How much urine should I be putting out?

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Re : How much urine should I be putting out?

Postby missgamecock » Wed Jun 14, 2006 07:07 am

With Kirsten, the only 24 hr that I ever did was in the hospital. They had me write down everything and how much of it I drank. Then they did some calculations. Course I was putting on weight like crazy. They also checked the protein. With Kirsten I didn't even fill half the jug. But I had over 5000mg of protein in my urine and it was very dark. With Sara, every 24hr I did I could have used a second jug.

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Re : How much urine should I be putting out?

Postby caryn » Wed Jun 14, 2006 04:52 am

Mild PE doesn't require bad bloodwork. Severe PE and HELLP usually have bad bloodwork, but mild PE only requires two things: two bp readings of either of 140/90 or higher, and proteinurea of 300 or higher in a 24-hour catch.

If bloodwork comes back with abnormal values, it means that the disease has progressed to the point that the mother is sustaining end organ damage of her liver, her kidneys, or both.

The Working Group Report on High Blood Pressure in Pregnancy says:

"Preeclampsia is defined as a pregnancy-specific syndrome observed after the 20th week of pregnancy with systolic blood pressure of >= 140 mm Hg or diastolic blood pressure of >= 90 mmHg, accompanied by significant proteinuria. Previous definitions included edema as part of the diagnosis, but this has subsequently been dropped as being too non-specific. Likewise, the criteria of a 30-point change in systolic blood pressure or a 15-point change in diastolic blood pressure have been eliminated for the same reason in favor of an absolute blood pressure threshold. As proteinuria may be a late manifestation, the NHBPEP also advises clinicians that the disease should be suspected if high blood pressure is accompanied by symptoms of headache or abdominal pain, or abnormal laboratory tests, specifically low platelet count and abnormal liver enzymes. In women with preeclampsia, blood pressure usually returns to baseline within days to weeks after delivery."

Here's a link:

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Re : How much urine should I be putting out?

Postby allic » Wed Jun 14, 2006 00:18 am

Here's my experience with my daughter: BP issues at 26 weeks - put on bedrest and very small dose of BP meds controlled the BP. At 29 weeks I went in for my 24 hour urine after showing more than a trace on the dipsticks...and it came back at 500mg (normal BP, normal bloodwork, no swelling). Two days later they did another 24 hour and it was 5000mg (normal BP, no swelling, but the bloodwork was slightly "positive"). My daughter was born three days after that and I had gained almost 20lbs of water in the last two days before she was born. Everyone is different, but I imagine, they'll do bloodwork more often and continue the 24 hour urine tests every few days. And yes, they told me the same thing...your output should about match your input...but they never said drinking too much would make me retain water (I was about at the halfway point as far as filling it). I had never heard of that. You'll be in my thoughts!

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Re : How much urine should I be putting out?

Postby mamas » Wed Jun 14, 2006 00:13 am

I actually did my 24 hour in the hospital, and I peed so little that the nurse woke me up and asked me "Is this all you peed?" They look at your input and compare it to your out put. I'm not sure if you had to keep track of what you took in and then measure what you peed out. That's how I did mine. Unfortunatley, mine came back 5600 mg and I was induced to deliver at 36 weeks. We were both Ok after delivery. This is my experience with the 24 hour.

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Re : How much urine should I be putting out?

Postby sydnee » Tue Jun 13, 2006 11:57 pm

We had someone here or in "pregnant again" that asked about needing a second jug for the 24 hour tests. I know I'm not the only one that needs 2 jugs. after having my dr change labs on me I also know not every lab uses the same size jug.
If you really want to know why the dr said that ASK. Really I would ask why do you think I peed to much? It sounds like you want to know.
I know that labs can come back fine and you have high out put (I know because that's what I do)

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Re : How much urine should I be putting out?

Postby tracym » Tue Jun 13, 2006 09:38 pm

You should be putting out around about what you're taking in. No more than 3L intake as a general rule. If you have too much intake, then yes you will retain more water. (ie swelling)

I don't drink a lot and didn't when pg either, and my 24 hr tests would usually only fill the jug to about 2/3 or less.

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Re : How much urine should I be putting out?

Postby princess purr » Tue Jun 13, 2006 09:17 pm

When I did my 24 hour test I almost filled the jug, it was weird because during the day it seemed like there just wasn't all that much and then between night and morning it really started to fill up fast.
When I was pg the nurse told me to drink a gallon of water a day, then when I got to the hosp the doc was like WOW you do not need ot drink that much water 64oz a day is fine... I'm still not sure how much water pg people are really supposed to drink!

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Re : How much urine should I be putting out?

Postby gr8testdiva » Tue Jun 13, 2006 09:13 pm

I'm probably being paranoid since the doctor said I had put out so much the first time...who knows.

I just checked the jug I have like 600 mL and I started at 7am and it's now 9pm. I hope these results aren't skewed in anyway.

I guess it's a good thing that my blood tests came back ok from the first test, but I still wonder why the urine test came back at 488.
I guess that's why they are sending me for this second one.

Good luck to all of you too! These tests are the pits, but worth it!

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Re : How much urine should I be putting out?

Postby mich_momma » Tue Jun 13, 2006 08:20 pm

I was actually going to ask this same question yesterday, so it's a good thing you asked it today! I'm curious as to what other people output (and I know it's highly individualized, based on how much you drink, etc). i'm in the middle of doing my 2nd 24 hr test, and I don't feel like I've put in nearly enough. The first one I filled 1100 mg, which wasn't even one full container. I don't think I'm going to fill this container this go around either.

The Blood tests look at a variety of things - your liver functions, kidney functions, creatine clearance, etc. If those numbers are elevated, it usually means there's a problem -- either Pre-E wise, or other health issues wise.

Good luck, and make sure to keep us posted on the outcome of this one!

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Re : How much urine should I be putting out?

Postby gr8testdiva » Tue Jun 13, 2006 07:56 pm

Usually I don't have a problem urinating, but the doctor seemed concerned that I had too much in the jug with the last test. All of my blood work came back normal so she said that the urine contradicted the blood work.

What does the blood work test for?

Another doctor in her practice told me I had too much swelling because I was drinking too much and to only drink when I'm thirsty....

These doctors drive me crazy sometimes!!!

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