Urine Color Chart: Causes of Urine Color Changes

A Urine Color Chart to Explain Why Your Pee Is That Color

A Urine Color Chart to Explain Why Your Pee Is That Color
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Normally, urine (pee) is a yellowish color ranging from almost clear to slightly orange. It tends to have a mild smell that’s unique to you.

Changes in urine color or odor are usually temporary and can be attributed to certain foods, vitamins, and medicines — or how hydrated you are. But sometimes smelly or discolored urine can indicate an underlying medical condition.

Here’s what different urine colors and smells might mean about your health.

What Does the Color of Your Urine Tell You?

Unravel the mystery behind the color of your urine and discover what your body might be signaling.
What Does the Color of Your Urine Tell You?

Urine Color Chart

Urine can have a wide range of colors, caused by your diet, medications, and health conditions. Almost clear or yellowish urine is considered normal, while other colors may be cause for concern.
Graphic titled What Does the Color of Your Urine Mean? Illustrated points include clear - you may be drinking too much water, pale yellow - you're well hydrated, dark yellow or amber - you're mildly dehydrated, orange - dehydration or liver problems could
Everyday Health.

What Every Pee Color Means

If your pee isn’t its normal color, there may be a perfectly benign explanation — or it could be a cause for concern. Here’s a breakdown of what different colors may mean.

Clear

Clear urine isn’t necessarily something to worry about, but it may be a sign that you’re drinking too much water. Overhydration can sometimes lead to an electrolyte imbalance, so you shouldn’t be chugging water all day long.

“In states of excessive hydration, there can be a decrease in blood levels of sodium, which can have an impact on brain function,” says Michael Whalen, MD, chief of urologic oncology at the George Washington University School of Medicine and Health Sciences in Washington, D.C.

If your urine is consistently clear but you aren’t drinking a lot of water, it could be a sign that you have a problem with your kidneys or diabetes.

Pale Yellow

Pale or transparent yellow urine is a sign that you have been hydrating appropriately with water or other fluids.

“Ideally, urine should be clear or a pale yellow color. That means you’re well hydrated and everything is working properly,” says Jairam Eswara, MD, chief of urology at Tufts Medical Center in Boston.

Dark Yellow or Amber

Dark yellow or amber-colored urine is common and suggests that you may be mildly dehydrated. Be sure to drink water when you’re thirsty to avoid further dehydration.

Orange

If your urine is orange, a few things could be happening. You could be dehydrated; it’s also possible the color is from eating carrots (or drinking carrot juice) or taking vitamins A, B12, or C.

Orange urine may also indicate a problem with your liver or bile ducts. In this case, you’ll probably also have light-colored stool.

Laxatives, chemotherapy drugs, and the drugs sulfasalazine (Azulfidine), rifampin (Rifadin), warfarin (Coumadin), and phenazopyridine (Pyridium) can also turn urine orange.

Pink or Red

Urine may become pink or red after eating certain foods, such as beets, rhubarb, and blackberries.

Medications including rifampin (Rifadin), phenazopyridine (Pyridium), and laxatives containing senna can also give urine a reddish-orange tint.

Red or pink urine could also mean there’s blood in your urine. “The most concerning appearance is when there’s blood in the urine, even if it’s just a little bit pink,” says Dr. Eswara.

Blood in urine can be caused by:

  • Urinary tract infections (UTIs)
  • Prostate problems
  • Kidney stones or cysts
  • Kidney or bladder cancer
  • Noncancerous tumors
  • Lead or mercury poisoning

It’s also possible for menstrual blood to appear to cause red or pink urine, though the blood is actually coming from the uterus. “It’s important to distinguish whether it’s gynecologic bleeding or urologic bleeding” in women of reproductive age, says Dr. Whalen.

Sometimes, hard exercise like long-distance running can cause blood in the urine. If your urine is red, you should contact your doctor immediately.

Blue or Green

Blue or green food dyes may color your urine because they can’t be absorbed by your body. The same is true for dyes used in certain kidney and bladder tests.

Drugs including amitriptyline (Elavil), indomethacin (Indocin), cimetidine (Tagamet), triamterene (Dyrenium), and propofol (Diprivan) can cause blue or green urine.

Supplements containing certain B vitamins can give your urine a green tint.

Blue diaper syndrome, also called familial benign hypercalcemia, is a rare disorder that can cause blue urine, starting shortly after birth. It develops when the intestines incompletely break down the dietary nutrient tryptophan.

Green urine can also be a sign of a urinary tract infection caused by certain bacteria.

Brown or Dark Orange

In some cases, severe dehydration can make your pee so dark it appears dark orange or brown. Drink fluids right away if this is the case.

At this level of dehydration, “you might notice that your mouth is dry, or you’re feeling kind of faint,” says Eswara. “If the brown color doesn’t improve with hydration, seek medical attention.”

