Urine Test

Urinalysis

Results

A urine test checks different components of urine, a waste product made by the kidneys. Normal results may vary from lab to lab.

Urine test results

Colour	Normal:	Pale to dark yellow
	Abnormal:	Many foods and medicines can affect the colour of the urine. Urine with no colour may be caused by long-term kidney disease or uncontrolled diabetes. Dark yellow urine can be caused by dehydration. Red urine can be caused by blood in the urine.
Clarity	Normal:	Clear
	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.
Odour	Normal:	Slightly "nutty" odour
	Abnormal:	Some foods (such as asparagus), vitamins, and antibiotics (such as penicillin) can cause urine to have a different odour. A sweet, fruity odour may be caused by uncontrolled diabetes. A urinary tract infection (UTI) can cause a bad odour. Urine that smells like maple syrup can mean maple syrup urine disease, when the body cannot break down certain amino acids.
Specific gravity	Normal:	1.005–1.030
	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
	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, ASA overdose, severe diarrhea, dehydration, starvation, drinking too much alcohol, or drinking antifreeze (ethylene glycol).
Protein	Normal:	None
	Abnormal:	Protein in the urine may mean kidney damage, an infection, cancer, high blood pressure, diabetes, systemic lupus erythematosus (SLE), or glomerulonephritis is present. Protein in the urine may also mean heart failure, leukemia, poison (lead or mercury poisoning), or a high blood pressure during pregnancy (pre-eclampsia) is present.
Glucose	Normal:	None
	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
	Abnormal:	Ketones in the urine can mean uncontrolled diabetes, a very low-carbohydrate diet, starvation or eating disorders (such as anorexia nervosa or bulimia), alcoholism, 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, or parasites are present. A few crystals are normally seen.
	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 tumour, or systemic lupus erythematosus (SLE). White blood cells (pus) in the urine may be caused by a urinary tract infection, bladder tumour, 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.

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Author:	Jan Nissl, RN, BS	Last Updated: January 10, 2007
Medical Review:	Martin Gabica, MD - Family Medicine Avery L. Seifert, MD - Urology Andrew Swan, MD, CCFP, FCFP - Family Medicine
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