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Understanding Your Blood Test: A Patient Guide to What It Is, Why It's Needed, and What to Expect

Published: August 9, 2026Updated: August 17, 2026

This test examines urine sediment under a microscope to detect and count urate crystals, which may indicate certain metabolic or kidney conditions.

Quick summary

{"Urate crystals are uric acid crystals that can form in urine","High levels may indicate gout, kidney stones, or metabolic disorders","The test uses computer-assisted analysis of urine sediment","Results help doctors diagnose and monitor certain health conditions","Sample is collected as a routine urine specimen"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
99907-8
Short code
Amorph Urate Cry # UrnS Comp Assist
Synonyms
Amorph Urate Cry # UrnS Comp Assist
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
3.5
Ref high
7.2
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
computer-assisted
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 is a laboratory test that helps your doctor evaluate your overall health by analyzing a small sample, most often blood, to check how well different systems in your body are working.

The urate crystals test is a laboratory analysis that examines your urine sediment under a microscope using computer-assisted technology. It detects and counts amorphous urate crystals, which are small particles formed from uric acid. Uric acid is a natural waste product that normally dissolves in blood and passes through kidneys into urine. When your body produces too much uric acid or kidneys don't filter it properly, crystals can form and appear in your urine.

Why do I need this test? Your doctor may order this test to help diagnose a health condition, monitor an ongoing medical issue, screen for problems before symptoms appear, or see how well your current treatment is working.

Your doctor may order this test if you have symptoms suggesting conditions like gout, kidney stones, or metabolic disorders. Symptoms may include joint pain and swelling (especially in the big toe), flank pain, blood in urine, or frequent urination. The test helps doctors diagnose the cause of these symptoms, monitor existing conditions, or evaluate how well treatment is working. It may also be part of a routine urinalysis panel.

How should I prepare for this test? In most cases, only minimal preparation is needed. Your doctor will let you know if you must fast for a certain number of hours, avoid specific medications or supplements, or drink extra water before your appointment. Always follow the exact instructions you were given, and tell the staff about any medicines you take.

For this test, you will need to provide a clean-catch urine sample. Your doctor may ask you to stop certain medications before the test, as some drugs can affect uric acid levels. Stay well-hydrated unless otherwise instructed. Avoid strenuous exercise before the test, as it can temporarily increase uric acid levels. Inform your doctor about all medications, supplements, and vitamins you are taking. Morning urine samples are often preferred as they are more concentrated.

What happens during the test? A trained member of our staff will collect a small sample, usually by drawing blood from a vein in your arm with a thin needle. The procedure typically takes only a few minutes, and you can return to your normal activities right afterward.

You will be given a sterile container to collect a urine sample. For a clean-catch sample, you will clean your genital area, begin urinating into the toilet, then move the collection container into the stream, and finish urinating into the toilet. The sample is then sent to a laboratory where it is centrifuged to separate sediment from liquid. The sediment is examined under a microscope using computer-assisted image analysis to identify and count urate crystals.

Are there any risks? This test is very safe. You may notice mild bruising, soreness, or a small amount of bleeding where the needle was inserted, but these usually go away within a day or two. Serious complications are rare, and the valuable information from your results generally far outweighs these minor risks.

This test carries no significant risks. The only discomfort may be from providing a urine sample. There are no known complications from the test itself. If you experience any unusual symptoms after providing your sample, contact your healthcare provider.

Reference range

NCBI: Uric Acid Male 3.5-7.2 mg/dL; Female 2.5-6.8 mg/dLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The presence of urate crystals in urine can indicate several conditions. High levels are commonly associated with gout, a form of arthritis caused by uric acid crystal deposits in joints. They may also suggest uric acid kidney stones, renal impairment, or metabolic conditions like Lesch-Nyhan syndrome. However, small amounts of urate crystals may be normal, especially in concentrated urine samples. The test results are interpreted alongside other clinical findings, symptoms, and laboratory tests to make an accurate diagnosis.

Clinical interpretation considers the crystal count, patient symptoms, and other urinalysis findings. Persistent high levels of urate crystals may require further investigation to determine the underlying cause. Treatment typically focuses on addressing the root condition, which may include dietary changes, medication to lower uric acid levels, or treatment for kidney issues. Your doctor will discuss what your specific results mean for your health situation.

Frequently asked questions

Does having urate crystals mean I have gout?
Not necessarily. While urate crystals in urine can be associated with gout, they can also appear for other reasons. Gout is typically diagnosed by finding uric acid crystals in joint fluid, not just urine. Your doctor will consider your symptoms, other test results, and medical history to determine if you have gout.
Can diet affect urate crystal levels?
Yes, diet can significantly affect uric acid levels and urate crystal formation. Foods high in purines (such as red meat, organ meats, seafood, and alcohol) can increase uric acid production. Staying well-hydrated helps dilute urine and may reduce crystal formation. Your doctor may recommend dietary modifications if urate crystals are a concern.
Is the test painful?
No, the urate crystals test is not painful. It only requires providing a urine sample, which is a routine and non-invasive procedure. You may feel some discomfort during the sample collection process, but there is no physical pain involved.
How long does it take to get results?
Results are typically available within 1-2 days, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your next appointment.
What if my test shows no urate crystals?
If no urate crystals are found, it generally means your uric acid metabolism is normal. However, the absence of crystals does not completely rule out conditions like gout, as crystals may not be constantly present in urine. Your doctor will interpret this result in the context of your overall health and other test findings.
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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 17, 2026. · Read our editorial policy