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24-Hour Urine Sodium

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

This test measures the total amount of sodium excreted in urine over 24 hours. It can help assess sodium intake, kidney sodium handling, blood pressure, and fluid balance.

Quick summary

["The result estimates how much sodium your body is losing in urine and should be interpreted with hydration status, medications, and other clinical findings."]

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

Key facts at a glance

LOINC
27257-5
Short code
Sodium 24h Stl-sCnt
Synonyms
Sodium 24h Stl-sCnt
Category
electrolyte
Sample
stool
Container
Clean 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
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

What the Test Measures

Urine sodium reflects sodium filtered by the kidneys and then either excreted or reabsorbed. A 24-hour collection includes all urine produced during the collection period, giving a more complete picture than a single urine sample.

How the Test Is Collected

Urine is collected for 24 hours in a labeled container provided by the laboratory. The collection begins and ends at specified times, and all urine produced during that period must be included. Ask the laboratory for exact instructions and storage requirements.

Why It May Be Ordered

Clinicians may use this test when evaluating high blood pressure, swelling, kidney function, or unusual sodium loss. It can also help estimate sodium intake when dietary assessment is uncertain and monitor selected treatments.

Factors That Can Affect the Result

Changes in fluid intake, exercise, kidney function, and medicines such as diuretics can alter urine sodium. Incomplete collections, very high or low urine volume, and deviations from the prescribed collection time may make the result less reliable.

Reference range

Adult: 136-145 mmol/LN/A

Specimen: stool

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A high or low 24-hour urine sodium value can indicate increased sodium loss, reduced excretion, or changes in overall sodium balance, but it does not identify a specific cause by itself. The result is most useful when interpreted alongside blood pressure, kidney function tests, hydration status, medications, dietary sodium intake, and symptoms such as swelling or dizziness.

Short name

24-Hour Urine Sodium

Frequently asked questions

How do I prepare for a 24-hour urine sodium test?
Follow the laboratory's collection instructions and record when the collection starts and ends. Your clinician may advise you to maintain your usual diet and medication schedule, because major changes can affect the result.
What happens if the collection is incomplete or the urine volume is unusual?
The result may be difficult to interpret or may need to be repeated. Tell the laboratory about missed urine, spills, collection timing, and unusually high or low urine output.
Does a high urine sodium level always mean too much salt is being eaten?
No. Increased urine sodium can also result from diuretics, kidney conditions, reduced reabsorption, or other changes in fluid and electrolyte balance. The test should not be interpreted without considering medications, kidney function, hydration, and dietary intake.
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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