Urinalysis is the physical, chemical, and microscopic examination of urine. It involves a number of tests to detect and measure various compounds that pass through the urine.
How the Test is Performed
A urine sample is needed. Your health care provider will tell you what type of urine sample is needed. Two common methods of collecting urine are 24-hour urine collection and clean catch urine specimen.
The sample is sent to a lab, where it is examined for the following:
PHYSICAL COLOR AND APPEARANCE
How the urine sample looks to the naked eye:
- Is it clear or cloudy?
- Is it is pale, or dark yellow, or another color?
The urine sample is examined under a microscope to:
- Check if there are any cells, urine crystals, urinary casts, mucus, and other substances.
- Identify any bacteria or other germs.
CHEMICAL APPEARANCE (urine chemistry)
- A special strip (dipstick) is used to test for substances in the urine sample. The strip has pads of chemicals that change color when they come in contact with substances of interest.
Examples of specific urinalysis tests that may be done to check for problems include:
How to Prepare for the Test
Certain medicines change the color of urine, but this is not a sign of disease. Your provider may tell you to stop taking any medicines that can affect test results.
Medicines that can change your urine color include:
- Iron supplements
How the Test will Feel
The test involves only normal urination, and there is no discomfort.
Why the Test is Performed
Normal urine varies in color from almost colorless to dark yellow. Some foods, such as beets and blackberries, may turn urine red.
Usually, glucose, ketones, protein, and bilirubin are not detectable in urine. The following are not normally found in urine:
- Red blood cells
- White blood cells
Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.
There are no risks with this test.
If a home test is used, the person reading the results must be able to tell the difference between colors, because the results are interpreted using a color chart.
Urine appearance and color; Routine urine test; Cystitis - urinalysis; Bladder infection - urinalysis; UTI - urinalysis; Urinary tract infection - urinalysis; Hematuria - urinalysis
Chernecky CC, Berger BJ. Urinalysis (UA) - urine. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. St Louis, MO: Elsevier Saunders; 2013:1146-1148.
Riley RS, McPherson RA. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed. St Louis, MO: Elsevier; 2017:chap 28.
- Acute nephritic syndrome
- Acute tubular necrosis
- Alport syndrome
- Analgesic nephropathy
- Atheroembolic renal disease
- Bladder stones
- Chronic kidney disease
- Congenital nephrotic syndrome
- Dementia due to metabolic causes
- Diabetes and kidney disease
- Diabetes insipidus - central
- Distal renal tubular acidosis
- Failure to thrive
- Focal segmental glomerulosclerosis
- Goodpasture syndrome
- Granulomatosis with polyangiitis
- Heart failure - overview
- Hemolytic-uremic syndrome
- Henoch-Schönlein purpura
- IgA nephropathy
- Injury - kidney and ureter
- Interstitial nephritis
- Lupus nephritis
- Malignant hypertension
- Medullary cystic kidney disease
- Membranoproliferative glomerulonephritis
- Membranous nephropathy
- Necrotizing vasculitis
- Nephrotic syndrome
- Ovarian cancer
- Paroxysmal nocturnal hemoglobinuria (PNH)
- Polycystic kidney disease
- Post-streptococcal glomerulonephritis (GN)
- Prerenal azotemia
- Primary amyloidosis
- Prostate cancer
- Prostatitis - bacterial
- Protein in diet
- Proximal renal tubular acidosis
- Reflux nephropathy
- Renal papillary necrosis
- Renal vein thrombosis
- Retrograde ejaculation
- Secondary systemic amyloidosis
- Stress urinary incontinence
- Systemic lupus erythematosus
- Traumatic injury of the bladder and urethra
- Type 1 diabetes
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- Urethral stricture
- Urge incontinence
- Urinary tract infection - adults
- Urinary tract infection - children
- Urine - bloody
- Vitamin C
- Wilms tumor
Review Date 1/26/2017
Updated by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.