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What Causes Vinegar Smell During Urination?

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Posted on Mon, 16 Mar 2015
Question: I have had a vinegar smell from my urine from my bowel movements on my hands its in my bipap mask its everywhere. Is this a sign of infection or is it something I should just deal with. it's terrible in my opinion but I guess I have no infection
doctor
Answered by Dr. Deepak S Jois (1 hour later)
Brief Answer:
The cause has to be Investigated

Detailed Answer:
Hi, Thanks for asking in healthcaremagic forum
I am Dr Deepak S Jois answering your query

Diet/Infection/Drugs/ Metabolic diseases can alter the normal colour and odour of urine. Normal Urine does not have a strong odour, but smells like ammonia when concentrated.
Diabetes and Infection is very common at your age. As a doctor I would like to know certain details regarding associated illnesses if any like diabetes/ hypertension/ prostate enlargement/ medications and recent change in your diet for further suggestions.

Reports of investigations already done would be of great help if it can be uploaded here. There is a feature to upload the reports by yourself on the right side of this query page. You may want to utilize it.
Hope I have answered your query. Please let me know.
All the best.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Deepak S Jois (5 hours later)
I HAVE DIABETES BUT IT'S BEEN UNDER CONTROL FOR A LONG TIME NOW. I HAVE A BI-LATERAL PARALYZED DIAPHRAGM AND I ALSO HAVE A PACE AND DEFIBILLATOR. I AM ON A LONG LIST OF MEDICATONS: TRAZONDONE 50MG, IMEPRAZOLE 40 MG ESCITALOPRAM 10MG, ISOSORBIDE MN ER 30 MG, TAPIRAMATE 25MG, ALPRAZOLAM0.5 , KLOR CLON 10 XXXXXXX PRAMIPEXOLE 1 MG, FUROSEMIIDE 40 MG, ONDANSETRON ODT 4MG, ASPRIN 81 MG, AND TRIAMTERENE-HGTZ 37.5-25MG.
I HAVE A LONG HISTORY OF PROSTRATE PROBLEMS INCLUDING 3 SURGERIES WHERE HALF OF PROSTRATE WAS REMOVED.
I ALSO HAVE NEUROFIBROTOSIS .
SO I HAVE A VERY COMPLICATED HEALTH HISTORY.
doctor
Answered by Dr. Deepak S Jois (34 minutes later)
Brief Answer:
Infection is a possibility

Detailed Answer:
Hi, Thanks for getting back to me
I am again Dr Deepak S Jois answering your query

Yes, You do have a complicated health history as you think. I do understand your condition. Are you in hospital now? because bilateral diaphragm palsy needs hospitalisation as such for maintaining oxygen saturation.
And You have all the risk factors which can cause Infection like Diabetes, Prostatic problem and interaction of so many drugs. So, In my opinion you need to undergo battery of tests (Urine routine & Culture, Complete haemogram, LFT, RFT and others) to rule out infection as the cause of Urine odour.
Also I want to know details regarding blood sugar levels at present and possible catheterisation of urethra at present/in recent past for further suggestion in this regard.
Hope, I have answered your query. Please let me know with details of associated symptoms like fever,difficulty in respiration and others if any.
All the best.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Deepak S Jois (11 hours later)
My blood sugar level was just at 100 which is pretty typical. I have had a paralyzed diaphragm for over two years. My neurologists calls phrenic nerve palsy because he has no idea what caused the condition. On December 26, 2012 I had shoulder surgery to repair a torn bicep and torn rotator cuff and in process in is believed that that damaged left phrenic nerve trying to put a nerve block in but right nerve is more damaged and the so the argument still goes on why I have I a paralyzed diaphragm. Then on August 17 of this year I passed out at my church hit my head and fractured my skull. While in the emergency room being treated for that I went into ventricular tecacardia and was determined that i needed a pace maker and a defibrillator. i have not felt well since early December and seem to be getting worse despite a constant stream of antibiotics. You seem to more concerned about this than my personal doctors so I don't what to do. But I am getting scared.
doctor
Answered by Dr. Deepak S Jois (4 hours later)
Brief Answer:
Have patience in rehabilitation

Detailed Answer:
Hi, Thanks for getting back to me
I am again Dr Deepak S Jois answering your query

I understand your situation and will try to help you out as far as possible within my abilities. As you have a very complicated history with the involvement of multi-systems, it is very difficult to take care of this situation even for super specialists.
Though you have given me detailed history regarding your course of hospital stay, you have not divulged any information regarding present situation and reports that I had asked with present state of catheterisation.
So, In my opinion it is better to undergo the tests I have mentioned above in my previous answer to rule out any present infection for further suggestions. Waiting for your results of reports and wish you a great come back/recovery.
All the best. Hope I have answered your query. Please let me know/come back to me any time.
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. Shanthi.E
doctor
Answered by
Dr.
Dr. Deepak S Jois

General & Family Physician

Practicing since :2008

Answered : 1107 Questions

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What Causes Vinegar Smell During Urination?

Brief Answer: The cause has to be Investigated Detailed Answer: Hi, Thanks for asking in healthcaremagic forum I am Dr Deepak S Jois answering your query Diet/Infection/Drugs/ Metabolic diseases can alter the normal colour and odour of urine. Normal Urine does not have a strong odour, but smells like ammonia when concentrated. Diabetes and Infection is very common at your age. As a doctor I would like to know certain details regarding associated illnesses if any like diabetes/ hypertension/ prostate enlargement/ medications and recent change in your diet for further suggestions. Reports of investigations already done would be of great help if it can be uploaded here. There is a feature to upload the reports by yourself on the right side of this query page. You may want to utilize it. Hope I have answered your query. Please let me know. All the best.