Uric Acid (Blood)
Does this test have other names?
Serum uric acid
What is this test?
This test measures the amount of uric acid in your blood.
Uric acid is a normal bodily waste product. It forms when chemicals called purines
break down. Purines are a natural substance found in the body and are also found in
many foods such as liver, shellfish, and alcohol. They can also be formed in the body
when DNA is broken down.
When purines are broken down to uric acid in the blood, the body gets rid of it when
you urinate or have a bowel movement. But if your body makes too much uric acid, or
if your kidneys aren't working properly, uric acid can build up in the blood. Uric
acid levels can also increase when you eat too many high-purine foods or take certain
medicines like diuretics, aspirin, and niacin. Then crystals of uric acid can form
and collect in the joints, causing painful inflammation. This condition is called
Why do I need this test?
You might need this test if your healthcare provider wants to see whether you have
high levels of uric acid in your blood. Your provider may recommend this test if you
have symptoms of gout, although most people with hyperuricemia don't develop gout.
Symptoms of gout include:
Joint pain or tenderness
Swelling in a joint or reddened skin around a joint
Swelling and pain in the big toe, ankle, or knee
Joints that are hot to the touch
Swelling and pain that affects only one joint in the body
Skin that looks shiny and is red or purple
You may also need this test if you have symptoms of kidney stones. Symptoms include:
What other tests might I have along with this test?
Your healthcare provider may also order other tests to diagnose gout, include looking
at a sample of joint fluid drawn out with a needle.
Your provider may also order a urinalysis if he or she suspects that you have a kidney
stone. The urinalysis looks for blood, white blood cells, and crystals.
Your provider may also order tests of your blood and urine to find out what's causing
the high levels uric acid.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Results are given in milligrams per deciliter (mg/dL). Here are results that may mean
you have hyperuricemia:
Many health conditions can cause high levels of uric acid. These include cancer, kidney
disease, hypothyroidism, hyperparathyroidism, and sarcoidosis.
Your uric acid levels may be high if you eat foods high in purines, such as organ
meats, dried beans and peas, and certain fish – anchovies, herring, sardines, and
mackerel. High levels can also be caused by a low-salt diet.
How is this test done?
The test requires a blood sample, which is drawn through a needle from a vein in your
Does this test pose any risks?
Taking a blood sample with a needle carries risks that include bleeding, infection,
bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight
stinging sensation or pain. Afterward, the site may be slightly sore.
What might affect my test results?
Certain medicines may affect your test results. These include:
Aspirin and other medicines that contain salicylate
Cyclosporine, a medicine sometimes used for autoimmune diseases
Levodopa, a medicine used to treat Parkinson disease
Certain diuretic medicines such as hydrochlorothiazide
Vitamin B-3 (niacin)
Other things that may affect your test results include:
Chemotherapy or radiation therapy to treat cancer
Foods high in purines, including organ meats, mushrooms, some types of fish and seafood,
and dried peas and beans
How do I get ready for this test?
Ask your healthcare provider if you should avoid any foods, beverages, or medications
before the test. Be sure your provider knows about all medicines, herbs, vitamins,
and supplements you are taking. This includes medicines that don't need a prescription
and any illicit drugs you may use.