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Signs of urine trouble: Know what the colors mean

Before you flush, check out your pee. As silly as it sounds, it’s important to look at your urine each time you go to the bathroom to see if the color of your pee indicates urine trouble.

Sometimes odd-colored urine or smelly pee are just weird side effects of what you ate. Other times, urine color indicates health concerns.

Learn more about the different urine colors and what they mean below. If your urine color is abnormal, it should resume to a normal, healthy color after a few days. If you don’t notice a change, it’s important to talk with your provider about possible health concerns.

Clear urine

“If your first urine of the day is clear, you may be overhydrated,” said Brianna Czaikowski, Marshfield Clinic Health System urology nurse practitioner. “Your first urine should be yellow, a sign you’re getting rid of toxins.”

If your urine is clear, you should drink less water until you notice a color change. The average adult needs 84 ounces of water daily. Too much water affects electrolyte levels and might cause you to feel sick.

Clear urine also may indicate liver problems, such as hepatitis or cirrhosis. If you haven’t been consuming a lot of water and continue to have clear urine, talk to your provider.

Transparent yellow urine

This color means you’re healthy and properly hydrated. Continue your healthy hydration habits.

Dark yellow urine

“Dark yellow urine isn’t necessarily a bad sign, but dehydration is near,” said Czaikowski.

Certain antibiotics can also make your urine dark or amber color. It’s encouraged you drink water every half hour to ensure proper hydration.

Orange urine

Orange urine means you’re showing signs of dehydration.

“However, orange could also mean you have a liver condition,” said Czaikowski. “Bile may be getting into your bloodstream because of bile duct or liver issues. Increase your water intake to see if your urine changes to a yellow color.”

Certain medications, such as AZO, can also turn your urine orange.

If you continue to notice orange urine, contact your health care provider.

Cloudy white urine

Cloudiness might be caused by blood or pus, or for women, may be caused by vaginal mucus. If you’re noticing strange symptoms, like itching or soreness, contact your provider.

It could also be a sign of a urinary tract infection, dehydration or, if you are pregnant, may indicate preeclampsia. If you are pregnant and notice cloudy urine, immediately call your provider.

Blue or green urine

“It’s possible a new medication could cause these colors in urine,” said Czaikowski. “It’s a good idea to talk to your provider whether your medications can be causing blue or green urine as a side effect.”

Some foods containing large amounts of dye could also cause this.

Pink or red urine

Rhubarb, beets and blueberries can cause pink and red urine. This could also be a sign of blood in your urine, which could signal a health condition. If you haven’t changed your diet or ate some of these foods recently, talk to your provider.

If you are on blood thinners, this can be a sign your medication needs to be adjusted. Contact your provider for follow up.

Dark brown or maple syrup-colored urine

This could be a result of severe dehydration or liver disease. Immediately hydrate with water and talk to your provider if brown urine continues.

If you have eaten large amounts of rhubarb, aloe or fava beans, you may notice dark brown urine.

Light brown or honey-brown urine

This is a sign you are dehydrated. Start drinking water immediately and monitor your urine for color changes.

Foam or fizz in urine

“Occasional foamy urine isn’t a concern,” said Czaikowski. “However, if you notice this frequently, your protein intake may be too high.”

You also may notice this in your first morning urine. This is normal, but shouldn’t persist throughout the day.

Download What Your Urine Says About Your Health Handout

What happens when I see my provider for urine concerns?

Talk to your provider about a urinalysis if you notice anything unusual in your urine.

At your appointment, you’ll have a microscopic urinalysis. You provide a urine sample, which is then examined under a microscope. Microscopic urinalyses see cells from your urinary tract, blood cells, crystals, bacteria, parasites and cells from tumors.

Your urine sample helps your provider determine next steps.

How long should I wait before seeing my provider?

“For concerning colors, you can give yourself about a week to see if there’s a change,” said Czaikowski. “It doesn’t hurt to go in sooner or call your provider before then if you’re worried.”

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18 responses to “Signs of urine trouble: Know what the colors mean”

  1. Kate

    Green could also mean you have just eaten a whole bunch of asparagus.

  2. darleen jarocki

    since I am in my eightys I have been practicing emptiying my bladder, in a folded position, . I put my chest into my knees as I release the urine. I haven't had any urine or bladder problem since I started emptying in that manner. Its been 15 years now, and I have no leakage, or any infections all this time. ( I have had six pregnancies in my lifetime.)

    1. Rosie Adler

      I have never heard of this practice before. Is that something recommended by any urologists? It would seem to be a simple procedure in preventing many of the problems, such as leakage, that may come with age. Therefore, if truly effective, why do they not recommend it?

  3. Lyn Heiting

    What does "not absorbing dietary fats" mean? What does that produce for medical issues?
    thank you.

    1. Kirsten Shakal, Shine365 Editor

      Hi, Lyn. I apologize – I'm having trouble finding what you're referencing. Can you clarify your question?

      Thank you for reading Shine365. -Kirstie

  4. Nancy Nelson

    Thank you Kristen, this PDF view was what I needed. Good & interesting artical.

  5. Nancy

    Very informative article. Always learning something new. Please keep them coming.

    1. Kirsten Shakal, Shine365 Editor

      I'm glad you enjoyed the information, Nancy. We're always looking for new topics, so your feedback and story ideas are welcome.

      Thank you for reading Shine365. -Kirstie

  6. Trina Kaiser

    Is there a way to get a printout of this urine chart? I work in a school and it would be a nice visual for students to compare what their urine looks like.

    1. Kirsten Shakal, Shine365 Editor

      Hi, Trina. We added a PDF version of this infographic. It will print best on an 11×17 (or larger) sheet of paper:

      Thank you for sharing with your students! -Kirstie

  7. Theresa Dalla Valle

    I have a small amount of blood in my urine for years. Doctors are not concerned. What is causing it?

    1. Kirsten Shakal, Shine365 Editor

      Hi, Theresa. We cannot provide individualized medical advice or answers on this forum, and we cannot be sure what is causing blood in your urine without your medical history, medications, etc. If you are concerned, we recommend you communicate this again with your provider and ask for a urinalysis.

      If you do not have a provider, you can find one here: https://marshfieldclinic.org/doctors

      I hope this helps. Thank you for reading Shine365 -Kirstie

      1. Theresa Dalla Valle

        My doctor is aware and will repeat the UA. Not asking for advice just asking a general question which I never asked her.

      2. Kirsten Shakal, Shine365 Editor

        Theresa – Dora, urology nurse practitioner, said blood in the urine can be a number of things: bladder infection, kidney stones, sexually transmitted infections, diabetes. Though not common, it may also signal urinary cancers. -Kirstie

  8. Kathy Bertolino-Jolin

    Very interesting and beneficial information. Thank you. Do not call me.
    A helpful visual; hint: Make you print darker and font larger.

    1. Kirsten Shakal, Shine365 Editor

      Thank you for the feedback, Kathy. We appreciate it. -Kirstie

    2. Nancy .elson

      Kathy, I do agree with your comment. I hope they make a change. I was interested in this artical but unable to read it. 🙁

      1. Kirsten Shakal, Shine365 Editor

        Hi, Nancy! We appreciate this feedback. Our designer has updated the graphic to a higher quality for better readability. We've also added a PDF version, which may be easier to view on a mobile device.

        Thank you for reading Shine365. -Kirstie

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