Causes of urine appearance yellow and orange red
Last reviewed: 17.10.2021
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
An admixture of blood in the urine of normal color can have causes as pathological in nature, as it is provoked by physiological, transient factors.
The reasons why urine yellow red should not be a symptom of the disease:
- The period of menopause (pre-climax), when blood is released not from the urinary system, but from the vagina (dryness, small ulceration, irritation).
- Reception of a specific drug Uropyrin (phenazopyridine hydrochloride). Pyridium - an anesthetic, which is prescribed for inflammation of various etiologies in the urinary system. The drug has a symptomatic effect as a good analgesic. Drug change the color of urine. Urine yellow red in the long course of treatment with Phenazopyridine is considered an acceptable side effect.
- Mixing of blood secreted by mucous tissues after manipulation (catheterization, cystoscopy) with urine can also give the effect of yellow-red color of urine.
- Dehydration during intense physical exertion (march hematuria).
- Overheating of the body when visiting the sauna, bath.
Factors of a pathological nature that provoke mixing of shades of urine (yellow-red hue):
- Hemospermia, excretion of sperm with signs of blood along with urine. Causes - epididymitis, urethritis, orchitis, diseases of the prostate, seminal vesicles.
- Erosive inflammation of the cervix, endometriosis.
- SLE (lupus nephritis), nephritis associated with autoimmune pathology.
Urine is yellow red - this is most often contaminatio, a mixture of urine normal color and bleeding of the extrarenal nature. Clarification of provoking factors, causes - the prerogative of a doctor. Independent diagnosis is not only impossible, but also carries the risk of missing the onset of the development of a serious disease.
Urine red-orange
The combination of orange and red shades of urine is rare. Most often, the urine of a reddish orange shade is a liquid stained after ingestion of vitamins or medications with splotches of blood clots.
Let's consider separately the reasons of change of color of urine on bright orange shade:
- A long course of taking vitamins A, B.
- Urine changes color to orange with a red tinge after rifampicin, uropin, preparations containing the active substance - phenolphthalein.
- Bright orange color of urine can be caused by a nutritional factor, when the diet includes many fruits or vegetables containing phytopigments. Carrot diet, the use of asparagus, sea buckthorn, oranges above the norm - these reasons can explain the atypical color of urine.
A separate list should discuss the reasons why the urine of a red-orange color can be considered an alarming symptom:
- Severe dehydration in the background of chronic urological diseases.
- Extensive (more than 40-50% body) burns.
- Late toxicosis, gestosis in pregnant women.
- Acute form of pyelonephritis, glomerulonephritis.
- An unusually bright shade of urine can be associated with an increased level of vasopressin (an antidiuretic substance). Especially it is typical for urination in the morning. If the urine for several days in the mornings is red-orange, you should undergo a comprehensive examination and check the work of the hormonal system.
Orange urine with visible clots of blood in various forms - an occasion to immediately call an ambulance. This symptom indicates a combination of clinical manifestations of a neglected inflammatory process and may indicate a threat of acute renal failure.
For other reasons for the appearance of red urine, see this article.