I am wondering if I should see a nephrologist or a urologist about this problem?
About a month and a half ago my urine
started smelling putrid, esp. first thing in the morning. I asked my new family doctor about it. General checkup blood tests, including liver and kidneys
, were okay. Urinalysis
and urine culture were negative. She insists it is something I eat, but I have not changed my eating habits and do not eat asparagus, etc.
Parallel to this and I wonder if this is involved, I was recently diagnosed via endoscopy with bile reflux and under control acid reflux. My acid reflux med had been changed from 60 mg of Prevacid to 60 mg of Dexilant once a day and Carafate 10 ml liquid 4 times a day before the endoscopy and I am to remain on that. My larynx is inflamed, so the ENT has arranged for me to get a second GI opinion, since the pH monitoring the ENT did shows acid reflux reaching the larynx. My GI doctor did not agree with that acid reflux is the problem, hence the second opinion.
It occurred to me that perhaps the medication change was causing the smelly urine, so I tried temporarily stopping the Dexilant and Carafate and going back on the Prevacid four days ago. Two days ago I restricted what I am eating to rolls and cream cheese, thinking if the smell disappeared, I would add back in foods one by one.
Yesterday, that seemed to work, and I was very happy, but now the smell is back as strongly as ever. I think I might have been misled because I had trouble sleeping and so was up and the urine did not have time to concentrate. (I drink lots of water.)
For the last two weeks, I have also had burning and urgency in the mornings, but I think I may have traumatized the area trying to clean it due to the pungency, so I am not sure this is actually related. (Years ago I was diagnosed with vulvodynia and possibly interstitial cystitis, and they have been quiet for some time.)
I must admit that I dread seeing a urologist, because I saw one years ago and had a very painful exam and bled a great deal afterwards. Is there anyway to diagnose this problem without that?
Thanks very much.