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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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I have taken urine tests and I have high Specific Gravity result.

Customer Question

I have taken urine tests and I have high Specific Gravity result. This seems to indicate ketoacidosis. Can anyone help me with advice on this ?
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 years ago.

Dr. David :

This is Dr. David

Dr. David :

just high specific gravity does not mean ketoacidosis.

JACUSTOMER-ytfh50qg- :

what does it mean

Dr. David :

high specific gravity means the urine was concentrated

Dr. David :

you were not drinking enough water during the day

JACUSTOMER-ytfh50qg- :

I have been drinking water ?

Dr. David :

then that is fine then

Dr. David :

the specific gravity of the urine should be better on the next examination.

JACUSTOMER-ytfh50qg- :

and if it is not ?

Dr. David :

then you might need some blood work to check on your kidney function.

Dr. David :

have you had blood work to check on BUN and creatine levels?

JACUSTOMER-ytfh50qg- :

no

Dr. David :

I would talk to your doctor about blood testing to check your BUN and creatine levels to make sure those are normal.

Dr. David :

these are blood test to check on your kidney function.

Dr. David :

I have to see a patient right now.

Dr. David :

i will be back in 10 minutes.

Expert:  Dr. Chip replied 4 years ago.
Hi--let me give you more information here. While the high specific gravity alone is somewhat nonspecific, if there is also glucose in your urine, with your symptoms, diabetes would be the most likely diagnosis here. Ketoacidosis from untreated diabetes might affect the specific gravity but that would be better diagnosed with blood work. The other possibilities would be possibly a bladder infection or perhaps a renal artery stenosis (narrowing).
Expert:  Dr. David replied 4 years ago.
This is Dr. David

I am the first expert which helped you.

if you don't have glucose in your urine, then I would not worry about diabetes.

you can have blood testing to check a morning fasting blood sugar to see if you might have diabetes.

as we get older, it is normal to have small broken blood vessels around the eyes which can cause dark circles around the eyes. this is not a sign of diabetes. you can try some cold compresses around the eyes which might help these circles.

upper abdominal pain is also not often related to diabetes

you could have excessive stomach acid causing upper abdominal pain. have you tried antacid medications before for your upper abdominal pain?