HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Foul Odor In Urine?

Hi so every morning I use the bathroom for the first time of the day my urine smells like the sewer and sometimes the second time I need to pee as well and then wheres off more during the day. I also feel like I constantly have to be and I have had uti before but never had this bad smell in my urine. The area right below my clitoris also feels very sensitive and uncomfortable, it almost looks like veins but they are red lines (look like veins) that I have been putting neosporin on for the past two days. Any advice would be appreciated, thank you.
Mon, 29 Aug 2016
Report Abuse
Internal Medicine Specialist,  's  Response
Thank you for the query.
I would have liked to know your age and whether you suffer from any associated conditions like diabetes. From the symptoms that you have mentioned (foul smell in urine, discomfort in the vulval area) and a past h/o of UTI, it may be possible that you are again having a Urinary infection. There may be an associated infection in the vulval area (which may be fungal- eg candida). I would advise you to get a Urine Routine examination and culture/sensitivity done along with a total count/blood sugar profile (if not done before). Since, you are having frequent urinary infection, you may get a USG lower abdomen done, along with a residual urinary volume estimation to rule out any obstruction.
In the meantime, it is suggested to have adequate fluid intake (>2 L/day), since concentrated urine may lead to foul smell. A urinary alkaliniser may help occasionally. If a urine infection is detected, you may need an antibiotic therapy. An anti-fungal cream (clotrimazole) may be applied in the vulval area. The private parts must be kept clean and dry.
However, a clinical examination by a physician may be needed, to determine the exact nature of the lesions.

Hope this helps you
Regards
Dr Ayusmati Thakur
I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Foul Odor In Urine?

Thank you for the query. I would have liked to know your age and whether you suffer from any associated conditions like diabetes. From the symptoms that you have mentioned (foul smell in urine, discomfort in the vulval area) and a past h/o of UTI, it may be possible that you are again having a Urinary infection. There may be an associated infection in the vulval area (which may be fungal- eg candida). I would advise you to get a Urine Routine examination and culture/sensitivity done along with a total count/blood sugar profile (if not done before). Since, you are having frequent urinary infection, you may get a USG lower abdomen done, along with a residual urinary volume estimation to rule out any obstruction. In the meantime, it is suggested to have adequate fluid intake ( 2 L/day), since concentrated urine may lead to foul smell. A urinary alkaliniser may help occasionally. If a urine infection is detected, you may need an antibiotic therapy. An anti-fungal cream (clotrimazole) may be applied in the vulval area. The private parts must be kept clean and dry. However, a clinical examination by a physician may be needed, to determine the exact nature of the lesions. Hope this helps you Regards Dr Ayusmati Thakur