Urine specific gravity test
Urine density
Urine specific gravity is a laboratory test that shows the concentration of all chemical particles in the urine.
How the Test is Performed
After you provide a urine sample, it is tested right away. The health care provider uses a dipstick made with a color-sensitive pad. The color the dipstick changes to will tell the provider the specific gravity of your urine. The dipstick test gives only a rough result. For a more accurate result, your provider may send your urine sample to a lab.
How to Prepare for the Test
Your provider will ask you to temporarily stop taking any medicines that may affect the test results. These may include dextran and sucrose. Be sure to tell your provider about all the medicines you take. DO NOT stop taking any medicine before talking to your provider.
Also tell your provider if you recently received intravenous dye (contrast medium) for an x-ray. Contrast dye can also affect test results.
How the Test will Feel
The test involves only normal urination. There is no discomfort.
Why the Test is Performed
This test helps evaluate your body's water balance and urine concentration.
Normal Results
Osmolality is a more specific test for urine concentration. The urine specific gravity test is easier and more convenient, and is usually part of a routine urinalysis . The osmolality test may not be needed.
Osmolality
The osmolality urine test measures the concentration of particles in urine. Osmolality can also be measured using a blood test.
Urinalysis
Urinalysis is the physical, chemical, and microscopic examination of urine. It involves a number of tests to detect and measure various compounds th...
Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.
What Abnormal Results Mean
Increased urine specific gravity may be due to conditions such as:
-
Loss of body fluids (
dehydration
)
Dehydration
Dehydration occurs when your body does not have as much water and fluids as it should. Dehydration can be mild, moderate, or severe, based on how muc...
- Diarrhea that causes dehydration
-
Heart failure
Heart failure
Heart failure is a condition in which the heart is no longer able to pump oxygen-rich blood to the rest of the body efficiently. This causes symptom...
- Sugar (glucose) in the urine
-
Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
Syndrome of inappropriate antidiuretic ...
Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a condition in which the body makes too much antidiuretic hormone (ADH). This ho...
Decreased urine specific gravity may be due to:
-
Damage to kidney tubule cells (
renal tubular necrosis
)
Renal tubular necrosis
Acute tubular necrosis is a kidney disorder involving damage to the tubule cells of the kidneys, which can lead to acute kidney failure.
-
Diabetes insipidus
Diabetes insipidus
Diabetes insipidus is an uncommon condition in which the kidneys are unable to prevent the excretion of water.
- Drinking too much fluid
-
Kidney failure
Kidney failure
Acute kidney failure is the rapid (less than 2 days) loss of your kidneys' ability to remove waste and help balance fluids and electrolytes in your b...
Risks
There are no risks with this test.
References
Fogazzi GB, Garigali G. Urinalysis. In: Johnson RJ, Feehally J, Floege J, eds. Comprehensive Clinical Nephrology . 5th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 4.
Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, Kavoussi LR, Novick AC, et al, eds. Campbell-Walsh Urology . 10th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 3.
McPherson RA, Ben-Ezra J. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods . 22nd ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 28.
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Female urinary tract - illustration
The female and male urinary tracts are relatively the same except for the length of the urethra.
Female urinary tract
illustration
-
Male urinary tract - illustration
The male and female urinary tracts are relatively the same except for the length of the urethra.
Male urinary tract
illustration
-
Female urinary tract - illustration
The female and male urinary tracts are relatively the same except for the length of the urethra.
Female urinary tract
illustration
-
Male urinary tract - illustration
The male and female urinary tracts are relatively the same except for the length of the urethra.
Male urinary tract
illustration
-
Exercise
(In-Depth)
Review Date: 8/29/2015
Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.