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    What Is a Urine Routine Test?

    The Urine Routine test is a diagnostic tool used to assess substances in urine, such as by-products of metabolism, cells, and bacteria. The kidneys remove waste from the blood, regulate the body’s fluid balance, and excrete unnecessary substances through urine. Changes in normal urine constituents, such as abnormal levels of glucose, protein, blood, or bacteria in urine, can indicate conditions such as diabetes kidney or liver diseases, infections, cancer, or metabolic disorders. - The Urine Routine test helps detect these abnormalities, aiding in their diagnosis and treatment.

    The test consists of three parts: visual examination (assesses colour and clarity), chemical examination (detects substances like glucose and protein), and microscopic examination (identifies cells and crystals).

    Urine Routine Test Price

    The Urine Routine test is an affordable diagnostic test that can be easily scheduled and has the option for home-based sample collection. With Orange Health Labs, you can conveniently have your blood sample collected from home, ensuring a hassle-free testing experience. However, the Urine Routine test cost may differ depending on your location and the diagnostic centre you choose. The Urine Routine test prices across various cities are as follows:

    Urine Routine Test Cost Across India

    Preparations for the Urine Routine Test

    Preparing for a Urine Routine test is convenient with these simple steps:

    • No need to fast unless instructed to do so by your doctor for specific conditions.

    • Limit foods like beets, blackberries, and asparagus that can affect urine colour and odour.

    • Inform your doctor about any medications or supplements, as they may alter test results.

    Urine Routine Test Procedure

    The Urine Routine test is a non-invasive simple test, in which you will be asked to provide a urine sample, usually in the morning when the urine is most concentrated. The procedure typically involves the following steps:

    • You will need to wash your hands thoroughly with warm water and soap.

    • Next, clean the genital area using the provided sterile wipes to ensure a contamination-free sample.

    • For the test, a midstream urine sample is required. Begin urinating into the toilet, pause, then collect urine in the sterile container until it is about half full.

    • Once you have collected the sample, finish urinating into the toilet.

    • Securely fasten the lid, being careful not to touch the inside of the container or lid.

    • After collection, return the sample to the eMedic immediately for further analysis.

    • The results will typically be made available to you within 6 hours of sample collection.

    Why Take the Urine Routine Test?

    The Urine Routine test may be done for several reasons, as follows:

    • Routine screening for metabolic, kidney, and urinary tract disorders.

    • Detecting conditions like diabetes, kidney disease, or urinary tract infections (UTIs) early, to allow timely intervention.

    • Monitoring of health conditions and assessing treatment progress.

    • Assessing symptoms, such as pain, swelling, or changes in urination.

    • Checking for pregnancy-related complications like preeclampsia or gestational diabetes.

    • Pre-surgical or hospital admission screening.

    Who Should Take the Urine Routine Test?

    The Urine Routine test is recommended for:

    • Individuals with abnormal urine patterns (e.g., changes in colour, odour, or consistency) or a history of kidney stones.

    • Individuals undergoing routine health checkups or preparing for surgery/hospitalisation.

    • People with symptoms of UTIs, kidney disease, or diabetes.

    • Those with a family history of kidney disease, diabetes, or metabolic disorders.

    • Pregnant women to check for preeclampsia or gestational diabetes.

    • Individuals with chronic conditions (e.g., high blood pressure and heart disease) to monitor kidney function.

    Urine Routine Test Results and Interpretation

    Here is how the results of the Urine Routine test can be interpreted based on its visual appearance, chemical composition, and microscopic content:

    Visual Appearance

    Test ParameterNormal AppearanceInterpretation of Results
    ColourPale yellow to amberA red, brown, dark yellow, or other unusual colour may indicate blood in urine (haematuria), dehydration, liver disease or could be caused by certain foods like beetroot
    ClarityClear to slightly cloudyCloudy or turbid may indicate an infection (e.g., urinary tract infection), proteinuria, presence of crystals, mucus, or bacteria
    ConcentrationPale yellow (dilute) to dark amber (concentrated)Dark amber or colourless urine (if excessively concentrated or dilute) may indicate dehydration, overhydration, kidney disease, or diabetes

