Dark Urine

Dark urine is most often a sign of dehydration, but it can also signal liver disease, blood in the urine, or other conditions. Color and timing offer important clues.

Quick Facts

  • ICD-10: R82.99

Common Causes

  • Dehydration (concentrated urine)
  • Liver disease — tea or cola-colored urine, often with jaundice
  • Blood in urine (urinary infection, stones, kidney disease, cancer)
  • Muscle breakdown (rhabdomyolysis)
  • Hemolysis (red blood cell breakdown)
  • Medications (rifampin, phenazopyridine, some chemotherapy)
  • Foods (beets, blackberries, fava beans)

When to See a Doctor

  • Persistent dark urine despite hydration
  • Yellowing of skin or eyes
  • Pain or burning with urination
  • Back or abdominal pain
  • Cola or tea-colored urine (especially after intense exercise)
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • Mayo Clinic. Urine Color Resources.