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Uric Acid (Urate), 24-Hour Urine — Excretion Rate

Published: August 9, 2026Updated: August 16, 2026

Measures the amount of uric acid excreted in urine over 24 hours, which can help assess uric acid metabolism and kidney stone risk.

Quick summary

["This test measures how much uric acid your body releases into urine over one full day."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
57600-9
Short code
6A-OH-THS 2D p high Dex 24h Ur-mRate
Synonyms
6A-OH-THS 2D p high Dex 24h Ur-mRate
Category
liver
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures the amount of uric acid, also called urate, passed in your urine over a 24-hour collection period. It reflects your body’s uric acid production and urinary excretion more completely than a single urine sample.

Why might I need this test?

A clinician may order this test when evaluating gout, uric acid kidney stones, or unusual urinary uric acid levels. It may also be used to monitor treatment or changes that affect uric acid, including certain medications and dietary factors.

How is the test performed?

You collect all urine into a labeled container for exactly 24 hours. The laboratory measures the total urine volume and the amount of uric acid in the collected urine, then calculates the 24-hour excretion rate.

How do I prepare for the test?

Follow the collection instructions provided by your healthcare professional, including when to start and stop. Record the total urine volume if requested, keep the container tightly closed, and refrigerate or transport it as instructed. Missing urine or collecting for a period other than 24 hours can make the result inaccurate.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected urinary uric acid excretion may occur with increased uric acid production, gout, certain medications, or conditions that increase cell turnover. A lower-than-expected rate may reflect reduced kidney function, dehydration, or other factors affecting urinary excretion. An abnormal result should be interpreted with symptoms, diet, medications, and other kidney or blood tests.

Short name

24-Hour Urine Uric Acid

Frequently asked questions

Is this the same as a routine urine uric acid test?
No. A routine urine uric acid test usually measures one sample, while this test measures and calculates the total amount excreted over 24 hours.
What foods or medicines can affect the result?
Purine-rich foods, alcohol, and medicines such as allopurinol, febuxostat, or some diuretics can affect urinary uric acid. Tell your clinician about relevant foods, supplements, and medications, but do not stop prescribed medicines unless instructed.
What happens if part of the urine collection is missed?
A missed collection can make the 24-hour result inaccurate, often causing the measured excretion to appear lower than it really is. Contact the laboratory or clinician for guidance on repeating the collection.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy