What does it mean if dark urine looks like it has coffee grounds in it?

It's blood and it is a very bad thing to ignore. Get to the ER unless you are on Hospice. Call the Hospice nurse if you are seeing this in a Hospice patient.

Um, what looks like coffee grounds is generally blood. Urgent care is a good place to start. Or if your insurance plan offers it, call the 24 hour nurse line.

Paula, this weekend, if you haven't already, go to an Urgent Care office and see a doctor. What you described could be one of a dozen things. It could be something as simple as what you ate or a prescription medicine, to something that needs medical treatment.

Don't play a guessing game, get a specimen jar and take a sample in for testing ASAP.