Urea nitrogen urine test

A 24-hour urine sample is often needed. You will need to collect your urine over 24 hours. Your health care provider will tell you how to do this. Follow instructions exactly to ensure accurate results.

No special preparation is needed.

The test involves only normal urination. There is no discomfort.

This test is mainly used to check a person's protein balance and the amount of food protein needed by severely ill people. It is also used to determine how much protein a person takes in.

Urea is excreted by the kidneys. The test measures the amount of urea the kidneys excrete. The result can show how well the kidneys are working.

Normal values range from 26 to 43 grams per 24 hours (900 to 1,500 mmol/day).

Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.

Low levels usually indicate:

• Kidney problems
• Inadequate protein in diet (malnutrition)

High levels usually indicate:

• Increased protein breakdown in the body
• Too much protein intake

There are no risks with this test.

Urine urea nitrogen

Agarwal R. Approach to the patient with renal disease. In: Wing EJ, Schiffman FJ, eds. Cecil Essentials of Medicine. 10th ed. Philadelphia, PA: Elsevier; 2022:chap 24.

Riley RS, McPherson RA. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 29.

Updated by: Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.