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Diseases and Conditions Encyclopedia

 

urine osmolality test

 

Overview

A urine osmolality test is a measure of the concentration of dissolved minerals (like sodium or salt) and wastes (like BUN) in a person's urine relative to water content.

 

Higher mineral content and lower amounts of water lead to a high osmolality.

 

Osmolality also provides information about the body's ability to excrete certain materials (low excretion means kidney damage) and balance fluids like water (when someone drinks a lot of water, there is more in the urine and therefore a lower osmolality).

 

Who is a candidate for the test?

A urine osmolality test is done when either a water balance or kidney problem is suspected.

 

How is the test performed?

A urine sample—usually either a first morning sample or a sample at a time determined in advance by the healthcare provider-- is required for this test.

 

To collect a specimen, a person should:

 start urinating into the toilet
 move the container to catch a sample of urine (about 2 "shot glasses" full or about 60ccs)
 take away the container and finish urinating into the toilet

 

The container should be covered and brought to the healthcare provider or lab for testing. Sometimes the test itself will be supervised in the hospital.

 

What is involved in preparation for the test?

Since test preparations vary, a person should ask a healthcare provider for specific instructions. First morning samples often are collected after a fast (no food or water) of 8-12 hours or so.

What do the test results mean?

Urine osmolality is dependent on 3 things: kidney functionwater intake or lack thereofthe level of hormones released from the pituitary gland that help reabsorb water in the kidney (called Antidiuretic Hormone or ADH).
 
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