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A 19-year-old female asked:

my urine is a dark orange almost red color i cant tell if its blood or not, i am a 19 year old female, urine changes color after drinking water to a light pale yellowish clear then goes back to orange after a couple hours.. ? nothing hurts me

1 doctor answer1 doctor weighed in
Dr. Aruna Adaikkalam
Internal Medicine 38 years experience
See hematologist: Dark or reddish-brown urine is often an early symptom of an Acute intermittent porphyria, a condition from abnormal breakdown of red blood cells from enzyme defect.It may be mistaken for hematuria [blood in the urine] The abnormal color is due to accumulation of pigments called porphyrins and/or porphobilin in the urine. The abnormal urine coloration may lessen or return to normal between attacks.

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