Skip to content

24-Hour Urine Sodium Rate

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

This test measures how much sodium your body excretes in urine over a full day. Sodium is an important electrolyte that helps balance fluids and support nerve and muscle function.

Quick summary

["Assesses how well your kidneys are managing sodium balance over time."]

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

Key facts at a glance

LOINC
58994-5
Short code
Sodium 18h Ur-sRate
Synonyms
Sodium 18h Ur-sRate
Category
electrolyte
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
136
Ref high
145
Critical range
120 N/A – 160 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84295
SNOMED
110741000
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 Matters

Your kidneys play a key role in controlling sodium levels in your body. This test helps doctors check if your kidneys are properly filtering sodium, which can be important for conditions like high blood pressure, kidney disease, or certain heart conditions.

When You Might Need It

A doctor may order this test if you have symptoms like swelling (edema), high blood pressure, or if you’re taking medications that affect sodium balance. It’s also sometimes used to monitor kidney function or evaluate fluid retention.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period, typically starting after midnight one day and ending the same time the next day. Drink usual fluids but avoid special diets unless instructed by your doctor.

How the Test Works

Your urine is analyzed to determine the total amount of sodium passed in that day. The result helps assess how efficiently your kidneys are managing sodium excretion.

Reference range

Adult: 136-145 mmol/LN/A

Specimen: urine

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High sodium excretion may indicate overactive kidneys or certain kidney disorders, while low excretion could suggest kidney dysfunction, hormonal imbalances, or medications affecting sodium retention. This test helps diagnose and monitor conditions like hypertension, kidney disease, or syndrome of inappropriate antidiuretic hormone (SIADH).

Short name

24-Hour Sodium Excretion Rate

Frequently asked questions

What does a high sodium excretion rate mean?
A high sodium excretion rate may suggest your kidneys are working too well at removing sodium, which can sometimes be seen in conditions like kidney disease or certain hormonal imbalances. It may also indicate overhydration or excessive intake of sodium-rich foods.
What does a low sodium excretion rate mean?
A low sodium excretion rate might indicate your kidneys are not filtering sodium properly, possibly due to kidney disease, certain medications, or hormonal issues like SIADH. It can also occur if you’re retaining too much fluid.
How often should I get this test?
Your doctor will determine how often you need this test based on your health condition, medications, and symptoms. Some people may need it yearly, while others may require it more frequently depending on their treatment plan.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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