A change in urine color is often caused by certain medicines, foods or food dyes. Sometimes it's caused by a health problem.
Here are some unusual urine colors along with things that can cause them. Keep in mind that colors can look slightly different to different people. For instance, what looks red to you might look orange to someone else.
Red or pink urine
Red urine isn't always a sign of a serious health problem. Red or pink urine can be caused by:
- Blood. Health problems that can cause blood in the urine include an enlarged prostate, tumors that aren't cancer, and kidney stones and cysts. Some cancers can cause blood in urine too. Hard exercise, such as long-distance running, also can cause this bleeding.
- Foods. Beets, blackberries and rhubarb can turn urine red or pink.
- Medicines. A tuberculosis medicine called rifampin (Rifadin, Rimactane) can turn urine reddish-orange. So can a medicine for urinary tract pain called phenazopyridine (Pyridium). Constipation drugs that contain the medicine senna also can bring on this color change.
Orange urine
Orange urine can be caused by:
- Medicines. Phenazopyridine and some constipation medicines can turn urine orange. So can sulfasalazine (Azulfidine), a medicine that lessens swelling and irritation. Some chemotherapy medicines for cancer also can make urine look orange.
- Vitamins. Some vitamins, such as A and B-12, can turn urine orange or yellow-orange.
- Health problems. Orange urine can be a sign of a problem with the liver or bile duct, mainly if you also have light-colored stools. Dehydration also can make your urine look orange.
Blue or green urine
Blue or green urine can be caused by:
- Dyes. Some brightly colored food dyes can cause green urine. Dyes used for some kidney and bladder tests can turn urine blue.
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Medicines. A medicine for depression called amitriptyline can make urine look greenish-blue. So can a treatment for ulcers and acid reflux called cimetidine (Tagamet HB). A water pill called triamterene (Dyrenium) also can turn urine greenish-blue.
Urine can turn green due to a medicine for pain and arthritis symptoms called indomethacin (Indocin, Tivorbex). Green urine also can be caused by propofol (Diprivan), a strong medicine that helps people sleep or relax before surgery.
- Health problems. A rare disease called familial benign hypercalcemia can cause children to have blue urine. Urinary tract infections caused by a certain type of bacteria can cause green urine.
Dark brown or cola-colored urine
Brown urine can be caused by:
- Food. Eating lots of fava beans, rhubarb or aloe can cause dark brown urine.
- Medicines. Some medicine that can darken urine are:
- Chloroquine and primaquine, which treat and prevent malaria.
- The antibiotics metronidazole (Flagyl, Metrocream, others) and nitrofurantoin (Furadantin, Macrobid, others).
- Constipation medicines that contain senna (Senokot, Ex-Lax, others).
- Methocarbamol (Robaxin), a muscle relaxer.
- The seizure medicine phenytoin (Dilantin, Phenytek).
- Medicines called statins that lower cholesterol.
- Health problems. 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.
- Extreme exercise. A muscle injury from extreme exercise can cause tea- or cola-colored urine. The injury can lead to kidney damage.
Cloudy or murky urine
Urinary tract infections and kidney stones can cause urine to look cloudy or murky.