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24-Hour Urinary Aldosterone Concentration

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

This test measures the amount of aldosterone, a hormone that helps regulate blood pressure and fluid balance, in your urine over a 24-hour period.

Quick summary

["Helps assess how well your body controls blood pressure and fluid balance."]

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

Key facts at a glance

LOINC
25896-2
Short code
D-ALA 24h Ur-sCnc
Synonyms
D-ALA 24h Ur-sCnc
Category
chemistry
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 conditions like primary aldosteronism (a hormone disorder that can cause high blood pressure), adrenal gland issues, or other disorders affecting your body’s sodium and potassium balance. It can also help diagnose or monitor conditions like hypertension (high blood pressure) or certain kidney problems.

What to Expect Before the Test

No special preparation is needed, but you’ll collect your urine for 24 hours in a container provided by your healthcare team. You’ll need to urinate every time, including at night, and discard the first morning urine. The test measures the total aldosterone excreted in your urine over the full day.

What to Expect During the Test

You’ll likely be given a clean container to collect all urine for 24 hours. Your urine samples are then sent to a lab for analysis. The test is painless and does not require any special equipment at home.

What to Expect After the Test

After completing the urine collection, your results will be reviewed by your doctor. They may compare your aldosterone levels to your blood pressure and other health factors to determine if further testing or treatment is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High aldosterone levels in urine may indicate conditions like primary aldosteronism, which can cause high blood pressure, low potassium levels, or other complications. Low levels might suggest adrenal insufficiency or other hormonal imbalances. Your doctor will use these results alongside other tests and symptoms to guide diagnosis and treatment.

Short name

24h Urine Aldosterone

Frequently asked questions

What does a high aldosterone level mean?
A high aldosterone level in urine may suggest an overactive adrenal gland (such as primary aldosteronism) or other conditions affecting your blood pressure or fluid balance. Your doctor will review these results with your other health information to determine the next steps.
What if my results are normal?
If your results are within expected ranges, it may mean your body is handling aldosterone normally. However, your doctor may still recommend follow-up tests or monitoring if they suspect other underlying conditions based on your symptoms or medical history.
How often will I need this test?
The frequency depends on your diagnosis and treatment plan. Your doctor may repeat this test if they need to monitor changes in your aldosterone levels, especially if you have hypertension, kidney issues, or other conditions linked to aldosterone imbalance.
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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