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Thursday, Sep 18, 2025

What Your Urine Color Tells You About Your Health: Insights from a Urologist

What Your Urine Color Tells You About Your Health: Insights from a Urologist

In a recent report for CNN, urologist Dr. Jamin Brahmbhatt shared how urine can reveal a lot about a person’s health, going beyond the frequency of urination to the importance of understanding its color and smell.
The Spectrum of Urine Color

According to Dr. Brahmbhatt, urine color can vary from pale yellow to dark brown and pink shades, primarily due to a pigment called urochrome, a byproduct of the natural breakdown of red blood cells. "As these cells age, they are broken down, and urochrome is produced. It is then filtered through the kidneys and gives urine its color," he explained. The intensity of the yellow color is a direct reflection of the body’s hydration levels; the more hydrated the body, the lighter the color of the urine.

What Is a Healthy Urine Color?

Ideally, "urine should be clear enough to read a book through it," states Dr. Brahmbhatt. However, balance is key, as excessive water intake can lead to dilution of vital electrolytes and potentially cause water intoxication, a rare but serious condition resulting in dangerously low sodium levels. This risk is particularly relevant for athletes and individuals engaging in extended physical activities. Conversely, not drinking enough water poses the risk of dehydration, leading to fatigue and decreased cognitive and physical performance.

How Much Water Do We Need?

When it comes to hydration, there isn’t a one-size-fits-all recommendation. Dr. Brahmbhatt suggests guidance from the National Academies of Sciences, Engineering, and Medicine, which estimates about 15.5 cups (3.7 liters) of fluids per day for men and 11.5 cups (2.7 liters) for women, including all beverages and foods. Individual needs can vary greatly based on factors like body weight, activity level, and health status.

"For a more personalized approach, I recommend starting with 30 milliliters (about one ounce) of water for every kilogram (2.2 pounds) of body weight per day," he advises. This can be adjusted based on daily activities, with an additional 500 to 1000 milliliters (about 17 to 34 ounces) for those who are more physically active or live in hot climates.

Gender, age, and health conditions also play crucial roles, with men typically requiring more fluids due to a larger average body size and the elderly needing to be more conscious of water consumption due to decreased thirst sensation.

Regardless of these guidelines, Dr. Brahmbhatt encourages people to listen to their bodies and adjust water intake based on thirst, urine color, and overall feeling to ensure optimal hydration for health.

The Revelations of Urine Color

From red or pink urine, often resulting from eating certain foods like beets or berries, to signs of blood indicating more serious conditions such as bladder or kidney cancer, urine color can be a telling sign. While blue or green urine might be a shock, it could result from certain medications or food dyes. Bright yellow urine can be influenced by "B" vitamins and is a harmless effect, reminding us of how diet and supplements affect bodily functions.

Cloudy urine may indicate infections or kidney issues, usually benign, disappearing on its own, and may result from medications or surgical procedures.

As for smell, normal urine has a mild scent, but strong or unusual odors could point to dehydration or urinary tract infections. Foods with strong or distinct ingredients can also impact the smell, with items like asparagus, coffee, and certain fish causing unique odors due to specific compounds they contain.
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