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Inorganic Arsenic and Creatinine Ratio, Urine

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

This urine test measures inorganic arsenic and adjusts the result for urine concentration using creatinine, helping assess exposure to toxic inorganic arsenic.

Quick summary

["An elevated result may indicate exposure to inorganic arsenic, but recent seafood consumption and other factors should be considered."]

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

Key facts at a glance

LOINC
13825-5
Short code
Inorg Arsenic/Creat Ur
Synonyms
Inorg Arsenic/Creat Ur
Category
kidney
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

What is this test?

This test measures inorganic arsenic, a potentially toxic form of arsenic, in urine. Creatinine, a waste product used as a marker of urine concentration, is measured at the same time so the arsenic result can be adjusted for differences in how dilute the urine is.

Why might I need this test?

The test may be ordered to assess exposure to inorganic arsenic from work, contaminated water, soil, or other sources. It may also be used when a clinician is evaluating symptoms or health effects that could be related to arsenic exposure.

How is the test performed?

A urine sample is collected and analyzed in a laboratory for inorganic arsenic and creatinine. The laboratory then reports the arsenic measurement together with the creatinine-adjusted value, sometimes called the arsenic-to-creatinine ratio.

How do I prepare for the test?

Follow the laboratory's collection instructions, which may request a single urine sample or urine collected over 24 hours. Fasting is generally not required, and you should not stop prescribed medicines unless your clinician instructs you to do so.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

An elevated result can indicate recent exposure to inorganic arsenic, which may come from occupational, environmental, or water sources. The result can also be affected by urine concentration, timing of collection, and consumption of certain foods, including some seafood. Your clinician will interpret the result along with your exposure history, symptoms, and other tests.

Short name

Urine Inorganic Arsenic

Frequently asked questions

Does eating seafood cause this test to be elevated?
Some seafood can contain organic arsenic, which may increase a total arsenic measurement but generally does not represent inorganic arsenic exposure. The type of arsenic measured and the timing of the test help your clinician interpret the result.
Why is creatinine measured with arsenic?
Urine concentration varies from person to person and throughout the day. Creatinine is used to adjust the arsenic result so that values are more comparable.
What should I do if my arsenic result is high?
Contact your healthcare professional for review rather than trying to change your diet or treatment on your own. The clinician may ask about occupational and environmental exposure, review your diet, and recommend repeat or additional testing.
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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