What does a urinary dipstick measure?

A urinary dipstick is a simple and very helpful screening test. It is especially useful in general practice (GP). It measures several parameters in urine, including:

Here’s what each test on a urinary dipstick typically indicates:

pH
: Measures urine acidity (low pH) or alkalinity (high pH). Abnormal levels can indicate conditions like kidney stones or urinary tract infections (UTIs)

Protein
: Normally, urine contains little to no protein. Presence of protein (proteinuria) can indicate chronic kidney disease (CKD; especially due to diantes or rarely, glomerulonephritis). Lower levels may indicate heart failure and other diagnoses

Blood
: Presence of blood in urine (haematuria) can indicate urinary tract infection (UTI), kidney stones, some causes of CKD (e.g. glomerulonephritis), or kidney or bladder cancer (rarely)

Glucose
: Normally, urine contains little to no glucose. Presence of glucose (glycosuria) can indicate diabetes (or so,e rare kidney diseases)

Ketones
: Presence of ketones can indicate diabetic ketoacidosis, starvation, or a low-carb diet

Bilirubin
: Presence of bilirubin in urine can indicate liver disease or bile duct obstruction

Urobilinogen
: Abnormal levels can indicate liver disease, haemolytic anaemia, or bile duct obstruction

Nitrites
: Presence of nitrites often indicates urinary tract infection (UTI)

Leucocytes
: Presence of leucocytes (white blood cells) can indicate urinary tract infection (UTI; or inflammation)

Specific gravity
: Measures urine concentration. Abnormal levels can indicate dehydration, overhydration, or kidney issues.