Urine comprises approximately 95% water and 5% solutes. The primary ingredient, apart from water, is urea - a byproduct of the breakdown of amino acids. Other notable components include uric acid, a residue from nucleic acid metabolism, and creatinine, a metabolite from creatine phosphate breakdown in skeletal muscle tissue.
The concentration of these solutes varies, with urea being the most abundant nitrogenous waste product. Other solutes include sodium, chloride, potassium, phosphate, sulfate, creatinine, and uric acid. Calcium, magnesium, and bicarbonate are present in smaller yet fluctuating amounts. An unusually high concentration of any solute or the presence of abnormal substances like blood proteins or bile pigments could signal a potential health issue.
The color and transparency of urine can provide valuable insight into a person's health. Freshly voided urine is generally clear, and its color ranges from pale to deep yellow due to urochrome, a pigment produced when the body breaks down bilirubin. Certain foods, medications, and vitamin supplements can change the color of urine, while cloudiness may suggest a urinary tract infection.
When fresh, urine emits a mild scent, which can develop into an ammonia-like odor over time as bacteria metabolize its urea content. Various drugs, vegetables, and diseases can alter this smell. For instance, uncontrolled diabetes mellitus can make urine smell fruity due to ketone bodies like acetone.
Typically, urine has a slightly acidic pH of around 6, although this can range from about 4.5 to 8.0 depending on diet and body metabolism. Acidic diets lead to acidic urine, while vegetarian diets or prolonged vomiting can result in alkaline urine.
Lastly, urine's specific gravity, the ratio of its mass to that of an equal volume of distilled water, ranges from 1.001 to 1.035, reflecting its solute concentration. This is higher than the specific gravity of distilled water (1.0) because urine contains solutes in addition to water.
From Chapter 29:
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