What Color Is Urine When Your Kidneys Are Failing? (2024)

Dark amber, brown, or even red-tinted urine may be a symptom of kidney failure. You may need to speak with a healthcare professional if your urine is an unusual color and you don’t know why.

What Color Is Urine When Your Kidneys Are Failing? (1)Share on Pinterest

Clues about your kidney health might be visible during your next trip to the bathroom. An increase in proteins, sugars, and blood cells can change the color of your urine or darken it. Sometimes, this color change may mean your kidneys aren’t functioning as well as they should.

But your urine can change color for many reasons, including dehydration, food or beverages you’ve recently consumed, or other reasons.

Read on for more information about your urine color when you have kidney failure and the other symptoms to look for.

Learn more about kidney failure.

If your urine is a dark amber color, red, or brown, it may show that your kidneys are failing.

However, not all darker urine is a symptom of a kidney health condition. Darker yellow urine may also mean that you’re dehydrated. For some people, urine can turn red after eating beets or foods with some dyes, and urine may also change color due to medications you take.

The kidneys usually remove liquid waste from your body and keep minerals, salts, and water in balance.

If your kidneys are failing, they may retain fluids, and harmful waste can build up in your body. If this happens, your urine may include excess protein, toxins, and blood. This can cause your urine to change color, becoming a darker tan, brown, or even slightly red.

Generally, if your urine is clear or pale yellow, it means that you’re well hydrated and your kidneys work well, but your urine can be various colors. Here are other colors your urine may be and what they may mean for your health:

  • Dark yellow: This urine color may show you’re dehydrated and need to drink more water.
  • Pink to reddish: This color of urine may occur from something you ate, or you may have blood in your urine. You may need to contact your healthcare professional for tests if you think you have blood in your urine.
  • Blue: Your urine may turn blue if you’ve consumed something with food dyes that haven’t dissolved during digestion.
  • Foamy or fizzy: If your urine is so foamy that you need to flush it several times, you may have protein in your urine. Having protein in your urine can be a symptom of kidney failure. Talk with your healthcare professional if the foamy urine persists.

Learn more about what the color of your urine may mean.

Many people don’t have symptoms of kidney disease at first. According to the Centers for Disease Control and Prevention (CDC), around 9 in 10 people with kidney disease don’t even know they have it. And in the early stages of kidney failure, there are few, if any, symptoms.

As kidney disease progresses, in addition to visible changes in the color of your urine, there may be other symptoms of kidney failure, including:

  • less urine when you pee
  • fluid retention that causes your legs, ankles, and feet to swell
  • difficulty sleeping
  • muscle cramps, especially at night
  • severe fatigue or drowsiness
  • frequent, lasting nausea
  • shortness of breath
  • chest pain or pressure
  • confusion
  • seizures
  • coma

The exact treatment for kidney failure depends on the specific cause and severity of the failure. Treatment options include:

Lifestyle changes

These lifestyle habits may help you manage your kidney health and related health conditions:

  • eat a well-balanced, healthy diet
  • keep your salt intake low (less than 6000mg per day – 1 teaspoon)
  • try to exercise at least 150 minutes a week
  • quit or avoid smoking
  • avoid over-the-counter NSAIDs like acetaminophen and ibuprofen unless your healthcare professional has approved it – they may harm your kidneys
  • minimizing your alcohol consumption
  • reduce the amount of protein you eat

Medications

These medications may be used to treat kidney failure and the conditions that affect your kidneys:

  • diuretics
  • statins
  • calcium and vitamin D supplements
  • medications to lower your blood pressure, like angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs)

You may need dialysis or a kidney transplant to help remove toxins from your body if your kidney failure becomes severe.

The outlook for people with kidney failure may be better for those with acute kidney failure rather than chronic kidney disease because kidney function may return quickly after treatment in acute cases.

If someone has severe chronic kidney disease that results in kidney failure, a kidney transplant may help improve their outlook.

Should I be concerned about my kidneys if my urine smells sweet?

Sweet-smelling urine may result from glucose building up in urine and can be a symptom of diabetes. Diabetes can link to kidney health conditions like nephropathy, so it’s important to let your doctor know if you suspect you may have symptoms of it.

How does having high blood pressure affect my kidneys?

High blood pressure can affect your kidneys’ blood vessels, increasing your chance of kidney failure. Kidney failure can increase your risk of having high blood pressure. You can get treatment for both conditions.

While darker urine can show the kidneys have difficulty filtering blood, it may also just mean you’re dehydrated. Urine color can even occur due to foods and medications you’ve consumed.

Notify your healthcare professional if your urine doesn’t return to a typical paler color in a few days or if you believe there’s blood in your urine. They can perform further testing to determine if it’s a symptom of a serious health condition.

