Meditalk: Worried that your pee smells? (part 3)

(Foreword: This is the continuation of our response to Che che of Davao Oriental who has concerns about the smell of her pee.)

DEAR Che che of Davao Oriental,

Here are the other reasons why your pee smells.

10. Stool Gets in Your Bladder

This happens when you have a fistula – which is an extra opening that forms between two organs. And if this develops between the bladder and the bowels, the stool or gas may come out when you urinate. This happens if there is cancer or an inflammatory condition, like Crohn’s disease or diverticulitis. This also happens after giving birth when the vaginal canal tears through the rectal area.


In this condition, the body doesn’t have the right enzyme to break down the amino acid tyrosine. And too much of this compound can give body fluids, like urine, a rotten odor and may smell like cabbage.

12. Fish Odor Syndrome

This is in a condition called trimethylaminuria, which is a genetic condition, which can give your pee a fishy smell. This is because the body can’t break down trimethylamine.

13. Holding Urine for Too Long

This increases the chance of getting UTI, and may make your pee smell.

Now, if the odor of your pee hangs on for a while, you have to see your doctor to see if this is not due to conditions like urinary tract infection (UTI), bladder inflammation, uncontrolled type 2 diabetes or metabolic disorders, diabetic ketoacidosis (a complication of diabetes), and gastrointestinal-bladder fistulas. See your doctor ASAP. Don’t wait for complications to develop before you see your physician.

Good luck!

Dr. Fritz


(Dr. Fritz Legarde Espedilla is an aesthetic dermatologist and surgeon and a clinical sexologist. She is also trained in hypnotherapy and Medical Acupuncture. She is the co-host of digital page of Superbalita. She has been in the broadcast media for more than a decade and has written a book based on her 15-year stint with her radio program, “Healthy is Sexy Secrets ni Dr. Fritz.”. For your questions, you may e-mail them to dokfritz@yahoo.com. If you don’t wish your letter to be published, we regret that we can not answer them. Thank you for your understanding.)


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