    Chemical Composition

    Test ParameterBiological Reference RangeInterpretation of Results
    Specific Gravity1.002 to 1.035Higher values may indicate dehydration, excessive fluid intake, kidney disease, or diabetes
    pH4.5 to 8.0Abnormal values may be caused by diet (e.g., high protein may lead to acidic pH while vegetarian may lead to alkaline pH) or kidney dysfunction
    ProteinNegative or traceElevated values may indicate kidney disease, urinary tract infection (UTI), or excessive physical exertion
    GlucoseNegativeElevated values may indicate uncontrolled diabetes, kidney dysfunction, or hormonal disorders
    KetonesNegativePresence of ketones may indicate starvation, diabetes, a ketogenic diet, or severe exercise
    Blood (Haemoglobin)NegativePresence of haemoglobin may indicate urinary tract injury, kidney disease, infection, or trauma
    Leukocytes (WBCs)NegativeElevated leukocyte values may indicate conditions like a UTI and kidney infection
    NitriteNegativePresence of nitrite may indicate UTIs caused by certain bacteria
    BilirubinNegativePresence of bilirubin may indicate liver disease, hepatitis, or biliary obstruction
    Urobilinogen0.2 to 1.0 mg/dLElevated values may indicate liver disease, haemolysis, or hepatic obstruction

    Microscopic Content

    Test ParameterReference Range/AppearanceInterpretation
    Red Blood Cells (RBCs)Few (0-5 per high-power field [HPF])Elevated values may indicate urinary tract injury, kidney disease, stones, infections, or menstruation
    White Blood Cells (WBCs)Few (0-5 per HPF)Elevated values may indicate urinary tract infection (UTI), kidney infection, or inflammation
    Epithelial CellsFew (0-5 per HPF)Elevated values may indicate bladder infection, urinary tract infection or inflammation, or cancers
    MicroorganismsNonePresence of bacteria, yeast, or trichomonads may indicate a UTI, yeast infection, or contamination of the urine sample
    CastsFew (0-5 per low-power field)Presence of RBC casts, WBC casts, granular, fatty, or waxy casts may indicate kidney conditions like glomerulonephritis, pyelonephritis, and nephrotic syndrome
    CrystalsOccasional, amorphous urates, oxalatesPresence of crystals may indicate conditions like liver disease, kidney diseases, and urinary stones

    What Does the Urine Routine Test Measure?

    The Urine Routine test measures components in urine to assess health conditions. It includes a visual examination for colour and clarity; a chemical examination for substances like glucose, protein, and blood; and a microscopic examination for cells, crystals, and microorganisms. This test helps detect issues such as dehydration, infections, kidney disease, and metabolic disorders like diabetes.

    Signs that may indicate the need for a Urine Routine test include:

    • Pain or discomfort while urinating

    • Frequent urination or urgent need to urinate

    • Blood in the urine (haematuria)

    • Cloudy or foul-smelling urine

    • Foamy or frothy urine (indicates the presence of protein)

    • Swelling or puffiness, especially around the eyes or ankles

    • Pain in the lower back or abdomen

    • Unexplained weight loss or fatigue

    • Increased thirst or frequent urination (common in diabetes)

    • Fever or chills (possible sign of infection)

    • Abnormal urine colour (red, brown, or dark yellow)

    Urine Routine Test Normal Range

    The Urine Routine test provides valuable information about a person’s health by assessing the various aspects of urine.

    In a normal urine sample, the specific gravity should range from 1.002 to 1.035, and the pH level should be between 4.5 and 8.0. There should be no glucose, protein, or blood present in the urine. Red blood cells (RBCs) and white blood cells (WBCs) should be found in very small amounts, typically 0-5 per high-power field. Urine may contain occasional amorphous crystals like urates or calcium oxalates. Epithelial cells should be present in low numbers, and there should be no microorganisms such as bacteria, yeast, or trichomonads. Bilirubin should not be present in urine and urobilinogen should only be present in low levels, ranging from 0.2 to 1.0 mg/dL.

    These normal ranges help doctors evaluate kidney function and hydration status and detect any potential infections or metabolic issues.

    Factors That Affect Your Urine Routine Test Results

    Several lifestyle factors, medications, and medical conditions can influence Urine Routine values, leading to variations in test results as described below:

    • Dietary factors : Certain foods (beets, blackberries, asparagus) can change urine colour and odour. Caffeine and alcohol may cause dehydration, while high-protein diets lower urine pH and high vitamin C intake can cause false negatives.

    • Medications and supplements : Diuretics, blood pressure medicines, and pain relievers can alter urine volume, specific gravity, and protein levels. Antibiotics can affect bacteria, leukocytes, and nitrites. Vitamins may change urine colour or pH.

    • Hydration : Dehydration leads to darker, concentrated urine with high specific gravity, while overhydration dilutes urine and lowers specific gravity.

    • Health conditions : Diabetes can cause glucose or ketones in urine. Kidney disease may lead to abnormal substances, while UTIs can bring bacteria, white blood cells, and nitrites. Liver disease may cause bilirubin or urobilinogen.

    • Urine collection and storage : Improper sample collection (e.g., contamination from menstrual blood) or delays in testing can affect test results.

