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Organic Acid Profile (Urinary)

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

This test measures the levels of certain organic acids in your urine, which can help identify metabolic disorders or other health conditions affecting how your body breaks down certain substances.

Quick summary

["This test helps detect metabolic issues by analyzing urine for unusual organic acids."]

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

Key facts at a glance

LOINC
49287-6
Short code
Organic Acids Pattern Ur-Imp
Synonyms
Organic Acids Pattern Ur-Imp
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 healthcare provider may recommend this test if you have symptoms like frequent vomiting, muscle weakness, or unusual smells in your urine. It’s also used in diagnosing metabolic disorders such as mitochondrial diseases, organic acidemias, or other inherited metabolic conditions.

What to Expect Before the Test

No special preparation is needed, but you may be asked to avoid certain foods or medications for a few days before the test. Drink plenty of water to help flush out acids naturally. Avoid taking vitamin supplements or certain medications that could interfere with results.

How the Test Is Performed

A urine sample is collected, often through a simple midstream or timed collection (e.g., 24-hour urine). The sample is then analyzed using advanced laboratory techniques, such as gas chromatography or mass spectrometry, to identify and measure specific organic acids.

What the Results Mean

Abnormal results may indicate an imbalance in how your body processes certain acids, which could signal metabolic disorders. Elevated or missing acids may point to specific conditions that require further medical evaluation, including genetic testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Urinary Organic Acid Test

Frequently asked questions

What Conditions Might This Test Help Identify?
This test is particularly useful for diagnosing inherited metabolic disorders, such as methylmalonic acidemia, propionic acidemia, or other organic acidemias. It can also help monitor treatment progress in patients with known metabolic conditions.
How Often Should I Get This Test?
Your doctor will determine the frequency based on your symptoms, medical history, and diagnosis. Some patients may need periodic monitoring, while others may only require it once for confirmation.
Can I Take Any Medications Before the Test?
Yes, avoid certain medications (like some vitamins or supplements) that could affect acid levels. Always follow your healthcare provider’s instructions to ensure accurate results.
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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