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What Causes A Foul Smell In The Urine?

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Posted on Mon, 9 Mar 2015
Question: For a while now, my urine has been smelling really bad. I thought it was a urine or vaginal infection. I used a One day Miconozole and I thought the smell went away for a day or 2. Then the foul smell came back. Is the smell because I have diabetes? It is very embarrassing.
doctor
Answered by Dr. Michelle Gibson James (18 minutes later)
Brief Answer:
diabetes not normally associated with vaginal odour

Detailed Answer:
HI, thanks for using healthcare magic

Diabetes does not cause a vaginal odour.

Miconazole would help a vaginal yeast infection if present.

It would not help other types of vaginal infections or infections of the urinary tract (bladder, ureter, urethra or kidneys).

Bacterial vaginosis can be associated with a fishy odour. It is possible that this may be the cause of your symptoms.
This is treated with topical creams such as metrogel or oral tablets such as metronidazole, cleocin, tinidazole.

This is not considered a sexually transmitted infection.

You can consider a vaginal swab to to determine if this or any other bacteria is present.

Urinary tract infections would normally present with: frequent urination, discomfort on urination, change in the odour or colour of urine, blood in the urine.
Normally the discomfort on urination and frequency are present at least.

The odour of urine can be influenced by foods or drinks used or medications.

You may want to go over anything that you may using that may be contributing to the problem.

Summary: (1) bacterial vaginosis can cause a fishy vaginal odour,if this is present then you can consider treatment
(2)foods,drinks and meds can sometimes affect urine
(3)consider assessment for BV by your doctor and meds/foods/drinks

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
What if the urine just smells? Do you mean it could be my meds?
doctor
Answered by Dr. Michelle Gibson James (27 minutes later)
Brief Answer:
can check for you

Detailed Answer:
HI

YOu can check the side effect profile of your meds to see if this is listed as a possible side effect.

If this is difficult then you can list them and I will check for you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (2 hours later)
Metformin, Cymbalta, omeprazole, Singulair, Simvatatin, Meloxicam,
Losartan

Non-prescription
R- Lipoic Acid
Vitamin B complex
Vitamin D 5,000 mg a day

,,,,,
doctor
Answered by Dr. Michelle Gibson James (4 hours later)
Brief Answer:
b vitamins possibly

Detailed Answer:
HI

Cymbalta can cause an abnormal urine odor but this is a very rare side effect that is only seen in 1 to 0.1 % of persons so it may or may be involved since the chance of it occurring is low.

Metformin, omeprazole, singulair, losartan, simvastatin and meloxicam are not associated with a change in odor though meloxicam, simvastatin and losartan can sometimes cause a change in appearance of the urine.

The B vitamins can also be associated with an urinary odor in some persons so they could also be contributing to the problem

Please feel free to ask anything else
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes A Foul Smell In The Urine?

Brief Answer: diabetes not normally associated with vaginal odour Detailed Answer: HI, thanks for using healthcare magic Diabetes does not cause a vaginal odour. Miconazole would help a vaginal yeast infection if present. It would not help other types of vaginal infections or infections of the urinary tract (bladder, ureter, urethra or kidneys). Bacterial vaginosis can be associated with a fishy odour. It is possible that this may be the cause of your symptoms. This is treated with topical creams such as metrogel or oral tablets such as metronidazole, cleocin, tinidazole. This is not considered a sexually transmitted infection. You can consider a vaginal swab to to determine if this or any other bacteria is present. Urinary tract infections would normally present with: frequent urination, discomfort on urination, change in the odour or colour of urine, blood in the urine. Normally the discomfort on urination and frequency are present at least. The odour of urine can be influenced by foods or drinks used or medications. You may want to go over anything that you may using that may be contributing to the problem. Summary: (1) bacterial vaginosis can cause a fishy vaginal odour,if this is present then you can consider treatment (2)foods,drinks and meds can sometimes affect urine (3)consider assessment for BV by your doctor and meds/foods/drinks I hope this helps, feel free to ask any other questions