I have blood in the urine on and off and extreme kidney and bladder pain, also urine has a very
strong odor like the smell of fecal matter but most of the time a strong odor of sulfur (the smell of a burn match kinda but stronger)
Posted by: Maria/MD Health Forum.com Team
There are various factors that can affect the urine odor. Dehydration, for example, concentrates the urine, thus giving it a strong smell. Health conditions affecting hormone levels can also give urine an unpleasant odor, this symptom may be experienced by women undergoing menopause. Certain drugs and foods are known to make urine foul-smelling.
Infection can make the urine foul-smelling due to bacteria, such as those that cause urinary tract infections. The chemical build up of the urine can be affected by some disorders. The odor’s characteristic, plus some tests can help determine the possible etiology, a musty smelling urine, for example, may indicate liver failure. You mentioned that your urine sometimes smells like fecal matter, I strongly recommend that you discuss this with your doctor. A condition called rectal fistula, an abnormal connection between the rectum and the bladder which can cause fecal matter to mix with urine.
Disorders affecting the kidneys can predispose pain. The most common causes of kidney pain in the back are infection and kidney stone. People with kidney infection experience sharp, aching pain which can be in the back, flank or groin, other symptoms include: accompanied by other symptoms like cloudy urine with a strong odor, pus or blood in the urine, abdominal pain, urine retention, pain when urinating and fever. Pain due to kidney stones is referred to as renal colic, this occurs when a stone get stuck in the ureter-the thin tube connecting the kidneys to the bladder, causing it to dilate. The pain comes in spasms, typically starts in the kidney area or below it, spreads through the flank and eventually reaches the bladder.
Pain that originates from the urinary bladder can be due to a number of medical conditions. Infection of the bladder is called cystitis, this type of urinary tract infection is quite common and it is one possible cause of bladder pain. A person with bladder infection may feel pressure, tenderness and pain in the bladder area, perineum and pelvis, these symptoms become worse when the bladder is full. Urinary urgency and pain on sexual intercourse are also among the symptoms of bladder infection. A urinary bladder disorder called interstitial cystitis, causes recurring pain or discomfort in the bladder as well as the surrounding pelvic region. Another possible etiology of bladder symptoms is cystinuria, an inherited metabolic disorder caused by excessive amount of an amino acid known as cystine in the urine. During the process of filtration, this amino acid disintegrates and is reabsorbed it the blood stream. However, the genetic defect in patients with cystinuria interferes with the reabsorption of cystine. Because of this, cystine form crystals or stones in the kidneys, bladder or ureter. Flank pain is one of the symptoms of cystinuria, it is usually felt on one side and its intensity increase over days. Pain may be felt in the pelvic area, groin and genitals. Blood in the urine is also considered as an indicator of this disorder.
Your symptoms call for a thorough evaluation of a physician. You can find a lot of information from the net, but only a well-taken health history, results of examination and diagnostic tests can be considered as the most reliable tools in identifying the root causes of the symptoms that you have been experiencing.
This is blog entry is for general information only, I recommend that you discuss your symptoms with your own doctor.
Discuss this topic on the Health Forum
More answers in Internal Medicine