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Erythrocyte Lysis Rate (24-hour urine collection)

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

This test measures how quickly red blood cells break down in your urine over 24 hours, which can help assess kidney function and certain blood disorders.

Quick summary

["Understanding red blood cell breakdown in urine helps diagnose kidney or blood-related conditions."]

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

Key facts at a glance

LOINC
29110-4
Short code
Eye-L 2D US
Synonyms
Eye-L 2D US
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-d
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

What This Test Measures

The test evaluates the rate at which red blood cells (erythrocytes) lyse (break down) in your urine over a full day. This process is influenced by factors like kidney function, blood disorders, or exposure to certain medications or toxins. The urine sample is collected over 24 hours, and the test quantifies the amount of hemoglobin or other breakdown products released from lysed red blood cells.

Why It’s Done

Your healthcare provider may order this test if you have symptoms like dark urine, anemia, or signs of kidney problems. It can also help diagnose conditions such as hemolytic anemia, kidney disease, or reactions to medications that affect red blood cells.

Sample Collection and Preparation

You’ll collect all urine produced in a 24-hour period in a special container. Drink plenty of fluids to ensure adequate urine volume, but avoid foods or supplements that may interfere with the test results. Return the container to your provider’s office or lab on time for accurate testing.

What to Expect During the Test

No special preparation is needed beyond the 24-hour urine collection. The test itself is typically done in a lab using automated methods to measure the lysis rate. Results are compared to standard reference ranges to determine if further evaluation is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High erythrocyte lysis rates in urine may indicate hemolysis (destruction of red blood cells), which can cause anemia or kidney strain. Low or normal rates may suggest healthy red blood cell turnover. This test helps identify underlying conditions that require treatment, such as autoimmune disorders, infections, or kidney disease.

Frequently asked questions

What causes red blood cells to break down in urine?
Red blood cell breakdown in urine (hemolysis) can occur due to various factors, including kidney problems, certain medications, infections, or inherited blood disorders like sickle cell disease. Stress, dehydration, or exposure to toxins may also play a role.
How long does it take to get results from this test?
Results are usually available within 1 to 3 business days, depending on lab processing times. Your healthcare provider will discuss the findings with you during your follow-up visit.
Can I drink alcohol before this test?
Yes, you can drink alcohol as usual, but avoid excessive intake that might affect urine volume or composition. Stick to your normal fluid intake to ensure a complete 24-hour urine 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