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HomeAnswersGeneral MedicineketonuriaMy urine test suggests high ketone levels. What do I do?

What could be the reason for elevated ketone levels in urine?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Rajesh Jain

Medically reviewed by

iCliniq medical review team

Published At January 26, 2024
Reviewed AtFebruary 1, 2024

Patient's Query

Hi doctor,

I recently started having a fever, body pain, and headaches. Thinking of the possibilities, my doctor suggested tests for dengue, chikungunya, and typhoid. The report was negative for all. However, my urine report stated that my Ketone levels are borderline in my urine. I am concerned. Please help.

Thank you.

Answered by Dr. Rajesh Jain

Hi,

Welcome to Icliniq.com.

I understand your concern.

Viral fever is common at present. Do you have any colds, cough, throat pain? Are you taking less water and having a burning sensation while urinating? Please send me all the reports, current symptoms, and the details of the current medicines. It will help to advise you properly.

Please revert in case of further queries.

Thank you.

Patient's Query

Hello doctor,

I was diagnosed with viral fever. I do not have any cold, cough, or any such symptoms, I just had extreme body pain. I was not even able to get up from the bed. But I am getting better with the medicines prescribed. I do not have any burning sensation while urination. Also, I am drinking as much water as I can, not a lot but at least two to three glasses a day, because I feel like vomiting on drinking a lot of water. My mouth taste has gone bad, and I am unable to taste salt.

I am just worried about the increased ketone levels. Could you let me know why has that happened and how I lower it? Also, I do not wish to take much more medicines. I have attached all my reports for your consideration. Please help.

Thank you.

Answered by Dr. Rajesh Jain

Hi,

Welcome back to Icliniq.com.

I understand your concern.

Urine ketone positive is due to an increase in acidity in the body. This can happen during fever; using some drugs like NSAIDS (Non-steroidal anti-inflammatory drugs) for fever or body aches, or less food and water intake, etc., can cause elevated acidity levels, causing ketone in urine. As urine sugar is negative, there is no need to worry. I suggest you drink water, milk, ORS (oral rehydration solution), or milk. Consuming more fruits or fruit juices can also help. I suggest you take tulsi leaves kadha twice a day for seven days.

1. Take a tab of Pantaprozole 40 mg, one tablet for seven days.

2. Tab Revital women (Ginseng extracts 42.5 mg, Vitamin A 2500 IU, Vitamin B1 1 mg, Vitamin B2 1.5 mg, Vitamin B6 1 mg, Vitamin B12 1 mcg, Vitamin C 50 mg, Vitamin E 5 mg, Vitamin D 200 IU, Nicotinamide 10 mg, Carbohydrates 0.1 g, Folic acid 0.15 mg, Ferrous fumarate 30 mg, Copper 0.5 mg, Potassium sulfate 2 mg, Manganese 0.5 mg, Magnesium sulfate 3 mg, Zinc oxide 10 mg, Calcium 75 mg, Phosphate 58 mg, Iodine 0.1 mg, Protein 0.2 gm) one tablet a day for seven days.

3. Tab Voveran SR 75 mg (Diclofenac 75 mg), one tablet as required for pains. Consult your doctor and take the medicines accordingly.

I hope this information will help you.

Please revert in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Rajesh Jain

General Practitioner

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