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24-Hour Urinary Creatinine Clearance

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

This test measures how well your kidneys filter waste products from your blood over a full day, using a 24-hour urine sample. It helps assess kidney function and blood flow to the kidneys.

Quick summary

["This test helps doctors check how well your kidneys are working and identify potential kidney problems early."]

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

Key facts at a glance

LOINC
55822-1
Short code
Allo-TH-DC 24h Ur-mRate
Synonyms
Allo-TH-DC 24h Ur-mRate
Category
hormone
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

Why This Test Is Done

Your doctor may order this test if they suspect kidney disease, monitor kidney function in chronic conditions (like diabetes or high blood pressure), or evaluate kidney function before certain treatments. It’s also used to check for conditions affecting blood flow to the kidneys.

How the Test Works

You’ll collect all urine for a full 24-hour period in a special container. Blood is drawn once to measure creatinine levels in your blood. The test compares how much creatinine appears in your urine versus your blood to estimate how well your kidneys filter waste.

Sample Collection Process

You’ll need to start collecting urine immediately after your first morning urine sample is discarded. Use a clean container and refrigerate all urine samples. Bring the full 24-hour urine sample and your blood sample to the lab on the same day.

What to Expect Before the Test

No special preparation is needed, but drink plenty of fluids to help your kidneys produce urine. Avoid certain medications (like NSAIDs) that can affect kidney function unless approved by your doctor.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low creatinine clearance may indicate kidney damage, poor blood flow to the kidneys, or other conditions like heart failure or severe dehydration. High values could suggest dehydration or overhydration. This test is critical for diagnosing and managing chronic kidney disease, kidney stones, or other kidney-related issues.

Short name

Creatinine Clearance (24h Urine)

Frequently asked questions

What does a low creatinine clearance mean?
A low creatinine clearance suggests your kidneys may not be filtering waste as efficiently as they should, which could signal early kidney damage or disease. Your doctor will discuss next steps based on your results and overall health.
Does diet affect this test?
Yes, eating foods high in protein or consuming large amounts of fluids can temporarily affect creatinine levels. Stick to your usual diet unless instructed otherwise, and avoid extreme fluid restriction.
How often is this test repeated?
Your doctor will determine how often to repeat this test based on your condition. It may be done once or multiple times over months or years, depending on your treatment plan.
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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