Here’s what your urine can tell you about your health
Urine is 95% water and 5% urea, uric acid, minerals, salts, enzymes, and various substances that would cause problems if allowed to accumulate in your body. Normal urine is clear and has a straw yellow color, caused by a bile pigment called urobilin.
As with your stool, your urine changes color depending on what foods you eat, what medications and supplements you take, how much water you drink, how active you are, and the time of the day. But some diseases can also change the color and other characteristics of your urine, so it's important to be alert and informed. With so many variables, you can't always be sure of what's causing any particular urine characteristic, short of laboratory testing. However, urine's character gives you some clues to potential problems that may be developing, giving you time to do something about it.
The following chart outlines some of the most common color variations for urine and their possible origins. The majority of the time, color changes resulting from foods, medications, supplements, or simply dehydration. But there are certain signs that warrant concern.
Color
Possible Cause
Necessary Action
Yellow/Gold
The most typical urine color, indicative of a healthy urinary tract; yellow will intensify depending on hydration; some B vitamins cause bright yellow urine
None
Red/Pink
Hematuria (fresh blood in the urine) related to urinary tract infection (UTI),kidney stone, or rarely cancer; consumption of red foods such as beets, blueberries, red food dyes, rhubarb; iron supplements; Pepto-Bismol, Maalox, and a variety of other drugs5; classic "port wine" color may indicate porphyria (genetic disorder)
***Consult your physician immediatelyif you suspect you have blood in your urine
White/Colorless
Excessive hydration is most likely. (See Cloudy)
Consult your physician only if chronic
Orange
Typically a sign of dehydration, showing up earlier than thirst; "holding your bladder" for too long; post-exercise; consuming orange foods (carrots, squash, or food dyes); the drug Pyridium (phenazopyridine); liver or pituitary problem (ADH, or antidiuretic hormone)
Drink more water and don't delay urination; consult physician if orange urine persists despite adequate hydration
Amber
More concentrated than orange so severe dehydration related to intense exercise or heat; excess caffeine or salt; hematuria; decreased urine production (oliguria or anuria); metabolic problem; pituitary problem (ADH, or antidiuretic hormone)
Consult your physician if problem persists despite adequate hydration
Brown
Very dense urine concentration, extreme dehydration; consumption of fava beans; melanuria (too many particles in urine); UTI; kidney stone; kidney tumor or blood clot; Addison's disease; glycosuria; renal artery stenosis; proteinuria; pituitary problem (ADH, or antidiuretic hormone)
Consult your physician if problem persists despite adequate hydration, especially if accompanied by pale stools or yellow skin or eyes
Black
RARE: Alkaptonuria, a genetic disorder of phenylalanine and tyrosine metabolism marked by accumulation of homogentisic acid in the blood; poisoning
Consult your physician
Green
RARE: Unusual UTIs and certain foods (such asasparagus); excessive vitamins
Usually benign; consult your physician if it persists, especially if you have pain or burning (dysuria), and/or frequent urination (polyuria), which are symptoms of UTI
Blue
RARE: Artificial colors in foods or drugs; bilirubin; medications such as methylene blue; unusual UTIs
Usually benign; consult your physician if it persists, especially if you have pain or burning (dysuria), and/or frequent urination (polyuria), which are symptoms of UTI
Cloudy
Urinary tract infection, kidney problem, metabolic problem, or chyluria (lymph fluid in the urine), phosphaturia (phosphate crystals), pituitary problem (ADH, or antidiuretic hormone)
Consult physician, especially if you have pain or burning (dysuria), and/or frequent urination (polyuria), which are symptoms of UTI
Sediment
Proteinuria (protein particles) or albuminuria; UTI; kidney stones; see Cloudy
Consult your physician
Foamy
Turbulent urine stream; proteinuria (most common causes are diabetes and hypertension)
Consult physician if not due to "turbulence"