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Urinary Tract

Urine Test

Test Overview

A urine test checks different components of urine, a waste product made by the kidneys. It checks the color, clarity (clear or cloudy), odor, concentration, and acidity (pH) of your urine. It also checks your levels of protein, sugar, blood cells, or other substances in your urine.

A urine test may be done to help find the cause of symptoms. The test can give information about your health and problems you may have.

The kidneys take out waste material, minerals, fluids, and other substances from the blood to be passed in the urine. Urine has hundreds of different body wastes. What you eat and drink, how much you exercise, and how well your kidneys work can affect what is in your urine.

More than 100 different tests can be done on urine.

Why It Is Done

A urine test may be done:

To check for a disease or infection of the urinary tract. The urinary tract includes the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), and the bladder. It also includes the tube that carries urine from the bladder to outside the body (urethra).
To check the treatment of conditions such as diabetes, kidney stones, a urinary tract infection (UTI), high blood pressure, or some kidney or liver diseases.
As part of a regular physical examination.

How To Prepare

Before the test, don't eat foods that can change the color of your urine. Examples of these include blackberries, beets, and rhubarb.
Don't do heavy exercise before the test.
Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your test. Your doctor will tell you if you should stop taking any of them before the test and how soon to do it.

How It Is Done

A urine test can be done in your doctor's office, clinic, or lab. Or you may be asked to collect a urine sample at home. Then you can take it to the office or lab for testing.

Clean-catch midstream urine collection

You will be asked to collect a clean-catch midstream urine sample for testing. The first urine of the day is best because bacteria levels will be higher.

Wash your hands before collecting the urine.
If the container has a lid, remove the lid and set it down with the inner surface up.
Clean the area around your penis or vagina.
Start to urinate into the toilet or urinal.
After the urine has flowed for several seconds, place the collection container in the stream. Collect about 2 ounces (a quarter cup) of this "midstream" urine without stopping the flow.
Don't touch the rim of the container to your genital area.
Finish urinating into the toilet or urinal.
Carefully replace the lid on the container.
Wash your hands.

Double-voided urine sample collection

This method collects the urine your body is making right now.

Urinate into the toilet or urinal. Don't collect any of this urine.
Drink a large glass of water, and wait about 30 to 40 minutes.
Then get a urine sample. Follow the instructions above for collecting a clean-catch urine sample.
Take the urine sample to the lab. If you are collecting the urine at home and can't get it to the lab in an hour, refrigerate it.

How It Feels

This test usually doesn't cause any pain or discomfort.

Risks

There are no known risks from having this test.

Results

A urine test brings back many different types of results. These include color, clarity (is it clear or cloudy?), odor, and pH (how acidic or alkaline the urine is). Urine tests can also check for protein and sugar (glucose).

Results can be normal or abnormal. Your doctor will explain all the results to you and what they may mean for your health.

