Merck Manual

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Gas in Urine

By

Geetha Maddukuri

, MD, Saint Louis University

Reviewed/Revised Dec 2022
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Passing gas (air) in the urine, a rare symptom, usually indicates an abnormal opening (fistula) between the urinary tract and the intestine, which normally contains gas. A fistula may be a complication of diverticulitis Diverticulitis Diverticulitis is inflammation of one or more balloon-like sacs (diverticula). Infection may or may not develop. Diverticulitis usually affects the large intestine (colon). Left lower abdominal... read more Diverticulitis , other types of intestinal inflammation, an abscess, or cancer. A fistula between the bladder and the vagina may also cause gas to escape into the urine. Rarely, certain bacteria in the urine may produce gas.

Fistulas are usually repaired surgically.

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