethritis. The inflammatory process affecting the urethra is mainly worried about men, but women are also not insured against the disease. Usually pathology occurs after sexual contact, as it is provoked by infections transmitted during sex.
Pyelitis. The damage to kidney pelvis is another reason for changing the smell of urin. The disease is developing under the influence of pathogenic bacteria in the urinary system. According to symptoms, peeliths is similar to pyelonephritis, and frequent urination is also observed and the appearance in Urin Mine.

Basically, it is inflammation that gives the urine tangible ammonia fragrance. If the smell is observed for a long time, while it is very intense and unpleasant, the disease is in the acute stage. Weakly pronounced fragrance talks about chronic form of illness.

Why smells urine in women? Sex infections

Active sexual life is necessarily associated with the risk of receiving a "gift" from the partner in the form of infection. The resulting disease is able to become a factor changing the fragrance of Urin:

Chlamydia. The disease is caused by chlamydia, which penetrate the body during vaginal or anal sexual contact. In women, pathology is accompanied by discharge, painful urination, the appearance of blood not during the period of menstruation, discomfort at the bottom of the abdomen.
Ureaplasmosis. Ureaplasm is considered to be conditionally pathogenic microorganism and does not necessarily provoke the development of the disease. But if the infection "won", then the woman is diagnosed inflammatory diseases appendages, uterus, urethra. It is also possible to develop urolithiasis.
Trichomoniasis. Caused by trichomonas. Women in the period from four days to four weeks after infection, the first symptoms begin to appear - the foam allocations, redness of the genital organs, soreness during sex. Trichomoniasis becomes the cause of inflammation of the vagina, cervix, sometimes urethra.
Mycoplasmosis. The disease provoke mycoplasms. The result of their "effort" is becoming urethritis, bacterial vaginosis, pyelonephritis, inflammation of uterus and appendages.

Infections transmitted during sexual contact cause fish or garlic urinary smell. While the pathology will not be eliminated, the malicious urin will not disappear.

Bacterial vaginosis (vaginal dysbacteriosis, gardnerellosis) does not relate to venereal diseases, but often becomes the result of "work" of sexual infection (for example, mycoplasm). The main sign of the vaginosis is abundant vaginal discharge.

Acetone smell of urine in women? Diabetes

The development of diabetes is associated with an increase in the amount of ketone bodies in Urin. At the same time, the urine-acetone fragrance appears. This is one of the main symptoms of the disease, but the following signs should also be observed:

constant severe thirst;
dry skin and itching;
legume of legs;
headaches;
frequent urges for urinary, mostly in the morning and evening.

Diagnostics are carried out using glucose-beaded test. Before receiving results, it is not necessary to worry over: the acetone smell of urin is also characteristic of a strict diet and malnutrition. In some cases, such an aroma acts as a "side effect" of a complicated cold.

In what cases the unpleasant smell of urine in women is not provoked by pathology

Not always change in the smell of Urina is associated with health problems. A woman can feel a sharp fragrance of urine in the following cases:

Small liquid consumption. If an insufficient amount of water is received in the body, then the URIN becomes concentrated, and therefore, and more strongly smelling ammonia. A day should drink at least 1.5-2 liters of fluids.
The habit of suffering urethra's urge. The longer the urine insisted, the brighter its smell is expressed. It is enough to stop ignoring the need of the body in emptying the bladder so that the situation returns to normal.
Presence in the diet of some dishes. First of all, we are talking about asparagus, garlic, horseradish and any saline / acute food, which gives Urin an ammonium smell. Suggage with dyes, marmalade, candy can provoke the appearance of mold aroma.
Receive medicines. Part of antibiotics and vitamin B6 contribute to the change in urin fragrance.

The smell of the urine must bother the woman if the symptom is not caused by the "safe" reasons like the singularities of the diet. It is advisable to apply for a consultation to the doctor and if necessary, immediately begin treatment.

In healthy people, Urina has straw, light yellow color, transparent and does not have any sharp specific smell.

Therefore, when a person begins to feel the stench during an act of urination, then anxiety should be shown and consult a specialist doctor, since any changes in the urine may indicate the development of a serious disease in the body.

Most often, the reason for changing the smell of urine is the pathological impairment of metabolic processes in the body:

Phenylketonuria (hereditary disease characterized by violation of phenylalanine). This disease is accompanied by the presence of a specific mouse smell of urin;
Maple syrup disease (hereditary pathology associated with accumulation in the body of leucine and some other amino acids, due to the complete absence of enzymes responsible for oxidative processes related to the amino acids). With such pathology, the smell of urine reminds the smell of "maple syrup";
Chronic form pyelonephritis, different etiologies contribute to the separation of urine with a characteristic ammonia odor;
Infectious I. inflammatory pathologies The urinary sphere give the urine the reel odor;
Sugar diabetes gives Urin sweet apple fragrance;
With such a disease, like trimethylaminuria urine has the smell of fish.

