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.