Urate Crystals

We have been finding orange smudges in our son’s urine-only diapers, what is causing this? This is not in every diaper but maybe 2 or 3 in a week. Should we be worried?

Dr. Greene’s Answer:

Orange smudges are usually urate crystals. They are normal, soft, like tiny cubes of Jell-O — sometimes smushed, and sometimes confused with drops of blood in the diaper.

These are more common when kids are a bit dehydrated, but they can show up in healthy babies at anytime.

It just comes from having lots of urate in the urine. Sometimes orange food or some medications (such as rifampin or phenazopyridine (Pyridium)) can also be the culprit for orange smudges in the diaper.

May 9, 2008

Dr. Alan Greene

Dr. Greene is the founder of DrGreene.com (cited by the AMA as “the pioneer physician Web site”), a practicing pediatrician, father of four, & author of Raising Baby Green & Feeding Baby Green. He appears frequently in the media including such venues as the The New York Times, the TODAY Show, Good Morning America, & the Dr. Oz Show.

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