If the urine is coffee-colored, it is recommended to go to the hospital for further examination to clarify the specific causes.1. Infections of the urinary tract, such as purulent infections, pyelonephritis, renal abscess, cystitis, etc., may lead to coffee-colored urine, which is expressed as coffee-colored because it contains more pus cells or pus. It may also be accompanied by symptoms of frequent urination, urinary urgency, and painful urination. Most patients have abdominal pain, lumbar pain, and are accompanied by chills, high fever and other symptoms of systemic toxicity. Ultrasound examination of the urinary system and routine urine and urine culture tests are recommended to further determine the presence of infection and the presence of pus cavities, etc. 2. Tuberculosis of the urinary tract, often secondary to pulmonary tuberculosis, can present with coffee-colored urine discharged from the kidneys. It can also be accompanied by frequent urination, urgency, and even increased nocturia due to reduced bladder capacity. Patients tend to have a low-grade fever, which often manifests in the late afternoon, with a temperature not exceeding 38.5 degrees, accompanied by night sweats. A tuberculin test and a chest x-ray are required to confirm the diagnosis.