Why Does My Pee Smell Weird? What Urine Odor Says About Your Health

Roma Kunde
Roma Kunde
March 12, 2025
5
min read
Technically reviewed by: 
Taylor Steed
Why Does My Pee Smell Weird? What Urine Odor Says About Your Health
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Urine odor isn’t something most of us think about—until it suddenly changes. A strong, sweet, or foul smell can be surprising and even concerning. Let’s break down what different urine smells mean and when it’s time to see a doctor.

Common Urine Odors and What They Mean

Urine is mostly water, with waste products like calcium, potassium, and nitrogen [1]. Under normal conditions, it has little to no odor. However, certain foods, dehydration, and even supplements can alter the smell of pee [1]. While the occasional change in odor isn't concerning, if the odor is strong and sticks around, it might be worth a closer look.

Fruity or Sweet Smell

A fruity or sweet-smelling urine could be a sign of starvation, vomiting, or diabetes. When your body doesn’t produce enough insulin, excess glucose spills into the urine, creating ketones—a byproduct of fat metabolism. If you notice this scent along with increased thirst, fatigue, or frequent urination, talk to a doctor [2].

Popcorn-Like Smell

If you’ve ever wondered “Why does my pee smell like popcorn?”, here’s your answer. If your body is burning fat for energy and producing ketones, it can cause a popcorn-like smell [3].

However, in rare cases, it might indicate Maple Syrup Urine Disease, a metabolic disorder where the body struggles to break down certain amino acids. If you have other symptoms like sluggishness or poor appetite, consult a healthcare provider [4].

Noticing a popcorn-like smell in your urine may seem unusual, but in many cases, it’s linked to your body’s metabolism.

Strong Ammonia Smell

If your urine has a strong ammonia smell, dehydration is the most likely culprit. Normal ammonia levels result in mild or no urine odor. But if you’re not drinking enough fluids, your urine becomes more concentrated, leading to a more pungent scent [5]. Certain foods, such as asparagus and garlic, can also contribute [5].

In some cases, an ammonia-like odor may indicate a urinary tract infection (UTI) or kidney issues [1].

Garlic can make urine smell stronger, and when combined with dehydration, it can intensify an ammonia-like odor.

Foul Smell

A persistent foul odor could signal a bacterial infection, such as a UTI. Bacteria in the urinary tract produce compounds that create a strong, unpleasant smell. Bladder infections, yeast infections, and some sexually transmitted infections can also cause foul-smelling urine. If you also experience burning, pain, fever, or cloudy urine, it’s time to see a doctor [6].

Did you know?

Trimethylaminuria, or fish odor syndrome, is a rare condition where the body cannot break down trimethylamine, a foul-smelling chemical. This leads to urine, breath, and sweat smelling like rotting fish. It can be inherited or acquired, and while unpleasant, it is not considered harmful to overall health [1].

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How Diet and Medications Affect Urine Odor

Since urine is your body’s way of flushing out waste, it’s no surprise that what you eat and drink can affect how it smells. Here are the two main categories of daily consumables that could make your pee smell:

Foods

Some foods are notorious for altering urine odor. Asparagus, coffee, Brussels sprouts, onions, and garlic can all create distinct smells within hours. Caramel popcorn-like smells and pungent odors are often linked to diet, especially low-carb or high-protein intake [7].

Medications and Supplements

Certain medications and supplements can impact urine odor. Antibiotics, particularly sulfonamides, can produce noticeable scents. Vitamin B6 supplements may give urine a strong, medicinal smell [7]. Some diabetes, arthritis, and chemotherapy medications can also cause changes [6].

When Urine Odor Might Indicate a Health Concern

Foul-smelling urine that lasts for a long time, especially when paired with other symptoms, could point to underlying health issues, such as infections [1]. In rare cases, strong urine odors could be a sign of metabolic disorders like phenylketonuria (musty or mousy smell) and tyrosinemia (boiled cabbage smell) [8, 9].

When to See a Doctor

Most urine odor changes are harmless, but some situations require medical attention. Seek help if [7]:

  • The smell persists despite proper hydration and diet modifications.
  • You experience pain, burning, or frequent urination.
  • Your urine appears cloudy or dark or it contains blood.
  • You have other symptoms, such as fever, back pain, or unexplained fatigue.

Final Thoughts

Urine odor can tell you a lot about your body. While most changes are due to diet, hydration, or medications, persistent strong smells may indicate an underlying issue. Paying attention to these changes can help you stay on top of your health.

Take charge of your well-being with Diagnox’s Urinox-10, a fast and easy at-home urine test strip that helps you monitor 10 key health indicators. Get accurate results in seconds and make informed health decisions.

References

[1] Cleveland Clinic Staff, “Smelly Pee? Here’s What It Means,” Cleveland Clinic, Available Online. [Accessed Mar 1, 2025].

[2] American Diabetes Association Staff, “Diabetes & DKA (Ketoacidosis),” American Diabetes Association, Available Online. [Accessed Mar 1, 2025].

[3] M. Wagenstaller, A. Buettner, “Quantitative determination of common urinary odorants and their glucuronide conjugates in human urine.” Metabolites, vol. 3, pp. 637-657, Aug 7 2013.

[4] NIH Staff, “Ketogenic Diet,” National Institutes of Health, Available Online. [Accessed Mar 1, 2025].

[5] NIH Staff, “Urinalysis,” National Institutes of Health, Available Online. [Accessed Mar 1, 2025].

[6] UnityPoint Health Staff, “The Causes of Foul-Smelling Urine,” UnityPoint Health, Available Online. [Accessed Mar 1, 2025].

[7] NHS Staff, “Smelly urine,” National Health Services, Available Online [Accessed Mar 1, 2025].

[8] Mayo Clinic Staff, “Phenylketonuria (PKU),” Mayo Clinic, Available Online. [Accessed Mar 1, 2025].

[9] MSD Manuals Staff, “Tyrosinemia,” MSD Manuals, Available Online [Accessed Mar 1, 2025].

About the Author
Roma Kunde

Roma Kunde is a freelance content writer with a biotechnology and medical background. She has completed her B. Tech in Biotechnology and has a certificate in Clinical Research. She has 6 years of writing and editing experience in fields such as biomedical research, food/lifestyle, website content, marketing, and NGO services. She has written blog articles for websites related to construction chemicals, current affairs, marketing, medicine, and cosmetics.

About the Reviewer
This blog was
Technically reviewed by: 
Taylor Steed

Taylor Steed played a crucial role in ensuring the quality of this blog by serving as its editor and proofreader.

The blog was also reviewed by the Diagnox content team. Diagnox Staff consists of a multidisciplinary team of scientists, content writers, and healthcare professionals with an expertise to create and review high-quality, informative, accurate, and easy-to-understand content for both professionals and everyday readers. Our staff follows strict guidelines to ensure the credibility and authenticity of the information, reviewing them independently and verifying them by various scientific and technical sources to ensure accuracy. Our review team believes in delivering knowledge free from bias to improve public health and well-being.

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