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24-Hour Urinary Uric Acid Rate

Published: August 9, 2026Updated: August 17, 2026

This test measures how much uric acid is excreted in your urine over a full day. Uric acid is a waste product formed when your body breaks down certain foods and substances, and it’s normally filtered out by your kidneys.

Quick summary

["Understanding your daily uric acid excretion helps assess kidney function and potential risk for conditions like gout or kidney stones."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
58990-3
Short code
Urate 18h Ur-mRate
Synonyms
Urate 18h Ur-mRate
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
3.5
Ref high
7.2
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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like joint pain, kidney issues, or if they suspect an imbalance in how your body processes uric acid. It can also be used to monitor treatment progress for conditions affecting uric acid levels.

What to Expect Before the Test

No special preparation is needed. You’ll collect all your urine over a 24-hour period, typically starting and ending at the same time each day. Store the urine in a refrigerator until you return it to the lab.

How the Test Works

The collected urine sample is analyzed to determine the total amount of uric acid excreted. This measurement helps evaluate kidney function and uric acid metabolism.

What the Results Mean

Results provide a daily total of uric acid in your urine, which can help identify whether your kidneys are effectively filtering waste or if there’s an excess of uric acid being produced or retained.

Reference range

NCBI: Uric Acid Male 3.5-7.2 mg/dL; Female 2.5-6.8 mg/dLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High levels of uric acid in urine over 24 hours may indicate conditions like gout, kidney stones, or kidney disease. Low levels could suggest metabolic issues or improper kidney function. This test is particularly useful for monitoring patients with known uric acid-related disorders or those undergoing treatments for such conditions.

Short name

Urate 24h Rate

Frequently asked questions

What causes elevated uric acid levels in urine?
Elevated uric acid in urine can be caused by factors like diet high in purines (found in red meat, organ meats, and certain seafood), kidney problems that reduce uric acid excretion, or metabolic disorders. Lifestyle factors such as dehydration or obesity may also play a role.
How is this test different from a simple uric acid blood test?
A simple uric acid blood test measures the level of uric acid in your blood at one point in time, while this 24-hour test measures the total amount excreted in urine over a full day. The 24-hour test provides a more comprehensive picture of uric acid metabolism and kidney function.
Can I take medications before collecting my urine sample?
Yes, you can take your usual medications, but avoid taking diuretics (like caffeine or some pain relievers) that might affect urine volume. Always follow your healthcare provider’s specific instructions for the test.
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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 17, 2026. · Read our editorial policy