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Acetoacetate has a highly characteristic smell, for the people who can detect this smell, which occurs in the breath and urine during ketosis. On the other hand, most people can smell acetone, whose "sweet & fruity" odor also characterizes the breath of persons in ketosis or, especially, ketoacidosis. [10]
While ketosis refers to any elevation of blood ketones, ketoacidosis is a specific pathologic condition that results in changes in blood pH and requires medical attention. The most common cause of ketoacidosis is diabetic ketoacidosis but it can also be caused by alcohol, medications, toxins, and rarely, starvation.
People usually do not present with high blood sugar or sugar in the urine. [2] This can cause false negative results when testing urine ketones as they only measure acetoacetate. Ethanol level are often low or negative despite a chronic alcohol use history. [6] Electrolyte disturbances may include hypokalemia or hypomagnesemia may also be ...
Urine typically has a mild odor, but strong or unusual smells can indicate a problem. A strong ammonia scent could suggest dehydration. A foul or unusual smell could be a sign of a urinary tract ...
Ketosis is a metabolic state characterized by elevated levels of ketone bodies in the blood or urine. Physiological ketosis is a normal response to low glucose availability. . In physiological ketosis, ketones in the blood are elevated above baseline levels, but the body's acid–base homeostasis is maintain
“Calcium supplements and vitamin D may make the urine smell fishy, while iron supplements and kelp may precipitate a metallic smell to the urine." Also, artificial flavors are put in some pill ...
Ketones can be measured in the urine (acetoacetate) and blood (β-hydroxybutyrate). When compared with urine acetoacetate testing, capillary blood β-hydroxybutyrate determination can reduce the need for admission, shorten the duration of hospital admission and potentially reduce the costs of hospital care. [36]
Transient changes in urine odor can occur after consuming certain foods, most notably asparagus. The urine of diabetics experiencing ketoacidosis (urine containing high levels of ketone bodies) may have a fruity or sweet smell, while urine from individuals with urinary tract infections often has a foul smell.