Osmolality urine test
The osmolality urine test measures the concentration of chemicals in urine.
Osmolality can also be measured using a blood test.
I Would Like to Learn About:
How the Test is Performed
A clean-catch urine sample is needed. The clean-catch method is used to prevent germs from the penis or vagina from getting into a urine sample. To collect your urine, the health care provider may give you a special clean-catch kit that contains a cleansing solution and sterile wipes. Follow instructions exactly.
How to Prepare for the Test
Your provider may tell you that you need to limit your fluid intake 12 to 14 hours before the test.
Your provider will ask you to temporarily stop taking any medicines that may affect the test results. Be sure to tell your provider about all the medicines you take, including dextran and sucrose. DO NOT stop taking any medicine before talking to your provider.
Other things can also affect the test results. Tell your provider if you recently:
- Had any type of anesthesia for an operation.
- Received intravenous dye (contrast medium) for an imaging test such as a CT or MRI scan.
- Used herbs or natural remedies, especially Chinese herbs.
How the Test will Feel
The test involves normal urination. There is no discomfort.
Why the Test is Performed
This test helps check your body's water balance and urine concentration.
Osmolality is a more exact measurement of urine concentration than the urine specific gravity test.
Normal values are as follows:
- Random specimen: 50 to 1200 mOsm/kg (50 to 1200 mmol/kg)
- 12 to 14 hour fluid restriction: Greater than 850 mOsm/kg (850 mmol/kg)
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.
What Abnormal Results Mean
Abnormal results are indicated as follows:
Higher than normal measurements may indicate:
- Adrenal glands do not produce enough hormones (Addison disease or other types of adrenal insufficiency)
- Glucose (a type of sugar) in the urine
- Heart failure
- High sodium level in the blood
- Loss of body fluids (dehydration)
- Narrowing of the kidney artery (renal artery stenosis)
- Syndrome of inappropriate ADH secretion (SIADH)
Lower than normal measurements may indicate:
- Damage to kidney tubule cells (renal tubular necrosis)
- Diabetes insipidus
- Drinking too much fluid
- Kidney failure
- Low sodium level in the blood
- Severe kidney infection (pyelonephritis)
There are no risks with this test.
Related InformationOsmolality blood test
Antidiuretic hormone blood test
Acute tubular necrosis
Low blood sodium
Berl T, Sands JM. Disorders of water metabolism. In: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 8.
Oh MS, Briefel G, Pincus MR. Evaluation of renal function, water, electrolytes, and acid-base balance. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 15.BACK TO TOP
Review Date: 7/21/2021
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2022 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.