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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Ammonia Smell In Urine And Dry Cough To A 2 Year Old

My son is 2 years old and 3 months, we are currently potty training and I recently (4 days ago) noticed that his urine smells VERY strong.. a strong ammonia smell. But not all the time he urinates.. Now two days later he suddenly developed a dry cough.
Mon, 22 Jun 2015
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Pediatrician,  's  Response
Hi, I had gone through your question and understand your concerns. Normally, urine that contains a lot of water has little to no odor. If your baby's urine becomes highly concentrated and very yellow — a high level of waste products with little water — urine odor may have a strong ammonia smell.

Many foods and medications, such as lots of chocolate,peas,beans or certain vitamins, can affect the odor of urine. Sometimes, unusual urine odor may indicate a medical condition or disease, such as:

-Urine tract infection
-Dehydration
-Diabetic ketoacidosis (high levels of blood acids called ketones)
-Gastrointestinal dysbiosis, which lead to increase of uric acid and ketoacidosis
-Maple syrup urine disease (rare genetic disease that causes difficulty breaking down certain amino acids)
-Metabolic disorder

If I were your treating Doctor for this case I would suggest:
1. Keep your baby hydrated with plenty of water or ORS.
2.Hypouricosuric diet-avoid products, enriched with uric acid(spinach,beets,radish,chocolate,peas).
3.For better digestion I advise my patients to take Enzyme's syrup.
4. Also take probiotics group of medicines like as Darolac, Visilac 1 capsule once a day for normal flora of intestine.
Start on these changes and get back to me in 2 to 3 months. Wish you and your son good health.
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What Causes Ammonia Smell In Urine And Dry Cough To A 2 Year Old

Hi, I had gone through your question and understand your concerns. Normally, urine that contains a lot of water has little to no odor. If your baby s urine becomes highly concentrated and very yellow — a high level of waste products with little water — urine odor may have a strong ammonia smell. Many foods and medications, such as lots of chocolate,peas,beans or certain vitamins, can affect the odor of urine. Sometimes, unusual urine odor may indicate a medical condition or disease, such as: -Urine tract infection -Dehydration -Diabetic ketoacidosis (high levels of blood acids called ketones) -Gastrointestinal dysbiosis, which lead to increase of uric acid and ketoacidosis -Maple syrup urine disease (rare genetic disease that causes difficulty breaking down certain amino acids) -Metabolic disorder If I were your treating Doctor for this case I would suggest: 1. Keep your baby hydrated with plenty of water or ORS. 2.Hypouricosuric diet-avoid products, enriched with uric acid(spinach,beets,radish,chocolate,peas). 3.For better digestion I advise my patients to take Enzyme s syrup. 4. Also take probiotics group of medicines like as Darolac, Visilac 1 capsule once a day for normal flora of intestine. Start on these changes and get back to me in 2 to 3 months. Wish you and your son good health.