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Urate and Creatinine, 24-Hour Urine

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

Measures uric acid and creatinine in urine collected over 24 hours to assess uric acid excretion and kidney function.

Quick summary

["This test shows how much uric acid and creatinine your kidneys excrete over a full day."]

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

Key facts at a glance

LOINC
13820-6
Short code
Urate/Creat 24h Ur
Synonyms
Urate/Creat 24h Ur
Category
kidney
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

What is this test?

This test measures uric acid, also called urate, and creatinine in all urine collected during a 24-hour period. Creatinine is a muscle breakdown product that is filtered by the kidneys and is commonly used to help evaluate kidney function.

Why might I need this test?

A clinician may order this test to evaluate uric acid excretion, investigate symptoms of gout or kidney stones, or monitor treatment for high uric acid. Measuring both substances over 24 hours can help show how the kidneys handle uric acid and how much creatinine is being released.

How is the test performed?

You usually begin collecting urine at a specific time and collect every urine sample for the next 24 hours. The samples are then brought to the laboratory, where they are combined and measured for urate and creatinine.

How do I prepare for the test?

Follow your clinician's collection instructions carefully and record the start and end times. If you were given dietary or medication instructions, follow them, and tell the laboratory if you missed a collection or spilled part of a urine sample.

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 urine urate may occur with gout, uric acid kidney stones, high cell turnover, or certain medications and may support decisions about treatment. High urine creatinine can occur with increased muscle breakdown, while low levels may reflect reduced kidney filtration or dehydration. Results must be interpreted with the collection quality, diet, medications, symptoms, and other laboratory findings.

Short name

24-Hour Urine Uric Acid and Creatinine

Frequently asked questions

Why is urine collected for 24 hours instead of using one sample?
A 24-hour collection measures how much substance is released over a full day. This can be more informative than a single urine sample, which may not represent your usual excretion.
What if I forget to collect some urine during the 24 hours?
Tell the laboratory or your clinician because a missed sample can make the results inaccurate. They may advise repeating the collection or explain how to interpret the available results.
Does this test diagnose gout?
No single result confirms gout. The test can help evaluate uric acid handling and support a clinician's assessment alongside symptoms, examination, and other tests.
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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