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Urea blood test

In short

A typical adult urea result is 2.5 to 7.8 mmol/L. A mildly high urea often comes from low fluids or a high-protein diet. Doctors read it with creatinine to see whether the kidneys are involved. Always read your result against the range printed on your own report.

The protein waste that US reports print as BUN.

Your liver turns leftover protein into urea, and your kidneys pass it out in urine. Reports outside the US print urea, usually in mmol/L. US reports print BUN (blood urea nitrogen) instead; in mg/dL, urea reads about twice the BUN number.

Is my Urea high or low?

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Typical range

ForRangeUnit
Adults2.5–7.8mmol/L
Adults15–47mg/dL

Typical ranges for adults. Labs differ a little, so the range printed next to your result is the one to go by.

If your Urea is high

A mildly high urea often comes from low fluids or a high-protein diet. Doctors read it with creatinine to see whether the kidneys are involved.

Common reasons

  • Not drinking enough, or losing fluid through sweat, vomiting or diarrhea
  • A high-protein diet or protein supplements
  • Steroid medicines, or a recent illness, injury or surgery
  • Older age, as kidney filtering slowly falls
  • Kidneys filtering less, often with diabetes or high blood pressure
  • Less often: bleeding in the stomach or gut, or heart failure
  • Less often: a urinary blockage or a sudden kidney injury

If your Urea is low

A low urea is common and rarely a concern on its own. It often reflects a low-protein diet or drinking a lot of fluid.

Common reasons

  • Eating little protein
  • Drinking a lot of fluid
  • Pregnancy
  • Less often: severe liver disease or poor nutrition

What can throw it off

Not drinking enough and a high-protein diet in the days before can raise urea.

Questions to take to your appointment

  1. 1Could low fluids or my diet explain this?
  2. 2Does my creatinine point the same way?
  3. 3What does my eGFR show?

Read together with

Doctors rarely read Urea alone. These usually sit next to it.

Quick answers

What is the urea blood test?

Urea: The protein waste that US reports print as BUN. Your liver turns leftover protein into urea, and your kidneys pass it out in urine. Reports outside the US print urea, usually in mmol/L. US reports print BUN (blood urea nitrogen) instead; in mg/dL, urea reads about twice the BUN number.

What is a normal urea level?

For most adults, urea is typically 2.5 to 7.8 mmol/L. Some countries print it in mg/dL, so check the unit first. Labs differ a little, so the range printed next to your result is the one to go by.

What does a high urea mean?

A mildly high urea often comes from low fluids or a high-protein diet. Doctors read it with creatinine to see whether the kidneys are involved. Common reasons include not drinking enough, or losing fluid through sweat, vomiting or diarrhea; a high-protein diet or protein supplements; steroid medicines, or a recent illness, injury or surgery; and older age, as kidney filtering slowly falls. A doctor reads it together with your other results and how you feel.

What does a low urea mean?

A low urea is common and rarely a concern on its own. It often reflects a low-protein diet or drinking a lot of fluid. Common reasons include eating little protein; drinking a lot of fluid; pregnancy; and less often: severe liver disease or poor nutrition.

What can affect my urea result?

Not drinking enough and a high-protein diet in the days before can raise urea.

What should I ask my doctor about my urea?

Questions worth taking to the appointment: Could low fluids or my diet explain this? Does my creatinine point the same way? What does my eGFR show?

What this page can’t do

It reads each number on its own.

Doctors read results together — ALT with AST, ferritin with hemoglobin, TSH with free T4. A pattern says more than any single flag.

It doesn't know you.

Your age, your medicines, how you feel and your last result all change what a number means.

It doesn't remember.

Close this page and your results are gone. That's on purpose: nothing was ever sent to us.

We also make Vita: Health Coach, an app for those parts. It reads your whole report with your medicines and history in mind, answers follow-up questions in plain words, and keeps your reports in one place — for you and for the people you look after.

Vita: Health Coach on the App Store

Sources

Stuck on a word? See the medical words. How we choose our sources. More about Vita Health Coach.