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Have Very Dark Foul Smelling Urine. Taking Tramadol And Hydromorphone. Severe Pain In Sternum Area. What Could Be The Reason?

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Posted on Fri, 8 Nov 2013
Question: I have very dark foul smelling urine and I am wondering if this could be caused by a liver problem - I have been taking pain medication (tramadol and hydromorphone) for over five years for a severe pain in my sternum area that doctors can not find a reason for? Thank you.
doctor
Answered by Dr. Grzegorz Stanko (48 minutes later)
Brief Answer:
Yes, this can be a liver problem.

Detailed Answer:
Hello!

Thank you for the query.

Yes, dark urine can be caused by liver failure indeed. Due to bilirubin accumulation in the body, more bilirubin is secreted to the urine. This gives dark color. Bad smell can be caused by diabetes, kidneys problem.
Other liver failure symptoms are yellow skin, yellow eyeballs, itching, easy bleeding, bruises, legs swelling.
I suggest you to have some basic tests: blood work, liver tests, bilirubin level, amylase, urine analysis.

Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Have Very Dark Foul Smelling Urine. Taking Tramadol And Hydromorphone. Severe Pain In Sternum Area. What Could Be The Reason?

Brief Answer:
Yes, this can be a liver problem.

Detailed Answer:
Hello!

Thank you for the query.

Yes, dark urine can be caused by liver failure indeed. Due to bilirubin accumulation in the body, more bilirubin is secreted to the urine. This gives dark color. Bad smell can be caused by diabetes, kidneys problem.
Other liver failure symptoms are yellow skin, yellow eyeballs, itching, easy bleeding, bruises, legs swelling.
I suggest you to have some basic tests: blood work, liver tests, bilirubin level, amylase, urine analysis.

Hope this will help. Feel free to ask further questions.
Regards.