In addition to the reasons associated with violation of metabolic processes, the change in urin smell can be caused by the long-term use of some groups of drugs: "ampicillin", "Ciprofloxacin", "tranted", some groups of antibiotic agents.

Also, the smell of urine may vary in vaginal dysbacteriosis, candidiasis (thrush), garcenellosis, colpitus and some other infectious inflammatory diseases of the uterus and its appendages. The change in urine smell in this case is associated with the mixing of urine and vaginal discharge in the process of urination act. In this case, the patient can disturb the following clinical symptoms:

The appearance of abundant discharge from the vagina, which can be white, yellowish, yellow-green, gray;
Painful sensations B. lower area abdomen;
Intense itching and burning, both in the process of urinary act and after it;
Hyperemia and swelling of large and small sexes;
Sharp unpleasant strong smell;
Disoccupatory sensations during sexual contact.

Fisher Syndrome (Trimetylamining)

The fish smell of urine in women, the cause of which is the disease of trimethylaminuria, is one of the most problematic pathological conditions, since the fishing sall acquires not only the urine, but also other biological fluids of the body, in particular - sweat, which contributes to the spread of an unpleasant smell to the whole body. It should be noted that from the point of view of physiology, this condition is not dangerous. The situation is very delicate and difficult, since the patient himself does not feel the smell of his body, and the people around him feel strong stench, which affects the social activity of man and causes strong moral, psychological and emotional discomfort.

So, why do women urine smell like a trimethylaminuria? This disease is a genetic pathology, in which trimethylamine is not excreted from the body. This compound has a sharp smell and is normal in the intestine (in the process of digestion of food containing a significant number of certain proteins, as well as choline - eggs, legumes, fish and other seafood). In healthy people, the intestine contains special bacteria that contribute to normal digestion, which synthesize trimethylamine. Normally, the liver synthesizes a specific enzyme - flavinThe basis of which is monooxygenase 3, which promotes the conversion of trimethylamine into trimethylamine N - oxide - a substance without any odor, which is subsequently excreted from the body with urine. This complex process is controlled by a specific genome (FMO3 gene). If this gene is absent or for some reason does not function, there is an accumulation of unchanged trimethylamine, which is accompanied by the removal of urine with the smell of fish, sharp odor skin Pokrov And strongly stencil breathing.

During pregnancy, patients with such a diagnosis urine smells a rotten fish. This is due to the additional influence of progesterone and estrogen and its derivatives (female genital hormones) for the course of the disease.

Diagnostics

Correctly diagnose the reason why the woman urine smells the fish is very important, since the etiology of such a problem is rather diverse. The most informative in this situation are laboratory methods Research:

Biochemical analysis blood;
Common clinical analysis urine;
Bacterial sowing urine;
Study of urine for the content of trimethylamine and trimethylamine N - oxide;
Research with vaginal smear;
Study of smear from urethra;
Polymerase chain reaction.

It is extremely important to find out the detailed history of the patient (the presence of acute and chronic diseases of the urinary system, the sexual sphere, hereditary pathologies of metabolism), conduct a gynecological examination and assign instrumental examination methods:

Ultrasound examination of kidneys and urinary tract;
Ultrasound examination of small pelvis organs;
Cystography;
X-ray of kidney and pelvis area.

Treatment

Treatment of urine fish smell in women depends on the cause of its occurrence. Thus, with infectious-inflammatory diseases of the sexual sphere, the following groups of drugs are prescribed:

Antibiotic funds: "Metronidazole", "Metrogil", "Flagil", "Clindamycin", "Dalacin", "Trichopol", "Eflore", "Climizin". The duration of drug reception ranges from 7 to 10 days;
Immunomodulatory drugs: "Milayph", "Viferon", "Neovir", "Probifa";
Lactobacteria and bifidobacteria: "Bifidbacterin", "Bifidin", "Lactobacterin", "acilakt", "acipol". It is recommended to take from 2 to 4 weeks;
Vitamin complexes (duration of reception - 4 weeks).

If the fish smell is caused by trimethylaminaria, then it should be remembered that the specific medical treatment Not developed, and it is possible to reduce symptoms in compliance with a special diet, which involves a decrease in the diet of such products like eggs, legumes (polka dots, beans), parenchymal organs (liver, kidneys), broccoli and all kinds of cabbage, lecithin-containing products, Seafood (especially crayfish, crabs).

In addition, improving the quality of life contributes to the following recommendations:

The use of soap and shower gels with a pH of about 5.5;
Reduce the number of physical exertion;
Prevent stressful situations and emotional shocks;
Use tablet activated coal;
To use antibiotic agents ("neomycin", "metronidazole");
Consumption "chlorophyll", "chlorophyllin" (copper compounds) and "riboflavin";
Hygienic procedures are carried out at least twice a day with the subsequent shift of clothing.