Orange urine is easy to spot at just a glance in the toilet bowl or as it’s coming out.

And orange urine means something.

Urine should be an almost clear, or very light yellow color.

But when you have orange urine:

“Medications (e.g., Pyridium) may cause the urine to appear orange,” says Dr. Andrew Stephenson, MD, Section Chief and Director, Urology Oncology; Professor (PAR), Department of Surgery, Division of Urology, Rush Medical College.

“Bilirubin is the byproduct of red blood cell metabolism,” continues Dr. Stephenson.

“This is normally metabolized by the liver and excreted into the bowel via the bile duct (this is why the stool appears brown).

“The liver does not efficiently metabolize bilirubin in the setting of liver disease; hence, the bilirubin accumulates in the blood and is excreted in the urine (causing orange urine) by the kidneys.”

Thus, orange or tea-colored urine can be a symptom of liver disease.

However, an orange hue in the urine can also be caused by food such as carrots, carrot juice, winter squash, blackberries and beets.

Orange urine from beets. Jmarchn/CC BY-SA 3.0

Vitamin C, B complex vitamins, beta-carotene (the compound in carrots that make them orange), senna herbs, and foods with orange dye can result in the same appearance as well.

Besides Pyridium, which is used to treat urinary tract infections, other medications can be culprits:

Rifampin, an antibiotic; and

Warfarin (trade name Coumadin), a blood thinner.

In addition, some chemotherapy drugs and laxatives can have the same effect.

Lastly, dehydration can cause a bright, deep yellow, dark yellow, yellow-orange, light orange or medium orange. You need not be parched to be dehydrated, by the way.

Thirst isn’t the only symptom of dehydration, and you may not even be the slightest bit thirsty during periods that your body has inadequate hydration.

Lack of fluid intake can concentrate urochrome, which is the end product of hemoglobin breakdown.

Urochrome is what gives urine its normal pale yellow color. When this agent is concentrated, it yields the more intense yellow characteristic of dehydration.

The color change from eating a lot of carrots, carrot juice, beets, etc., is harmless.

Just be sure that you know that this is the cause of the color change.

Ask yourself if you’ve been eating any of these foods or taking the supplements mentioned.

In fact, the foods mentioned in this article, if eaten in enough quantities, can give the palms and soles of the feet an orange tinge.

If after stopping consumption of suspected foods, supplements or dyes for a few days, your urine is still orange, visit a urologist to see if any health issues can be causing the discoloration.

See also if you can make the orange go away by drinking 10, eight-ounce glasses of water a day.

If your medical insurance plan requires that you first see a primary care physician to get to a urologist, then don’t just stop at the primary care doctor; get a referral to a urologist.

Dr. Stephenson’s clinical and research focus is the treatment of prostate, bladder, kidney and testes cancer. He has published over 100 articles in peer-reviewed journals.
Lorra Garrick has been covering medical, health and personal security topics for many years, having written thousands of feature articles for a variety of print magazines and websites. She is also a former ACE-certified personal trainer.  


Top image: Shutterstock/Igor Nikushin

Drinking a Lot of Water but Barely Peeing: Causes, Solutions

Why Does My Urine Stink, Especially in the Morning?

What Causes Foamy Urine: Serious & Benign

Drink Tons of Water but Urine Is Still Dark Yellow?

Causes of White Specks or Particles in Urine: See a Doctor

When You Need to Worry About Cloudy Urine: Urologist Answers Questions

Air Bubbles from Pooping that Rise to the Surface and Pop

How to Tell if Your Urine Really IS Oily??

Causes of Dark or Brown Urine: Over a Dozen

Orange Urine vs. Dark Yellow: Telling the Difference