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24-Hour Urinary Uric Acid (Rate of Excretion)

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

This test measures how much uric acid your body excretes over 24 hours through your urine. Uric acid is a waste product from purines, which are found in foods and are produced naturally in the body.

Quick summary

["This test helps assess kidney function and gout risk by tracking uric acid elimination over a full day."]

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

Key facts at a glance

LOINC
17756-8
Short code
Urate 4h Ur-mRate
Synonyms
Urate 4h 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 Matters

Your kidneys normally filter uric acid from your blood and remove it from your body through urine. If uric acid levels are too high in your blood or urine, it can lead to kidney stones, gout, or other health issues. This test helps doctors check if your kidneys are working properly at removing uric acid.

How the Test Works

You’ll collect all of your urine for a full 24-hour period, typically starting from one point in the morning (like when you wake up) and ending the next morning. The urine is then sent to a lab for analysis to determine the total amount of uric acid excreted.

What to Expect Before the Test

No special preparation is needed beyond collecting your urine over 24 hours. Drink plenty of fluids to help your kidneys work normally, but avoid excessive caffeine or alcohol, as they can affect uric acid levels temporarily.

What to Expect During the Test

You’ll need to keep a record of all urine output (including any accidents) in a container or special collection device provided by your healthcare team. Some urine may be discarded at the start or end of the collection period if it’s not part of the 24-hour window.

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.

Clinical Significance

Short name

24hr Urine Uric Acid

Frequently asked questions

High uric acid levels in urine can indicate kidney problems, such as impaired kidney function or kidney stones. It may also suggest conditions like gout or other metabolic disorders that increase uric acid production. Doctors use this test to diagnose or monitor these conditions.
This test helps determine if your kidneys are effectively removing uric acid from your body. If uric acid levels are consistently high, it may signal an underlying issue that needs further evaluation, such as kidney disease or metabolic disorders.
What does a high or low result mean?
A high result may indicate kidney problems, gout, or other conditions that affect uric acid metabolism. A low result might suggest kidney disease or other conditions that reduce uric acid excretion. Your doctor will interpret the results in the context of your overall health and other tests.
How often should I get this test?
Your doctor may recommend this test periodically if you have a history of kidney stones, gout, or other conditions related to uric acid. Follow their guidance on how often to repeat the test based on your specific health needs.
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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