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What causes strong fishy odor in urine?

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Posted on Mon, 1 Feb 2016
Question: I started having severe urine odor that smells like fish It is very offensive and very embarrassing.
What could be causing this?
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Answered by Dr. Pavan Kumar Gupta (36 minutes later)
Brief answer....you need to be examined and investigated
Detailed answer....
Hello,
Thanks for the query.
I have read your query and understand your concern.
Although you are complaining of strong fishy odour from your urine but it can happen with infections of vagina also. Sometimes it becomes difficult to distinguish the smell originating from urine or vagina.
The cause of strong smell in urine can be because of concentrated urine caused by lack of drinking water or dehydration. The smell can also be because of urinary tract infection and such chances are more because of your age and being diabetic.
Another reason could be passing of proteins in urine which generally happens in cases where kidneys get affected because of long standing uncontrolled diabetes.
Vaginal infections can also result in fishy smell .
I would advise you to consult your doctor and get your urine examined in addition to blood investigations for your diabetes and kidney status.
In addition get a gynaecological examination also done to rule out any vaginal infection.
I would advise you to drink plenty of water and control your blood sugar levels properly.
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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What causes strong fishy odor in urine?

Brief answer....you need to be examined and investigated Detailed answer.... Hello, Thanks for the query. I have read your query and understand your concern. Although you are complaining of strong fishy odour from your urine but it can happen with infections of vagina also. Sometimes it becomes difficult to distinguish the smell originating from urine or vagina. The cause of strong smell in urine can be because of concentrated urine caused by lack of drinking water or dehydration. The smell can also be because of urinary tract infection and such chances are more because of your age and being diabetic. Another reason could be passing of proteins in urine which generally happens in cases where kidneys get affected because of long standing uncontrolled diabetes. Vaginal infections can also result in fishy smell . I would advise you to consult your doctor and get your urine examined in addition to blood investigations for your diabetes and kidney status. In addition get a gynaecological examination also done to rule out any vaginal infection. I would advise you to drink plenty of water and control your blood sugar levels properly. I hope it helps,however you are most welcome to revert to me for any further query. Best of luck Thanks