    • Physical Activity : Intense exercise may increase proteins or blood cells in urine due to muscle breakdown.

    When to Seek Medical Advice Based on Urine Routine Test Results

    Seek medical advice if your Urine Routine test shows any abnormalities, as they may indicate underlying health conditions. Key findings to watch for include:

    • Blood in the urine: May suggest kidney stones, infections, or, in rare cases, cancer.

    • High protein levels: Could indicate kidney disease, heart disease, or diabetes.

    • Glucose in the urine: May be an early sign of diabetes.

    • Abnormal pH levels: Can signal kidney disease or metabolic disorders.

    • High specific gravity: Might suggest dehydration or kidney dysfunction.

    • White blood cells or bacteria: Often indicate a urinary tract infection (UTI).

    • Bilirubin in the urine: Could be a sign of liver disease.

    • Ketones in the urine: May suggest uncontrolled diabetes or a low-carbohydrate diet.

    • Crystals or casts in the urine: Could be linked to kidney stones or other kidney problems.

    If any of these abnormalities are detected on your Urine Routine test, consult a doctor for further evaluation and treatment.

    Advantages of Early Testing

    The Urine Routine Test offers several key benefits, including:

    • Early detection of health issues : A Urinalysis test can identify early signs of conditions like diabetes, kidney disease, UTIs, and liver disease before symptoms appear.

    • Monitoring chronic conditions : It helps track the progression of ongoing conditions like diabetes, kidney disease, or heart disease, ensuring proper management and treatment.

    • Non-invasive and quick : It is a simple, non-invasive test that requires only a urine sample, making it easy and quick to perform with immediate results.

    • Cost-effective : The test is affordable compared to other diagnostic tests, providing valuable health insights without a high cost.

    • Routine health screening : It is commonly used as part of routine health exams, helping to catch potential health issues early on and prevent more serious complications.

    • Assessing kidney function : It provides valuable information about kidney health, helping to detect early signs of kidney dysfunction or damage.

    • Detecting infections : The test can identify UTIs and other infections, enabling timely treatment to prevent complications.

    Common Conditions Diagnosed by the Urine Routine Test

    The Urine Routine test can help diagnose various conditions, including:

    • Urinary tract infections : Bacteria and white blood cells in urine indicate infection.

    • Kidney disease : Abnormal substances in urine like protein or blood may suggest kidney damage.

    • Diabetes and high blood pressure : Glucose or protein in urine may indicate uncontrolled diabetes or kidney damage from hypertension.

    • Liver disease : High bilirubin levels in urine suggest liver problems.

    • Dehydration : High specific gravity may indicate dehydration.

    • Pregnancy complications : Protein or glucose in urine can indicate gestational diabetes or preeclampsia.

    • Kidney stones and metabolic disorders : Crystals, blood, or abnormal metabolites can indicate kidney stones or conditions like phenylketonuria.

    Risk Factors for Abnormal Urine Routine Levels

    Several risk factors can contribute to abnormal values on Urine Routine, which may indicate underlying health conditions. These include:

    • Age and gender : Older adults and women (more prone to UTIs) are at higher risk for kidney disease and urinary issues, leading to abnormal results on the test.

    • Chronic health conditions and family history : Diabetes, high blood pressure, kidney disease, and a family history of these conditions can lead to abnormal test results.

    • Dehydration, diet, and medications : Poor hydration, a high-protein diet, excessive salt intake, and certain medications can affect urine concentration and composition.

    • Pregnancy and infections : Pregnancy-related hormonal changes may cause protein or glucose in the urine, while UTIs or kidney infections can increase white blood cells, bacteria, or blood in the urine.

    • Lifestyle factors : Smoking, obesity, and overexertion contribute to kidney disease and metabolic disorders, influencing urine test results.

    Complications of Untreated Abnormal Urine Routine Levels

    Untreated abnormal Urine Routine levels can lead to a variety of complications, depending on the underlying condition. Some of the potential complications include:

    • Kidney damage and UTIs : Abnormal substances in urine, like bacteria or protein, can signal kidney disease or UTIs, potentially leading to kidney failure if untreated.

    • High blood pressure and heart disease : Protein in urine may indicate kidney issues, which can increase the risk of heart disease and stroke.

    • Diabetes and electrolyte imbalance : Glucose in urine suggests uncontrolled diabetes, while imbalanced sodium or potassium levels may point to kidney problems, affecting heart and muscle function.

    • Liver disease and dehydration : Abnormal bilirubin levels may indicate liver issues, while high specific gravity can signal dehydration, both leading to further complications.

