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Test ID: PHU_ pH, Random, Urine

Reporting Name

pH, Random, U

Useful For

Assessment of patients with metabolic acidosis

 

Assessment of crystalluria

 

Monitoring the effectiveness of alkalinization or acidification of urine for certain medical conditions (eg, treatment of uric acid nephrolithiasis)

Clinical Information

Urine pH is a measure of the acidity/alkalinity of urine and, by itself, usually provides little useful information. Under normal conditions its value is influenced by the type of diet (some diets: eg, diets rich in meat-having more acid content than others; eg, vegetarian diets). Assessment of urine pH may be useful in the evaluation of systemic acid-base disorder. For example, the normal response during metabolic acidosis is a lowering of the urine pH to less than 5. If it is greater than 5, then a defect in urine acidification should be considered. Often a urine pH above 8 is suggestive of infection of a urea splitting organism such as proteus mirabilis. Monitoring of urine pH may also be helpful during therapeutic interventions to either alkalinize the urine (such as for treatment of uric acid nephrolithiasis) or acidify the urine. Finally, when assessing crystalluria, noting the urine pH may be helpful since some crystals have a propensity to form in alkaline urine while others form in relative acidic urine.

Interpretation

Dependent on clinical condition.

Report Available

1 day

Day(s) Performed

Monday through Sunday

Clinical Reference

1. Menezes CJ, Worcester EM, Coe FL, Asplin J, Bergsland KJ, Ko B: Mechanisms for falling urine pH with age in stone formers. Am J Physiol Renal Physiol. 2019 Jul 1;317(7):F65-F72. doi: 10.1152/ajprenal.00066.2019

2. Ilyas R, Cho K, Young JG: What is the best method to evaluate urine pH? A trial of three urinary pH measurement methods in a stone clinic. J Endourol. 2015 Jan;29(1):70-4. doi: 10.1089/end.2014.0317

3. Davidsohn I, Henry JB: Todd-Sanford Clinical Diagnosis by Laboratory Methods; 15th ed. Elsevier; 1974:43-44

4. Free AH, Free HBS: Urodynamics, concepts relating to urinalysis. Ames Co; 1974;57-61

5. Kaplan LA, Pesce AJ: Clinical Chemistry: Theory, Analysis, Correlation. 3rd ed. Mosby-Year Book Inc; 1996:823

Method Name

pH meter

Specimen Type

Urine


Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 10 mL

Collections Instructions: Collect a random urine specimen.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 7 days
  Frozen  7 days

Reference Values

4.5 to 8.0

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

83986

LOINC Code Information

Test ID Test Order Name Order LOINC Value
PHU_ pH, Random, U 2756-5

 

Result ID Test Result Name Result LOINC Value
PHU_ pH, Random, U 2756-5
Mayo Clinic Laboratories | Endocrinology Catalog Additional Information:

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