Test Detail
Understanding the Test
Test Measures
FAQ's
References
Other Tests
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Written by
Dr. Shreya Gupta
BDS, MDS - Oral and Maxillofacial Pathology
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Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Specific Gravity

Also known as Urine-specific gravity test
You need to provide
Urine
This test is for
Male, Female
Test Preparation
  1. The urine sample must preferably be the first-morning midstream urine (part of urine that comes after the first and before the last stream). Collect the urine sample in a sealed and sterile screw-capped container provided by our sample collection professional. Ensure that the urethral area (from where the urine is passed) is clean & the container doesn't come in contact with your skin. Women are advised not to give the sample during the menstrual period unless prescribed.

Understanding Specific Gravity


What is Specific Gravity?

The Specific Gravity test is a simple and easy test that measures the concentration of solutes in the urine. This test helps determine the kidney's ability to concentrate or dilute urine. It is commonly done as a part of urine routine test to assess kidney function, hydration status, and metabolic disorders that affect urine concentration.

Urine-specific gravity is a vital indicator of the kidney's efficiency in balancing fluid balance in the body. The Specific Gravity test provides insight into the concentration of substances such as electrolytes, glucose, and proteins and is usually performed as part of urine routine and microscopy test to provide a comprehensive assessment of an individual’s urinary and overall health. 

Your doctor may recommend the Specific Gravity test if a person has symptoms suggestive of kidney problems, such as changes in urine output, swelling, or frequent urination. It is also used to monitor individuals with known kidney diseases or diabetes. 

Low specific gravity indicates dilute urine, which may be due to excessive fluid intake, diabetes insipidus, or certain kidney conditions while high specific gravity might suggest dehydration, heart failure, or liver disease. By analyzing these variations, healthcare providers can diagnose and monitor various health issues, ensuring early detection and overall health and well-being.

No special preparation is needed for the Specific Gravity test. Make sure to inform your doctor about all the medicines you take. Collect a first morning mid-stream urine sample in a sterile container provided by the sample collection professional. Notably, the best time to get this test done is in the morning when your urine is the most concentrated. 

Test result ranges are approximate and may differ slightly between labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. Narrate your complete medical history to help the doctor correlate your clinical and laboratory findings. The results will help them determine your medical condition and formulate your treatment plan.

 

What is Specific Gravity used for?

The Specific Gravity test is done: 

  • As a part of urine routine and microscopy test.
  • If you have symptoms suggestive of kidney problems, such as changes in urine output, swelling, or excessive thirst.
  • If you have symptoms suggestive of dehydration, such as dry mouth, dizziness, or concentrated urine.
  • To monitor individuals with chronic conditions like diabetes or kidney disease.
  • To evaluate the effectiveness of treatments for kidney-related conditions or urinary tract infections.

 

What does Specific Gravity measure?

The urine Specific Gravity test measures the concentration of solutes in the urine, reflecting the kidneys' ability to concentrate or dilute the urine in response to varying hydration levels. By comparing the density of urine to that of water, the test provides insights into the balance of fluids and substances like salts, waste products, and other solutes. This test is important because it helps diagnose and monitor various medical conditions, including dehydration, kidney disease, diabetes insipidus, and other disorders affecting kidney function, enabling timely and appropriate medical interventions.

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Specific Gravity


Frequently Asked Questions about Specific Gravity

Q. What does specific gravity of the urine mean?

Specific gravity measures the dissolved substances present in urine. It is a physical property of urine and an expression of concentration.

Q. What is the urine Specific Gravity test used for?

The urine Specific Gravity test measures the concentration of solutes in your urine. This test helps assess your kidney's ability to concentrate or dilute urine. It is commonly used to assess hydration status, detect kidney disease, monitor conditions such as diabetes insipidus, and evaluate potential issues related to urine concentration.

Q. What is the urine-specific gravity test procedure?

The test involves collecting a urine sample, usually in a clean container provided by the healthcare provider. The sample is then analyzed using a refractometer or a dipstick to measure the urine's specific gravity. It is a simple and non-invasive procedure.

Q. What do the results of the Specific Gravity test mean?

Normal urine specific gravity typically ranges from 1.003 to 1.035. Values above this range indicate concentrated urine, which could suggest dehydration, heart failure, or the presence of substances like glucose or proteins. Values below this range indicate diluted urine, which could indicate conditions like diabetes insipidus or overhydration.

Q. Are there any risks associated with the Specific Gravity of urine test?

No, there are no risks associated with this test. It is a non-invasive procedure that simply requires a urine sample.

Q. Do I need to prepare for the Specific Gravity test?

Generally, no special preparation is needed. However, your doctor may give you specific instructions, such as avoiding certain foods or medications that could affect the test results. It is always best to follow any guidance provided by your doctor.

Q. What factors can affect the results of the urine-specific gravity test?

Factors such as fluid intake, certain medications, and medical conditions can affect the results. For example, drinking large amounts of water before the test can dilute the urine, while dehydration can concentrate it. It's important to inform your doctor of any medications or conditions that might influence the test results.

Q. What should I do if my urine-specific gravity test results are abnormal?

If your test results are abnormal, your doctor will likely discuss possible causes and recommend further testing or treatment as necessary. Abnormal results can indicate various health issues that may need to be addressed to ensure proper kidney function and overall health.
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References

  1. Sands JM, Layton HE. The physiology of urinary concentration: an update. Semin Nephrol. 2009 May;29(3):178-95. [Accessed 24 Jun. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709207/ External Link
  2. Queremel Milani DA, Jialal I. Urinalysis. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557685/ External Link
  3. Nainggolan G, Soemarko D, Siregar P, Sutranto AL, Bardosono S, Prijanti AR, Aulia D. Diagnostic role of urine specific gravity to detect kidney impairment on heat-exposed workers in a shoe factory in Indonesia: a cross-sectional study. BMJ Open. 2021 Sep 29;11(9):e047328. [Accessed 24 Jun. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8483020/ External Link
  4. Akarsu E, Buyukhatipoglu H, Aktaran S, Geyik R. The value of urine specific gravity in detecting diabetes insipidus in a patient with uncontrolled diabetes mellitus: urine specific gravity in differential diagnosis. J Gen Intern Med. 2006 Nov;21(11):C1-2. [Accessed 24 Jun. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1831666/ External Link
  5. Lawson DM. The dipsogenic effect of alcohol and the loss of control phenomenon. Adv Exp Med Biol. 1977;85B:547-68. [Accessed 24 Jun. 2024]. Available from: https://pubmed.ncbi.nlm.nih.gov/596287/#:~:text=Analyses%20of%20variance%20indicated%20that,and%20decreased%20urine%20specific%20gravity. External Link
  6. Stuempfle KJ, Drury DG. Comparison of 3 Methods to Assess Urine Specific Gravity in Collegiate Wrestlers. J Athl Train. 2003 Dec;38(4):315-319. PMID: 14737213; PMCID: PMC314390. [Accessed 24 Jun. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC314390/#:~:text=Urine%20specific%2Dgravity%20measurements%20normally%20range%20from%201.002%20to%201.030. External Link

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