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What is Urine Routine test?

Urine routine tests, also known as urine complete tests, are commonly ordered to check the physical, chemical, and microscopic aspects of urine. They can detect conditions such as kidney disease, diabetes, urinary tract infections, and liver disease and provide important insight into overall health. These tests are also used for monitoring existing conditions, drug analysis, pre-surgical evaluations, and during pregnancy checkups. A healthcare professional analyzes the urine’s color, appearance, microscopic findings, and chemical composition, making it a simple and non-invasive procedure for assessing a person’s health.

What is Urine Routine examination used for?

A urine routine test is used to detect different conditions, like kidney diseases such as kidney stones, urinary tract infections, liver diseases, and diabetes. It helps diagnosis of symptoms like stomach pain, painful urination, or blood in the urine. Additionally, it is used for monitoring kidney disease progression and identifying urinary tract infections.

Understanding the Urine Routine Test Results

test provides valuable information such as the clarity of the urine (clear, turbid, cloudy), and the presence or absence of substances like glucose or nitrate. Additionally, the presence of red blood cells or bacteria is categorized as few, moderate, or many. It is important to consult a healthcare professional for accurate interpretation and further guidance. 

The normal values in a urine routine test are as follows:

  • Colour: yellow, ranging from light to deep amber.
  • Clarity (turbidity): clear or cloudy.
  • pH: 4.5-8.
  • Specific gravity: 1.005-1.025.
  • Glucose: at or below 130 mg/dL.
  • Ketones, bacteria, yeast: none.
  • Nitrates, bilirubin, leukocyte esterase: negative.
  • Urobilirubin: 0.5-1 mg/dL.
  • Blood: at or below three red blood cells (RBC).
  • Protein: at or below 150 mg/dL.
  • RBCs: at or below 2 RBCs/HPF.
  • WBCs: 2-5 WBCs/HPF.
  • Squamous epithelial cells: 15-20 cells/HPF.
  • Casts: 0-5 hyaline casts/LPF.
  • Crystals: occasionally.

It’s important to note that reference ranges for urine routine tests may slightly vary across different laboratories.

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Frequently Asked Questions:

Why do I need a Urine Routine?

A urine routine test is necessary if the patient has symptoms of a urinary tract infection, such as pain while urination, blood in urine, or abdominal pain. It is also used to screen and monitor various conditions including kidney disease, liver disease, diabetes, and urinary tract infections. In certain cases, a urinalysis may be conducted for drug analyses or during pregnancy, although it differs from a standard urine routine test. Additionally, it may be performed during hospital admissions.

What is the procedure for a Urine Routine Test?

Patients are asked to collect at least 30-60 ml of their urine sample in a clean container given by the laboratory. Before collecting the sample, patients should make sure that they have cleaned their urinary openings. The collected urine sample is then sent to the laboratory for analysis. The results are typically available within 24-36 hours. Fasting is not required before a urine routine test.

Can urine routine tests detect UTIs?

Yes, urine tests are commonly used to detect urinary tract infections (UTIs). UTIs can manifest as various types, such as bladder infections, urethritis, pyelonephritis, cystitis, and vaginitis. Symptoms of UTIs may include fever, chills, abdominal and lower back pain, and nausea. Urine tests are a valuable tool for diagnosing UTIs and guiding appropriate treatment.

What should not be found in urine?

In a normal urine analysis, elevated levels of ketones, bacteria, yeast, protein, glucose, bilirubin, nitrates, hemoglobin, red blood cells (RBCs), and white blood cells (WBCs) are not typically present, indicating a healthy state. However, absence of these substances does not guarantee overall wellness, and further medical evaluation may be necessary for a comprehensive assessment.

How do you know if you have a urine infection report?

A urine routine test can indicate the presence of bacteria, blood, or glucose, which may suggest a UTI. However, a definitive diagnosis requires a urine culture, which identifies the specific bacteria causing the infection. Consulting a healthcare professional is essential for the proper interpretation of the urine test report and for determining the need for treatment.

What infections can be found in urine?

The urine routine test can detect various infections in urine, including urinary tract infections (UTIs) caused by bacteria such as Escherichia coli (E. coli), as well as other types of bacterial, fungal, or viral infections in the urinary system. The test can also identify other abnormalities like kidney or bladder inflammation. Proper medical evaluation and further testing may be required to confirm the specific infection and guide appropriate treatment.

What diseases can be diagnosed by testing urine?

Testing urine can aid in diagnosing various conditions, including kidney diseases such as kidney stones, urinary tract infections, and certain liver diseases. Additionally, it can provide insights into certain systemic conditions like poorly controlled diabetes.

Can routine urine tests detect STDs?

Routine urine tests do not usually detect sexually transmitted diseases (STDs). However, specific urine tests, such as nucleic acid amplification tests (NAATs), can detect certain STDs like chlamydia and gonorrhea. Consult a healthcare professional for appropriate STD testing and guidance if you suspect an infection.
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