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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cloudy And Fishy Smell Urine?

i am a 21 year old female about 5'5" i have been having very cloudy urine and a fishy smell with it. It is not a discharge that smells but the actual urine. But it will last for a few day then it stops but it always comes back. What could be the problem?
Mon, 11 Aug 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query.Considering your young age i doubt a Bacterial vaginosis which gives a fishy smell that you get with urine as well.Urine routine examination should be done to rule out Urinary tract infection or glycosuria.In such case antibiotic therapy and culture of urine will be needed.In case of bacterial vaginosis which comes with a fishy smell from vagina and discharge i advise my patients with combination of antibiotics like metronidazole or clindamycin with clotrimazole in form of vaginal suppository or oral tab.I also recommend them to use intimate wash regularly to normalize vaginal bacterial flora and PH and there by prevent getting further infections.Hope this may help you.
Let me know if you have any further query.
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What Causes Cloudy And Fishy Smell Urine?

Hi Thank you for asking HCM I have gone through your query.Considering your young age i doubt a Bacterial vaginosis which gives a fishy smell that you get with urine as well.Urine routine examination should be done to rule out Urinary tract infection or glycosuria.In such case antibiotic therapy and culture of urine will be needed.In case of bacterial vaginosis which comes with a fishy smell from vagina and discharge i advise my patients with combination of antibiotics like metronidazole or clindamycin with clotrimazole in form of vaginal suppository or oral tab.I also recommend them to use intimate wash regularly to normalize vaginal bacterial flora and PH and there by prevent getting further infections.Hope this may help you. Let me know if you have any further query.