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Urine pH

Urine ·Also called: pH, urine pH, urinary acidity

What it is

pH runs from acidic at the low end through neutral at 7 to alkaline at the high end. Urine pH reflects diet, how long the sample has been standing, whether bacteria are present, and the body's overall acid-base state.

Why your vet measures it

Crystal and stone formation is pH-dependent. Struvite forms in alkaline urine and dissolves when the urine is acidified; calcium oxalate forms in acidic urine and cannot be dissolved, only removed. So the pH steers both prevention and treatment.

What a high result can mean

  • A urinary tract infection with bacteria that split urea and alkalinise the urine
  • A sample that has been standing at room temperature for too long
  • A vegetarian or cereal-heavy diet
  • Certain kidney tubule disorders

What a low result can mean

  • A normal, meat-based diet
  • Urinary acidifying diets, often prescribed to dissolve struvite
  • Metabolic acidosis from illness
  • Prolonged fasting

Dogs and cats differ

Struvite stones in cats are usually sterile and diet-related, while in dogs they are usually driven by a urinary infection — so an alkaline pH in a dog prompts a urine culture, and in a cat prompts a diet review. Calcium oxalate has become the more common stone in both species in recent years.

Questions worth asking your vet

  • How soon after collection was this sample tested?
  • Given the pH and any crystals found, what stone type are we guarding against?
  • Does the diet need changing?

Related terms

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