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Microscopic examination of urine sediment (crystal count)

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

This test checks for the presence of crystals in your urine under a microscope. Crystals can sometimes indicate certain health conditions or kidney issues.

Quick summary

["Crystals in urine may signal underlying health concerns that need evaluation."]

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

Key facts at a glance

LOINC
98028-4
Short code
Crystals Smn Micro
Synonyms
Crystals Smn Micro
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test if you have symptoms like pain or discomfort while urinating, frequent urination, cloudy urine, or if you have a history of kidney stones or urinary tract infections. It can also help diagnose conditions affecting how your body processes substances in urine.

What Does the Test Involve?

A small sample of your urine is collected and examined under a microscope. The technician looks for crystals, which can vary in shape and size. This test is usually quick and painless, often done as part of a routine urine analysis.

What Are Common Findings?

Crystals can form naturally in urine but may appear more frequently in people with certain medical conditions, such as kidney stones, metabolic disorders, or dehydration. Common types of crystals include calcium oxalate, uric acid, and cystine crystals.

What Does It Mean If Crystals Are Found?

The presence of crystals alone doesn’t always mean a problem, but they can signal potential issues like kidney stones, urinary tract infections, or other metabolic imbalances. Your healthcare provider will discuss the results with you and may recommend further testing if needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Crystals in urine can be associated with conditions like kidney stones, certain metabolic disorders, or even some types of infections. They may also indicate dehydration or the presence of substances that are unusual in urine, such as certain medications or toxins. Always consult your healthcare provider for an accurate interpretation of your results.

Short name

Urine Crystal Count

Frequently asked questions

What causes crystals to appear in urine?
Crystals can form due to factors like dehydration, certain medications, metabolic conditions, or even dietary habits. They may also appear naturally in urine but can become more noticeable if your body is processing substances differently, such as with kidney stones or infections.
Do crystals in urine always mean I have a problem?
Not necessarily. Some crystals are common and not harmful, but others may indicate underlying health concerns. Your healthcare provider will assess your overall health and test results to determine if further action is needed.
Can I prevent crystals in urine?
While some crystals are unavoidable, you can help reduce their likelihood by staying hydrated, maintaining a balanced diet, and avoiding excessive intake of substances that may contribute to crystal formation, such as certain foods or medications. Always follow your healthcare provider’s advice.
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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