The article in brief
Changes in urine colour can reveal a great deal about our health. Here are the key points to remember:
- The colour normal of the urine varies from pale yellow to dark yellow, depending on hydration
- Urine red or pink may indicate the presence of blood and requires rapid consultation
- Colours orange or brown may indicate liver problems or severe dehydration
- Urine green or blue is often linked to medication or a rare infection
- In the event of a change persistentit is essential to consult a health professional
Changes in the colour of urine can be a cause for concern. As an experienced urologist, I am often faced with this concern among my patients. It's essential to understand that the colour of urine can reveal a great deal about our health. In this article, we'll explore the different shades our urine can take on and what they mean for our bodies.
Understanding the normal colour of urine
Before tackling abnormal changes, it's crucial to know what healthy urine looks like. Normal urine colour varies from pale yellow to darker yellow, depending on our level of hydration. Healthy urine should be clear and free of strong odours.
Over the course of my career, I've often used this analogy with my patients: imagine your urine as an indicator of your hydration, similar to the petrol gauge in your car. The clearer it is, the better hydrated you are.
Why is urine yellow?
The yellowish tint of urine is mainly due to a pigment called urochrome. This pigment is produced when our body breaks down haemoglobin, the protein responsible for transporting oxygen in our blood.
The importance of hydration
The intensity of the yellow colour is directly related to our water intake. Very light urine can indicate excessive fluid intake, while dark or concentrated urine generally suggests dehydration.
When to worry about dark yellow urine
If your urine is consistently dark yellow despite good hydration, this may be a sign of an underlying problem. It is advisable to consult a doctor to rule out any potential condition.
Abnormal urine colours and their significance
Over the years, I've seen many variations in urine colour, each of which can indicate different medical conditions. Here's a look at some of the most common shades and what they can mean:
| Colour of urine | Possible meaning |
|---|---|
| Red or pink | Presence of blood (haematuria) |
| Orange | Liver or biliary problems |
| Dark brown | Severe dehydration or liver problems |
| Green or blue | Drugs or rare bacterial infection |
| Disorder | Possible urinary tract infection |
Red or pink urine: a warning sign
Reddish or pinkish urine is often the most alarming sign for my patients. It may indicate the presence of blood in the urine, called haematuria. Possible causes include :
- A urinary infection
- Kidney stones
- Bladder or kidney cancer
- Prostate problems
It is it is imperative to consult quickly a doctor if you notice this colour change.
Orange or brown urine: a sign of liver problems?
Orange urine may indicate a liver or biliary problem. A dark brown hue can also be a sign of severe dehydration or, more rarely, a disease called porphyria. In some cases, these colours can be linked to the consumption of certain foods or medicines.
Green or blue urine: a medical curiosity
Although rare, I have come across cases of green or blue urine in my practice. These unusual colours are usually caused by certain medicines or food colourings. In rare cases, they may be due to a specific bacterial infection.

Other urine characteristics to look out for
Colour is not the only indicator of the health of our urinary tract. Other aspects deserve our attention:
The texture and smell of urine
Frothy urine can indicate excess protein (proteinuria) and a possible kidney problem. As for smell, healthy urine should not have a strong odour. A noticeable change could be linked to certain foods (such as asparagus) or an infection.
Frequency of urination
Changes in the frequency of urination can also be revealing. A sudden increase may indicate a urinary infection, while a decrease could suggest dehydration or obstruction.
The importance of regular urinalysis
I always recommend that my patients, especially those at risk of kidney disease, have an annual urinalysis. It's a valuable tool for detecting potential health problems at an early stage.
What should I do if my urine changes colour?
If you notice a persistent and unexplained change in the colour of your urine, it is essential to consult a healthcare professional. Here is some advice I regularly give my patients:
- Note the duration and frequency of changes
- Make the link with any dietary or medication changes
- Observe whether other symptoms accompany this change
- Don't hesitate to seek advice, even if the change seems minor
As an urologist, I cannot stress enough the importance of paying attention to the health of our urinary tract. Changes in urine colour are often the first signs of an underlying problem. Early detection can make all the difference to the treatment and prognosis of many urological conditions.
Don't forget that your body is constantly communicating with you. Learning to listen to and interpret these signals, particularly by observing your urine, is an important step towards better overall health. When in doubt, never hesitate to consult a specialist.
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