Urine test results
Color	Abnormal: Many foods and medicines can affect the color of the urine. Urine with no color may be caused by long-term kidney disease or uncontrolled diabetes. Red urine can be caused by blood in the urine.
Color	Normal: Pale to dark yellow
Clarity	Normal: Clear
Clarity	Abnormal: Cloudy urine can be caused by pus (white blood cells), blood (red blood cells), sperm, bacteria, yeast, crystals, mucus, or a parasite infection, such as trichomoniasis.
Odor	Normal: Slightly "nutty" odor
Odor	Abnormal: Some foods (such as asparagus), vitamins, and antibiotics (such as penicillin) can cause urine to have a different odor. A sweet, fruity odor may be caused by uncontrolled diabetes. A urinary tract infection (UTI) can cause a bad odor. Urine that smells like maple syrup can mean maple syrup urine disease, when the body can't break down certain amino acids.
Specific gravity	Normal: 1.005–1.030^{footnote 1}
Specific gravity	Abnormal: A very high specific gravity means very concentrated urine, which may be caused by not drinking enough fluid, loss of too much fluid (excessive vomiting, sweating, or diarrhea), or substances (such as sugar or protein) in the urine. Very low specific gravity means dilute urine, which may be caused by drinking too much fluid, severe kidney disease, or the use of diuretics.
pH	Normal: 4.6–8.0^{footnote 1}
pH	Abnormal: Some foods (such as citrus fruit and dairy products) and medicines (such as antacids) can affect urine pH. A high (alkaline) pH can be caused by severe vomiting, a kidney disease, some urinary tract infections, and asthma. A low (acidic) pH may be caused by severe lung disease (emphysema), uncontrolled diabetes, aspirin overdose, severe diarrhea, dehydration, starvation, drinking too much alcohol, or drinking antifreeze (ethylene glycol).
Protein	Normal: None
Protein	Abnormal: Protein in the urine may mean that kidney damage (such as caused by high blood pressure or diabetes), an infection, cancer, systemic lupus erythematosus (SLE), or glomerulonephritis is present. Protein in the urine may also mean that heart failure, leukemia, poison (lead or mercury poisoning), or preeclampsia (if you are pregnant) is present.
Glucose	Normal: 1–15 milligrams per deciliter (mg/dL) or 60–830 micromoles per liter (mcmol/L) in a 24-hour sample.^{footnote 1} A one-time urine collection, if normal, will be negative for glucose.^{footnote 1}
Glucose	Abnormal: Intravenous (IV) fluids can cause glucose to be in the urine. Too much glucose in the urine may be caused by uncontrolled diabetes, an adrenal gland problem, liver damage, brain injury, certain types of poisoning, and some types of kidney diseases. Healthy pregnant women can have glucose in their urine, which is normal during pregnancy.
Ketones	Normal: None
Ketones	Abnormal: Ketones in the urine can mean uncontrolled diabetes, a very low-carbohydrate diet, starvation or eating disorders (such as anorexia nervosa or bulimia), alcohol use disorder, or poisoning from drinking rubbing alcohol (isopropanol). Ketones are often found in the urine when a person does not eat (fasts) for 18 hours or longer. This may occur when a person is sick and cannot eat or vomits for several days. Low levels of ketones are sometimes found in the urine of healthy pregnant women.
Microscopic analysis	Normal: Very few or no red or white blood cells or casts are seen. No bacteria, yeast cells, parasites, or squamous cells are present. A few crystals are normally seen.
Microscopic analysis	Abnormal: Red blood cells in the urine may be caused by kidney or bladder injury, kidney stones, a urinary tract infection (UTI), inflammation of the kidneys (glomerulonephritis), a kidney or bladder tumor, or systemic lupus erythematosus (SLE). White blood cells (pus) in the urine may be caused by a urinary tract infection, bladder tumor, inflammation of the kidneys, systemic lupus erythematosus (SLE), or inflammation in the vagina or under the foreskin of the penis. Depending on the type, casts can mean inflammation or damage to the tiny tubes in the kidneys, poor blood supply to the kidneys, metal poisoning (such as lead or mercury), heart failure, or a bacterial infection. Large amounts of crystals, or certain types of crystals, can mean kidney stones, damaged kidneys, or problems with metabolism. Some medicines and some types of urinary tract infections can also increase the number of crystals in urine. Bacteria in the urine mean a urinary tract infection (UTI). Yeast cells or parasites (such as the parasite that causes trichomoniasis) can mean an infection of the urinary tract. The presence of squamous cells may mean that the sample is not as pure as it needs to be. These cells do not mean there is a medical problem, but your doctor may ask that you give another urine sample.
Volume	Normal: 800–2,500 milliliters (mL) per 24 hours.^{footnote 1}

Related Information

Medical Tests: Questions to Ask the Doctor

References

Citations
Fischbach FT, Dunning MB III, eds. (2009). Manual of Laboratory and Diagnostic Tests, 8th ed. Philadelphia: Lippincott Williams and Wilkins.

Credits

Current as of: June 27, 2022

Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine
E. Gregory Thompson MD - Internal Medicine
Martin J. Gabica MD - Family Medicine

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