What does urine smell like in early pregnancy?

When you're pregnant, there's plenty to talk about. You'll want to get the scoop from other parents about how they got their babies to sleep, you'll have to discuss decorating the baby's room, and you'll likely pepper your doc with more questions than an interrogating detective.

But we also know that there may be things you don't want to discuss because some of the side effects of pregnancy are, frankly, a little embarrassing. While you may want to keep those unpleasant bodily functions behind closed mouths, we urge you to bring up any concerns with your doc.

Normally, the pelvic floor is made up of tight muscles that keep everything in your pelvis in place. But when the hormone relaxin increases during pregnancy to loosen everything up (so the baby can eventually slide out), the pelvic floor becomes less taut, meaning you're more likely to leak urine or allow bacteria to flow in. Antibiotics that are safe for pregnancy can treat these infections, and drinking 100 percent cranberry juice can help.

If your vagina smells like ammonia (and you have a milky discharge and some irritation), you may have bacterial vaginosis, which is an infection caused by an overgrowth of flora in the vagina.

There is some link to bacterial vaginosis and premature labor, so it's important to get treatment if you suspect you have an infection. During the first trimester, all you can use is topical treatments. Docs usually wait until later trimesters to give oral medication a try. And all throughout pregnancy, with or without this condition, we recommend a probiotic capsule twice a day.

Because the vagina is an acidic environment, changes to the pH balance can decrease the population of protective bacteria in the area. Along with the increased amount of sugar in vaginal secretions that occur during pregnancy, it's a recipe for yeast to flourish.

Redness, cottage-cheesy discharge, and itching can signal a yeast infection. They're not considered a serious health threat to you or your baby, and anti-fungal medications can help. or, try a probiotic.

During pregnancy, fluctuating levels of the feel-good hormone serotonin (which is also found in your gut) can cause your intestines to move in ways that expel gas in less-than-predictable times.

To quiet the storm, don't gulp your food and avoid chewing gum (swallowing air can increase gas); try probiotics or anti-gas meds for gas pains; and avoid foods that cause gas (such as beans, cabbage, milk products, juice, and carbonated beverages).

Hemorrhoids occur when veins near the anus bulge because of the relaxing effects of pregnancy hormones on the walls of the blood vessels. That, combined with heightened pelvic pressure from your expanding uterus and the straining from difficult bowel movements, can cause the blood vessels to distend and poke through the sphincter that keeps the anus closed. When you're trying to move hard poop to the exit (if you're constipated), those swollen hemorrhoid veins are scraped so they bleed and cause pain.

Drink more fluids, aim for 25 grams of fiber a day, or try taking a supplement of 200 milligrams of magnesium twice a day. To ease the pain of hemorrhoids, try soaking in a warm sitz bath with Epsom salts (use about 3 tablespoons in a full tub). Preparation H and Anusol are also safe to use.

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Your body undergoes several changes during pregnancy. While a few are expected as a routine part of pregnancy, some changes might need medical attention. Smelly urine is one of the common problems associated with pregnancy. Foul-smelling urine during pregnancy can prove to be uncomfortable and embarrassing for most women. You may notice the occurrence of smelly urine during the first trimester of pregnancy, or even towards the later stages.

What Causes Smelly Urine in Pregnancy?

There could be many reasons for strong-smelling urine during pregnancy that are pregnancy-related; some of these will need a doctor’s attention. Here are a few common causes of smelly urine during pregnancy:

During pregnancy, your hormone levels are on the rise and even a subtle change in urine odour will be noticeable to you. This increased sensitivity to smells can cause you to think that your urine now has a strong smell.

2. Dehydration

Urine has little to no odour in general, but it contains ammonia that gets diluted by the water you drink. Not drinking enough water can lead to the concentration of urine which can emit a strong smell. Consuming less water can be the cause of dehydration which is not healthy for you or the baby.

3. Urinary Infections

Urinary tract infection is a common infection that occurs during pregnancy and is often the reason for foul-smelling urine. UTI (Urinary Tract Infection) also causes fever, back pain, and pain during urination.


4. Vaginal Infections

A vaginal infection called bacterial vaginosis (BV) can cause smelly urine and is often noticed when urine mixes with vaginal secretions. This fishy-smelling odour can be embarrassing at times, but more importantly, BV could increase the chances of going into labour early.

5. Urine Leakage

The bladder tissues and the urethra become slightly relaxed during pregnancy, which causes some amount of involuntary urine leakage. Also known as urinary incontinence, this condition is heightened when you laugh or sneeze at a time when you’re holding in urine. Strong-smelling urine is an early pregnancy symptom as it begins as early as the first trimester of pregnancy.


6. Diet

Inclusion of foods like broccoli and asparagus in your daily diet can also be a cause of strong-smelling urine. Consider eating smaller portions of such items if you have smelly urine.

7. Taking Supplements

As a pregnant woman, you will be advised to consume supplements that will help your pregnancy. However, consuming supplements can cause your urine to smell. Consult with your doctor before you take any supplements. Do not take unnecessary supplements, and enrich your diet with foods that are rich in iron, calcium, and folic acid.


How to Treat Urine Odour During Pregnancy

There are a few simple and easy treatments for smelly urine during pregnancy. They are:

1. Stay Hydrated

During pregnancy, your body’s demand for water increases. Hence, it is very important to remain hydrated throughout the day. It will surely increase the frequency of urination, but it will also address the demands of your body for water. It will dilute your urine, flush out the bacteria, and reduce the chances of any foul smell.


2. Keep Yourself Clean

It is important to maintain personal hygiene in the genital area in order to reduce the unpleasant smell of urine. The remnants of urine can linger on your clothes and undergarments and can cause an unpleasant smell along with bacterial growth. Clean yourself thoroughly while bathing and every time you visit the washroom. Using a pH-balanced wash is highly recommended in such cases.

3. Medical Treatment

Speak to your doctor regarding this condition. Based on the severity, they may prescribe an anti-bacterial treatment or non-teratogenic drugs to address urine odour. Antibiotics are often prescribed for urine infections.


4. Urinate Often

During pregnancy or even otherwise, one should not hold in urine for long periods. You should urinate whenever you feel the urge instead of waiting for a full bladder. This ensures that the urine is never concentrated, thus reducing the chances of having a foul smell.

5. Get Regular Checkups

It is important to check if strong-smelling urine is accompanied by any other symptoms. If yes, the reasons could be problems related to the kidney and bladder, or sexually transmitted diseases and infections.


6. Increase Intake of Vitamin C

By adding vitamin C-rich fruits and vegetables into your diet, it is possible to avoid urinary tract infections (UTI). Fruits like oranges, kiwis, and grapefruits are rich in vitamin C and can help keep that strong odour away.

Although smelly urine isn’t life-threatening, you should address the problem as soon as you notice it. Also, it is important to check if you have any other symptoms along with smelly urine as they can indicate other serious problems.


Resources and References: Medical News Today

Also Read:

Urine Colour During Pregnancy
Protein in Urine During Pregnancy
Urine Leakage during Pregnancy


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