Foods like fava beans, aloe, and rhubarb can also turn your urine brown.

Certain malaria medicines, antibiotics, laxatives containing senna, muscle relaxants, and statins can cause dark urine that may appear brown.

Liver and kidney diseases, a urinary tract infection, or a muscle injury from intense exercise can also lead to urine with a brownish tint.

Porphyria, a rare disorder that affects your skin and nervous system, can cause rust-colored or brown urine.

“Brown urine can indicate old blood from somewhere in the urinary tract,” says Whalen, and should prompt a doctor visit if it persists.

Dark Brown or Black

Dark brown urine can occur if you’ve been eating a lot of foods that can turn urine brown, such as fava beans, aloe, and rhubarb.

Kidney and liver disease, a urinary tract infection, or porphyria can also lead to dark brown urine.

Dark brown urine that smells like ammonia can be a sign of liver failure.

Dark brown urine can be a sign of hemorrhage, or bleeding, inside your body.

Cloudy

Cloudy urine can indicate a urinary tract infection (UTI), kidney stones, or possibly dehydration.

Urine with a milky appearance can indicate the presence of bacteria or mucus in your urine, which can happen due to a UTI or certain other health conditions.

“If your urine is particularly foamy, that could indicate protein in the urine,” says Eswara. This could be a sign of kidney problems, particularly if someone has diabetes, he says.

What It Means When Urine Smells Different

Normal urine has a slight smell that varies from person to person. Foods and spices, medications, vitamin supplements, and medical conditions can all make your urine smell different.

“Healthy urine shouldn’t have a powerful aroma. You might not smell anything,” says Eswara. If you’re dehydrated, your urine may take on a stronger smell akin to ammonia.

Asparagus is probably the most well-known cause of changing the smell of urine, giving it a sulfur-like smell.

Foul-smelling pee can be a sign of a bacterial infection, such as a urinary tract infection. Musty-smelling urine can indicate liver disease or certain metabolic disorders.

“A metallic smell from the iron in hemoglobin can indicate the presence of blood,” says Whalen, and may occur along with color changes that indicate blood in urine.

If your urine smells sweet and fruity or like acetone or nail polish remover, and you’ve been going to the bathroom more frequently, you may have undiagnosed or poorly controlled diabetes, causing ketones in your urine.

Trimethylaminuria is a genetic disorder in which the body cannot break down trimethylamine, a chemical compound with a strong odor akin to rotting eggs that can be present in urine.

When to See a Doctor About Your Urine Color

You should contact your doctor if you have any concerns about changes in your urine or if a change in your urine persists.

Signs of a serious condition might include a lasting abnormal color with no clear explanation, consistently bubbly or frothy urine, or any sign of suspected blood in your urine.

 Seek immediate medical attention if you experience a fever, a burning sensation while urinating, chills, or back pain.

Your doctor may want to take a urine sample and run tests to help figure out what’s causing your urine’s appearance or smell. It’s also possible that your doctor will recommend blood tests to check for conditions like kidney or liver disease or diabetes.

If your doctor suspects blood in your urine, part of testing your urine sample will most likely be a culture to check for infection. “If the culture comes back negative but there’s evidence of blood in the urine, then it typically triggers referral to a urologist,” says Whalen.

In this case, Whalen says, your urologist will check for signs of a more serious condition, like a tumor, and may use imaging such as an ultrasound or a CT scan.

The Takeaway

  • Changes in urine color could mean you’re dehydrated, or they may be caused by certain foods, medications, or medical conditions.
  • Any lasting changes in urine color or smell could indicate a health condition that may require diagnosis and treatment.
  • See a doctor right away if you experience signs of blood in your urine, or if you experience other symptoms like discomfort while urinating, fever, or back pain.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Urine Changes. Cleveland Clinic. September 28, 2023.
  2. What the Color of Your Pee Says About You. Cleveland Clinic. November 8, 2021.
  3. Urine Color. Mayo Clinic. January 10, 2023.
  4. Urine - Abnormal Color. MedlinePlus. July 1, 2023.
  5. Blue Diaper Syndrome. Genetic and Rare Diseases Information Center.
  6. Urine Odor. MedlinePlus. July 8, 2023.
  7. Trimethylaminuria. MedlinePlus. September 8, 2021.
Michelle-Seguin-bio

Michelle Seguin, MD

Medical Reviewer

Michelle Seguin, MD, is a board-certified family medicine, lifestyle medicine, and certified functional medicine physician (IFMCP). She is a practicing physician at Root Functional Medicine, a leading telemedicine practice specializing in personalized, root-cause care.

Quinn Phillips

Author

A freelance health writer and editor based in Wisconsin, Quinn Phillips has a degree in government from Harvard University. He writes on a variety of topics, but is especially interested in the intersection of health and public policy. Phillips has written for various publications and websites, such as Diabetes Self-Management, Practical Diabetology, and Gluten-Free Living, among others.