What Does Acetone In Urine Mean And How To Lower Its Level

What Does Acetone In Urine Mean And How To Lower Its Level
What Does Acetone In Urine Mean And How To Lower Its Level

Video: What Does Acetone In Urine Mean And How To Lower Its Level

Video: Urinalysis Interpretation Explained Clearly - Glucose u0026 Ketones in Urine 2022, October
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Acetone in urine or acetonuria is a pathological condition that is a symptom of temporary metabolic disorders in practically healthy people or severe chronic diseases. Acetonuria is characterized by the appearance of ketone bodies in the blood. This condition progresses rapidly and often becomes a threat to human life.

What does acetone in urine mean and how to lower its level
What does acetone in urine mean and how to lower its level

Causes and symptoms of acetonuria

Acetone appears in urine only after it is detected in the blood, therefore, the causes of acetonemia often become the causes of acetonuria.

A decrease in the concentration of glucose in the blood is the main etiological factor of this pathology. Unbalanced diets and long periods of hunger lead to insufficient intake of carbohydrates in the human body. With enzymatic deficiency, the digestion of carbohydrates is impaired, and stress, infections, trauma are the reasons for the increased consumption of glucose.

Foods rich in fats and proteins interfere with normal digestion in the gastrointestinal tract. The body begins to utilize them intensively by gluconeogenesis. Diabetes mellitus is the cause of diabetic ketoacidosis. In this disease, the level of glucose in the blood is increased, but it is not completely consumed due to a lack of insulin.

Allocate primary and secondary acetonuria, which is manifested by a characteristic symptom complex: increased nervous excitability, enzymatic insufficiency, metabolic disorders of proteins and fats, emotional instability, pain in joints, bones, abdomen. Factors contributing to the appearance of acetone in urine are: stress, poor diet, fear, pain, negative or positive emotions.

With a significant increase in acetone in the urine and blood, repeated or indomitable vomiting, nausea, spastic abdominal pain, lack of appetite, symptoms of general intoxication and damage to the nervous system occur. The smell of acetone from the mouth, from urine and vomit is a pathognomonic sign of acetonuria.

Removal of acetone from the body

Treatment for acetonuria begins with lifestyle and dietary adjustments. It is necessary to normalize the daily regimen, to provide the patient with sufficient night's sleep and daily walks in the fresh air. Mental and physical activity should be limited. The diet must be followed constantly. Prohibited products are: fatty meat, fish, smoked meats, pickles, mushrooms, coffee, cocoa, cream, sour cream, sorrel, tomatoes, oranges, fast food, carbonated drinks. Digestible carbohydrates - fruits, sugar, honey, cookies, jam - should be present on the menu every day.

To reduce the level of acetone in the urine and replenish the glucose deficiency, the patient is given sweet tea, rehydron, 5% glucose solution, compotes. A cleansing enema and the intake of enterosorbents enhance the excretion of ketones from the body. Soldering helps to increase the amount of urine excreted, and with it the excretion of acetone. Patients need to alternate sweet drinks with ordinary boiled water, alkaline mineral water or rice water.

If the patient is in serious condition, then he must be urgently hospitalized for infusion therapy, which consists in intravenous drip infusion of fluids.

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