Trace amounts of almost everything found in my urine.

[LostFan]

Hi, I'm a 29 year old female in good health...except for a sudden and recent onset of chronic chest pain that has been deemed non-cardiac after a few tests, including a stress test.  For the past several years trace amounts of protein have been found in my urine, as well as ketones. Throughout the years I've had different doctors discover this, all of which said it was nothing to worry about. Now that I have a new insurance, I asked to get my urine checked specifically for the protein issue. The results are alarming to me. Can an expert please look at these values and please advise? Thank you very much.
Component         Your Value
GLUCOSE, UA <30 mg/dL
KETONES, UA <10 mg/dL
SPECIFIC GRAVITY, UA 1.006
UA HGB <0.03 mg/dL Hb
PH, UA 7.0
PROTEIN, UA <10 mg/dL
NITRITE, UA NEGATIVE
BILIRUBIN, UA <0.5 mg/dL
LEUKOCYTE ESTERASE, UA NEGATIVE
UROBILINOGEN, UA, QL <2.0 mg/dL

[RobinRobbie]

A related discussion, UA Labs "Diabetic" was started.

[Stephen Liroff, MD]

I am not familiar with this reporting method, but it all looks quite normal. The numbers that they provide as being "less than" are probably the lowest values that this laboratory can detect. Your values are all less than their detectable amount, which is good,
As to your previous values, ketones in your urine indicate that your cells are starving. Skip lunch and provide a urine sample in several hours and your ketones will be positive. By itself, ketonuria is not a serious issue. Protein in the urine often is due to the method of collection. If some of the urine mixes with any vaginal secretions, then your urine will probably be positive for protein.
In general, always give a midstream urine sample, one in which you have separated your vaginal lips and passed some urine into the commode before catching the mid portion of your urine flow in the specimen container. This will give the most reliable specimen.
Have a great day!
S.A.Liroff, M.D.