[36F] Experiencing cloudy urine with strong odor and pelvic discomfort

Patient Description

A 36-year-old female reports experiencing cloudy urine, strong fish-like odor with urine, and pelvic discomfort for the past 3-4 weeks. The symptoms are intermittent, with the odor being the most bothersome and alleviated somewhat by increased fluid intake. The patient has a history of similar symptoms in the past. There is no associated fever, nausea, vomiting, or dysuria. The patient has no known drug allergies, is not currently on any medications, and has no known chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Urinary Tract Infection (UTI): This is a common condition where bacteria enter the urinary tract, leading to symptoms such as cloudy urine, a strong odor, and pelvic discomfort. UTIs are more common in women and can occur at any age.

    • Treatment typically involves antibiotics prescribed by a healthcare professional.
  • Dehydration: If you're not drinking enough fluids, your urine can become concentrated and have a strong odor. It can also appear cloudy.

    • Treatment involves increasing fluid intake, especially water.
  • Sexually Transmitted Infection (STI): Certain STIs, like chlamydia or gonorrhea, can cause changes in urine and pelvic discomfort.

    • Treatment typically involves antibiotics prescribed by a healthcare professional.

Please note that these are potential explanations for your symptoms based on the information you have provided, and not a definitive diagnosis. It's important to consult a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Increase your fluid intake: Drinking more water can help dilute your urine, potentially reducing its odor and cloudiness.
  2. Seek medical attention: Given your symptoms, it's important to consult a healthcare professional. They can perform tests, such as a urine analysis, to determine the cause of your symptoms and prescribe appropriate treatment.
  3. Practice good hygiene: Wipe from front to back after using the toilet to prevent bacteria from spreading to the urinary tract.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe pelvic pain
  • Blood in your urine
  • Fever, chills, or other signs of an infection
  • Persistent or worsening symptoms despite increasing your fluid intake

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What causes cloudy urine and a strong odor?

Cloudy urine and a strong odor can be caused by a urinary tract infection, dehydration, or sexually transmitted infections. These conditions can lead to changes in urine appearance and smell due to the presence of bacteria, concentrated urine, or other factors.


Can dehydration cause changes in urine appearance and smell?

Yes, dehydration can cause urine to become concentrated, leading to a stronger odor and a cloudy appearance. Increasing fluid intake, especially water, can help alleviate these symptoms.


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a urinary tract infection include cloudy urine, a strong odor, pelvic discomfort, frequent urination, and a burning sensation during urination. However, not all symptoms need to be present for a UTI to occur.


How can sexually transmitted infections (STIs) affect urine and pelvic health?

Sexually transmitted infections like chlamydia or gonorrhea can cause changes in urine, such as a strong odor or cloudiness, and may also lead to pelvic discomfort. These infections require medical evaluation and treatment with antibiotics.


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