What should you know about blood and ketones in urine?

Short answer
Blood and ketones in urine are separate findings that need interpretation with your symptoms, medicines, hydration, and medical history.
This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.
At a glance
- Ketones can rise with
- Fasting, vomiting, reduced intake, or diabetes-related illness
- Blood can reflect
- Infection, stones, inflammation, or a urinary tract source
Understanding the two findings
Blood may come from infection, a stone, inflammation, prostate conditions, or another urinary tract source. Possibilities include [Kidney Stones](/conditions/kidney-stones/), [Prostatitis](/conditions/prostatitis/), or a [Urinary Tract Infection](/conditions/urinary-tract-infection/). Ketones appear when the body is breaking down fat for energy, such as during fasting, vomiting, reduced food intake, or poorly controlled diabetes. One result does not identify the cause by itself.
What to do next
Contact a clinician about blood in urine, especially if it is visible, returns, or occurs with pain or urinary changes. If ketones were found on a home test, follow your diabetes sick-day plan if you have one and check glucose as advised. Sip fluids if you can keep them down, but do not delay care because of a test strip result. Bring the result, timing, symptoms, medicines, and any recent illness to the appointment.
When to seek urgent care
Get emergency help for ketones with high glucose, repeated vomiting, abdominal pain, deep or rapid breathing, unusual sleepiness, confusion, or inability to drink. Seek urgent assessment for heavy blood, clots, severe side or back pain, fever, or inability to pass urine. Blood should be reviewed even when ketones are absent, because the causes and follow-up are different.
Questions for your doctor
What might explain each result separately? Do I need repeat urine and blood testing? What ketone and glucose changes should trigger emergency help?
Find care
General Clinics & Polyclinics in Abu Dhabi
That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.
27 Ar Ruwwad St - Shakhbout City - MSH4 - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, MetLife +20 more
Al Ruwais, Al Dhafrah
Accepts: Daman, Thiqa, AXA, Cigna +16 more
Al Bahyah - Al Bahyah Old - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, Allianz Care +18 more
Abu Dhabi
Accepts: Daman, Thiqa, AXA, Cigna +27 more
Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.
A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.
Questions people ask
Do ketones cause blood in urine?
They are separate findings. Ketones reflect fat breakdown, while blood usually comes from bleeding somewhere in the urinary tract or from sample contamination.
When are urine ketones an emergency?
Urgent help is needed when ketones occur with vomiting, abdominal pain, abnormal breathing, confusion, or difficulty keeping fluids down, particularly with diabetes.
Related
Related reading
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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.