[37M] Experiencing smelly urine and excessive thirst

Patient Description

A 37-year-old male reports having strong-smelling urine for the past three days despite high water intake. The patient also experiences excessive thirst. No other symptoms were reported. The patient's medical history is unremarkable with no known chronic illnesses or conditions. Current medications include Cymbalta, a multivitamin, and Citrucel. There are no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, here are a few possibilities:

  • Diabetes Mellitus: This is a condition where your body either doesn't produce enough insulin or can't effectively use the insulin it does produce. This results in high blood sugar levels, which can lead to frequent urination and excessive thirst. The strong smell in your urine could be due to this increased concentration of sugar.

    • Diagnosis typically involves blood tests to check your blood sugar levels. Treatment usually involves lifestyle changes, such as diet and exercise, and may also include medication or insulin therapy.
  • Dehydration: Even though you're drinking a lot of water, you may not be drinking enough to keep up with the amount you're losing through urination. This could lead to concentrated, strong-smelling urine and excessive thirst.

    • Treatment involves drinking more fluids, especially water.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs can cause strong-smelling urine, but they usually also cause other symptoms like a burning sensation when urinating, frequent urge to urinate, and cloudy or dark urine.

    • Diagnosis typically involves a urine test. Treatment usually involves antibiotics to kill the bacteria causing the infection.

Please note that this is not a comprehensive list of all possible conditions, and these conditions may not be the cause of your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Keep track of your symptoms: Note any changes in your symptoms, as well as any potential triggers or patterns you notice.
  2. Stay hydrated: Continue drinking plenty of water to help dilute your urine and reduce any strong odors.
  3. Schedule an appointment with your healthcare provider: They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

What you should look out for

  • If your symptoms persist or worsen, seek medical attention immediately.
  • If you develop additional symptoms, such as pain or a burning sensation when urinating, fever, or unexplained weight loss, seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What could cause strong-smelling urine despite high water intake?

Strong-smelling urine despite high water intake could be due to several factors, including dehydration, diabetes, or a urinary tract infection. It's important to consult a healthcare provider for an accurate diagnosis.


Why am I experiencing excessive thirst?

Excessive thirst can be a symptom of dehydration, diabetes, or other underlying conditions. It's important to monitor your symptoms and consult a healthcare provider for further evaluation.


Could my symptoms be related to diabetes?

Yes, your symptoms could be related to diabetes, as excessive thirst and strong-smelling urine can be signs of high blood sugar levels. A healthcare provider can perform blood tests to determine if diabetes is the cause.


What should I do if my symptoms persist or worsen?

If your symptoms persist or worsen, it's important to seek medical attention. Additional symptoms like pain during urination, fever, or unexplained weight loss should also prompt a visit to a healthcare provider.


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