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Urine tests may misdiagnose dehydration in elderly individuals

For many New York residents, dehydration can cause a number of symptoms that can range from dizziness to an increased risk for heat stroke. For elderly patients, however, dehydration can become more likely due to reduced thirst sensations, lack of hunger and medications. While there are signs and tests, such as urine tests, to determine if a person is dehydrated, they may not be as accurate in older individuals.

For many New York residents, dehydration can cause a number of symptoms that can range from dizziness to an increased risk for heat stroke. For elderly patients, however, dehydration can become more likely due to reduced thirst sensations, lack of hunger and medications. While there are signs and tests, such as urine tests, to determine if a person is dehydrated, they may not be as accurate in older individuals.

Research from East Anglia University in Britain took urine samples and blood tests to determine the hydration status of elderly individuals. A total of 383 individuals who were over the age of 65 and who were living in nursing homes, residential care or their own homes gave blood and urine samples. The two tests were then compared to see if they agreed on hydration status. The researchers found that the two tests did not agree in all cases.

Part of the reason for this is that urinary tests rely on the kidney. If the elderly individual has impaired kidney function, the urine sample may not show that the person is dehydrated. A researcher also noted that visual signs in urine may not be accurate either as certain medications can make the urine darker, indicating dehydration when the person was adequately hydrated.

When doctors fail to diagnose a medical problem or illness, the patient could suffer serious complications. If the complications resulted from a delayed diagnosis that was caused by misread test results or the failure to order appropriate tests, the patient may have the grounds to file a medical malpractice claim. An attorney may use the person’s medical documentation and expert testimony to strengthen the case. In many cases, claims are settled outside of court. If there is no settlement, however, the attorney may represent the patient through the trial process.

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