Long story, short daughter in law has been referred to a Nephrologist who she sees on the 24th. Some of the results that got her that referral are protein, blood, and keytones in the urine, high specific gravity (she is not dehydrated) and high urine creatinine. There were other findings, but I can't remember them all. She has had no symptoms of kidney issues - this was found when she gave urine and blood samples for life insurance and was then sent to the doctor for it who then referred her to the Nephrologist after more tests. Anyway, she sent me a text tonight. Her abdomen is distended and hard. She had a hard time explaining how much, but said she looks 3 months pregnant - she is a stick thin girl. She has been peeing the normal amount, but her urine is very concentrated and cloudy, and she's having symptoms of bladder spasms. Her ankles, feet, and fingers are not swollen. No fever, no pain with urination. I told her to go to the student clinic at OSU tomorrow to get checked for a Urinary Tract Infection (UTI) because that's all we can do until we get into the Nephrologist. My question is, can she have distention from fluid build up even though she's peeing normally? And if she's peeing normally and drinking plenty of fluids how is it still so concentrated?