How to test your urinary pH to see which UTI treatment you should use

Testing urinary pH is easy, but you need pH litmus paper sticks to do the test. These are very easy to find, and very cheap, found at your local pharmacy or online for almost no bucks. Just ask.

You may be testing your urinary pH to see which urinary tract infection treatment you should be using, or just to keep tabs on it for another reason. No matter what, your urinary pH will fluctuate during the day, but typically not by much.

When you have a urinary tract infection (UTI), specific bacteria cause your urine to become more or less acidic, so knowing what your urinary pH is doing means you can choose the treatment that works best in either environment.

     Our urinary tract infection treatment teas

     How to change your urinary pH to suit your treatment

If you bought the wrong treatment tea, or your pH changed, or your new UTI has caused a different pH to the last, you can make your urinary more acidic by eating, drinking or supplementing with berries like cranberries, or you can alkalise it by drinking Ural or another urinary alkaliser.

Either way, it doesn’t matter – just make sure you have the right treatment for your urinary pH, and it’ll work like a charm, soothing your urinary tract, killing bacteria, and relieving you of the hell of UTIs. If you get the wrong one, don’t worry – it’s easy enough to change it temporarily so your treatments can work their magic.

     Testing your urinary pH

  1. Sit on the toilet as usual when you need to urinate, clutching your urinary pH tester stick.
  2. When your urine flow has begun, dunk the pH tester strip into your urine stream so it gets wet, and then take it straight out. No need to soak it.
  3. See what colour changes appear immediately, and correlate that with the number. Remember the number.
  4. Neutral is 7.0, while alkaline is towards the high numbers, and acidic is towards the low numbers. Normal urinary pH is between 4.5 and 8, but usually it’s between 5.5 and 6.5 (slightly acidic).
  5. If your urinary pH is very close to one end or the other, it could be a sign of something else, so just be aware of the fact that your urine is a good indicator of some health conditions. (See bottom.)

ph Scale for vaginas

     Medications you are on can change your urinary pH

Some medications will alter your urinary pH, so if you are on acetazolamide (epilepsy, glaucoma), ammonium chloride (cough mixture), methenamine mandelate (UTIs), potassium citrate (gout, kidney stones), sodium bicarbonate (heartburn, acid reflux, indigestion), or thiazide diuretics (high blood pressure, blood clotting disorders), you may find your pH is on one extreme or the other.

     What does the pH mean in terms of treatments?

A neutral pH is 7.0, which is great – most bacteria are kept in check with a neutral pH. But, you aren’t testing your pH because you are normal (probably), but because you are testing to get the right UTI treatment. It doesn’t actually matter what the pH of your urine is, just that you match the treatment to the pH.

If your pH is on one side of the 7.0, then choose that particular treatment, so if your test says your urine is a 5.5, then you need Aunt Vadge’s UTI Tea – Acidic Urinary pH. If you get an 8, then you need Aunt Vadge’s UTI Tea – Alkaline Urinary pH.

If you get a 7.0, then either UTI will be fine, but you should add either an acidifier (cranberry) or an alkaliser (urinary alkalisers like Ural) to make the most of your treatments.

     When to add a urinary acidifier or an alkaliser – neutral(ish) pH

If you get a neutral or near neutral result, you may wish to enhance your treatment effectiveness by adding in cranberry (plain unsweetened juice, tablets) to acidify or a urinary alkaliser like Ural to alkalise your urine, to match your treatment requirements.

If you have the symptoms of a UTI, but no treatments seem to make much difference, it might be because you have nonspecific urethritis, which means you have urinary tract irritation, but no actual infection. This can happen due to irritants that you are putting on or near your vulva, like coloured toilet paper or wipes. Check everything that comes in contact with your vulva for irritants, and get rid of them. If it’s an irritant, it will soon clear up without contact.

     Urinary pH – what it could also mean if it’s consistently very high or very low

If you are testing your urinary pH regularly, you may see some patterns emerging. It may be that your urinary pH is consistently high or consistently low, even after your infection has cleared up completely. If this is the case, you may need to visit your doctor to talk about what’s going on, since very high or very low urinary pH, consistently, is not normal and could indicate a deeper health issue.

     Low urinary pH (acidic, less than pH 7.0)
  • Dehydrated
  • Diarrhoea
  • Starvation/anorexia
  • Diabetic ketoacidosis
  • Acidosis
    High urinary pH (alkaline, more than pH 7.0)
  • Urinary tract infection
  • Kidney issues
  • Vomiting or stomach contents removal
  • Pyloric obstruction


Jessica Lloyd - Naturopathic Practitioner, BHSc(N)

Jessica Lloyd - Naturopathic Practitioner, BHSc(N)

Jessica is a degree-qualified naturopath (BHSc) specialising in vulvovaginal health and disease, based in Melbourne, Australia.

Jessica is the owner and lead naturopath of My Vagina, and is a member of the:

  • International Society for the Study of Vulvovaginal Disease (ISSVD)
  • International Society for the Study of Women's Sexual Health (ISSWSH)
  • National Vulvodynia Association (NVA) Australia
  • New Zealand Vulvovaginal Society (ANZVS)
  • Australian Traditional Medicine Society (ATMS)
Read more about Jessica and My Vagina's origin story.
Jessica Lloyd - Naturopathic Practitioner, BHSc(N)

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