What Color Is Urine When Your Kidneys Are Failing? (2024)

FAQs

What Color Is Urine When Your Kidneys Are Failing? ›

If your kidneys are failing, they may retain fluids, and harmful waste can build up in your body. If this happens, your urine may include excess protein, toxins, and blood. This can cause your urine to change color, becoming a darker tan, brown, or even slightly red.

What does a bad kidney pee look like? ›

Some liver and kidney disorders and some urinary tract infections can turn urine dark brown. So can bleeding inside the body called a hemorrhage. A group of illnesses that mainly affect the skin or the nervous system, called porphyria, also can cause brown urine.

What color of urine is not good? ›

As a general rule of thumb, it's usually a good sign for your health when the color of your urine is a pale shade of yellow. If you have urine that resembles another color, you should be aware that this is not normal. Abnormal colored urine may look clear, orange/brown/amber, pink/red, or even green/blue.

What are the first warning signs of kidney failure? ›

Symptoms
  • Decreased urine output, although occasionally urine output remains normal.
  • Fluid retention, causing swelling in your legs, ankles or feet.
  • Shortness of breath.
  • Fatigue.
  • Confusion.
  • Nausea.
  • Weakness.
  • Irregular heartbeat.
Jul 30, 2022

Does clear pee mean your kidneys are good? ›

Key takeaways: Clear pee is most often a result of drinking a lot of water. But, in some cases, it can be a sign of an underlying health condition. Beyond being well hydrated, the most common causes of clear urine include kidney issues, diabetes, diabetes insipidus, medications, and pregnancy.

What color is diabetic pee? ›

Transparent and lacking in color

Transparent, colorless urine could also be a sign of some other health disorders, including diabetes and kidney disease, or from taking diuretic medication.

How can you tell if someone's kidneys are shutting down? ›

Symptoms include fatigue, nausea and vomiting, swelling, changes in how often you go to the bathroom and brain fog. Treatment includes dialysis or a kidney transplant.

What not to drink if you have kidney problems? ›

As a result, sodas, especially those that are dark, should usually be avoided on a renal diet. Dark-colored sodas should be avoided on a renal diet, as they contain phosphorus in its additive form, which is highly absorbable by the human body.

What part of the body itches with kidney problems? ›

It may happen at any time -- before, during, or after dialysis, night and/or day. In up to half of patients, CKD-aP affects the whole body, and in that case, it usually affects both sides of the body. But it can also only affect one part of the body, usually the face, back, and the arm with a vascular access.

What does stage 1 kidney failure feel like? ›

Generally, earlier stages are known as 1 to 3. And as kidney disease progresses, you may notice the following symptoms. Nausea and vomiting, muscle cramps, loss of appetite, swelling via feet and ankles, dry, itchy skin, shortness of breath, trouble sleeping, urinating either too much or too little.

What smell is urine when your kidneys are failing? ›

Kidney disease causes chemicals in urine to become concentrated and to cause a smell resembling ammonia. Kidney dysfunction can also cause high bacteria and protein levels in the urine, which will contribute to a foul ammonia smell.

Where is kidney pain felt? ›

Key facts. Kidney pain is usually felt in your back, under the ribs, to either side of your spine. It may be caused by kidney stones, kidney infection or other kidney problems. Drinking plenty of water and avoiding urinary infections can help prevent kidney pain.

Do you pee a lot when your kidneys are failing? ›

If you feel the need to urinate more often, especially at night, this can be a sign of kidney disease. When the kidneys filters are damaged, it can cause an increase in the urge to urinate. Sometimes this can also be a sign of a urinary infection or enlarged prostate in men.

What indicates kidney damage in urine? ›

Healthy kidneys remove waste products and extra water from your blood, but leave behind the things your body needs, like protein. When your kidneys are injured, protein leaks into your urine. Having protein in your urine suggests that your kidneys' filtering units are damaged by kidney disease.

How can I tell if I have bad kidneys? ›

And as kidney disease progresses, you may notice the following symptoms. Nausea and vomiting, muscle cramps, loss of appetite, swelling via feet and ankles, dry, itchy skin, shortness of breath, trouble sleeping, urinating either too much or too little.

Does urine smell when kidneys are failing? ›

Kidney disease causes chemicals in urine to become concentrated and to cause a smell resembling ammonia. Kidney dysfunction can also cause high urine bacteria and protein levels, contributing to an ammonia smell.

What is urine like with a kidney infection? ›

Symptoms of kidney infection

These include: needing to pee suddenly or more often than usual. pain or a burning sensation when peeing. smelly or cloudy pee.

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