    • Gestational and metabolic disorders : Protein or glucose in urine during pregnancy can signal preeclampsia or gestational diabetes, while conditions like phenylketonuria can cause developmental delays if undiagnosed.

    • Increased risk of heart disease : Chronic kidney dysfunction linked to abnormal test findings can raise heart disease risk.

    How to Maintain Healthy Lifestyle

    Maintaining healthy Urine Routine levels involves adopting several lifestyle habits that support kidney health and overall health:

    • Stay hydrated and eat a balanced diet : Drink plenty of water and focus on a diet rich in fruits, vegetables, lean proteins, and whole grains while limiting salt, sugar, and processed foods.

    • Exercise regularly and maintain a healthy weight : Physical activity helps control weight, blood pressure, and blood sugar, reducing the risk of kidney disease and other conditions.

    • Monitor blood pressure, blood sugar, and manage stress : Keeping these in check prevents kidney damage, while managing stress supports overall health.

    • Avoid smoking & limit alcohol : Smoking and excessive alcohol can harm kidney and urinary health.

    • Monitor medications : Be aware of how medications like diuretics or NSAIDs affect urine.

    • Check for underlying conditions : Get regular checkups done to monitor kidney function, especially for diabetes or hypertension.

    Testing During Special Conditions

    Testing during certain conditions may require specific considerations or adjustments to ensure accurate results for the Urine Routine test, as follows:

    • Pregnancy : This is one of the tests used to monitor for conditions like preeclampsia or gestational diabetes. Protein or glucose in the urine could indicate these conditions. Pregnant women may need additional tests to monitor kidney function and urinary health closely.

    • Hospitalisation : Used regularly to monitor kidney function and fluid balance and detect infections, especially if the individual is critically ill or undergoing surgery.

    • Chronic Kidney Disease : Helps monitor kidney function, check for protein in the urine, and track disease progression.

    • Diabetes : Helps check for glucose or protein in the urine, which could indicate uncontrolled diabetes or kidney complications.

    • Medications : Some medications (e.g., antibiotics) can affect test results. In these cases, check with your doctor regarding the timing of the test and any other instructions before doing the test.

    • Post-Surgery : After surgery, especially abdominal or urinary tract surgery, the test helps monitor for signs of infection, kidney problems, or complications.

    • Urinary Tract Infections : Performed to confirm the presence of infection and identify the bacteria causing it.

    Urine Routine Test Details

    Test NameUrine Complete Analysis Test
    PriceThe Urine Routine Test price is ₹250.
    Also Known AsUrinalysis, Urine Routine, Urine Routine and Microscopy (R/M), Complete Urine Examination (CUE), and Urine Test
    PurposeTo measure different components of a urine sample
    Pre-test InformationFasting is not required for a Urine Routine.
    Report DeliveryGet reports within 6 hours.
    FrequencyAs prescribed by your doctor.
    Home TestingYes, home urine sample collection in 60 minutes from booking.
    Sample RequiredA urine sample is required for a Urine Routine Test.

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    FAQs on Urine Routine Test

    1. What is the Cost of Urine Routine test across India?

    • Urine Routine test Cost in Bangalore: ₹ 250

    • Urine Routine test Price in Delhi: ₹ 150

    • Urine Routine test Cost in Gurgaon: ₹ 150

    • Urine Routine test Price in Hyderabad: ₹ 250

    • Urine Routine test Cost in Mumbai: ₹ 180

    • Urine Routine test Price in Noida: ₹ 150

    2. What does a Urine Routine test result mean?

    A Urine Routine test result can indicate potential health issues, but abnormal findings don’t always indicate a serious condition. Normal results do not rule out illness either, as urinalysis is just one tool for evaluating health. Your doctor will consider the results along with your symptoms and other health information for a complete diagnosis.

    3. How long do the Urine Routine test results take?

    The Urine Routine test results will be available in 6 after sample collection.

    4. How is a Urine Routine test used?

    A Urine Routine test is used to screen for and diagnose various metabolic and kidney disorders. The test can detect substances like protein or glucose in urine, often before symptoms appear. It helps identify urinary tract infections and other urinary tract issues. Additionally, urinalysis can monitor the progress of certain conditions, although it cannot detect all disorders.

    5. When is a Urine Routine requested?

    A Urine Routine may be requested during routine check-ups, pregnancy evaluations, hospital visits, or surgery preparation. It’s also done if you have symptoms like pain, frequent urination, or blood in the urine, and to monitor the progress of certain conditions.

    6. Is fasting required for the Urine Routine?

    Fasting is generally not required for a Urine Routine test. However, it’s important to follow any specific instructions your doctor gives you before the test, especially if you are having other tests along with it. For example, fasting might be needed if you are also having some other blood tests done.

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