What is the Osmolality (Urine) test?

The Osmolality (Urine) test measures the concentration of dissolved particles in urine, such as electrolytes and metabolic waste products. It reflects how well the kidneys are concentrating or diluting urine in response to the body’s hydration needs.

This test is commonly used alongside serum osmolality to assess fluid balance and kidney function. Because urine concentration changes rapidly, it provides real-time insight into how the kidneys respond to hydration, hormones, and electrolyte levels.

Urine osmolality is particularly helpful when investigating disorders of water balance, abnormal sodium levels, or suspected kidney or hormonal conditions.

Why do I need a test for Osmolality (Urine)?

Urine osmolality helps determine whether the kidneys are functioning correctly in regulating water balance. It is especially useful when symptoms or blood test results suggest dehydration, overhydration, or electrolyte imbalance.

This test can also support the investigation of hormonal disorders such as diabetes insipidus or syndrome of inappropriate antidiuretic hormone secretion (SIADH), as well as kidney disease and unexplained fluid balance issues.

You may benefit from this test if you experience:

• Excessive thirst or frequent urination

• Very dilute or very dark urine

• Dehydration or fluid retention

• Confusion or headaches

• Abnormal sodium levels

• Suspected kidney disease

• Unexplained fatigue or weakness

• Monitoring of endocrine or fluid disorders

Benefits of the Osmolality (Urine) test

1. Assesses kidney concentrating ability
   Shows how effectively the kidneys regulate urine concentration.

2. Evaluates hydration status
   Helps identify dehydration or excessive fluid intake.

3. Supports investigation of electrolyte imbalance
   Assists in understanding abnormal sodium or fluid levels.

4. Aids diagnosis of hormonal disorders
   Useful in conditions affecting antidiuretic hormone regulation.

5. Complements serum osmolality testing
   Provides clearer insight when interpreted alongside blood results.

6. Supports kidney disease assessment
   Helps evaluate renal response to fluid changes.

7. Assists in investigating frequent urination
   Useful for unexplained polyuria or nocturia.

8. Guides clinical decision-making
   Supports appropriate fluid and electrolyte management.

Step-by-step – how we offer Osmolality (Urine) testing

Clinic-based testing (UK-wide)

• Choose your nearest UK clinic

• Attend your appointment

• Provide a urine sample following simple instructions

• Sample is sent to the laboratory for analysis

• Results are issued once testing is complete

At-home or hotel testing (+£60)

• A clinician or phlebotomist visits your home or hotel

• Urine sample is collected at your location

• No clinic visit or travel required

• Ideal for convenience or mobility limitations

Both services are available UK-wide.

Your Osmolality (Urine) results explained

Low urine osmolality

Low urine osmolality indicates dilute urine, suggesting that the kidneys are excreting excess water. This may occur with high fluid intake, impaired antidiuretic hormone activity, or certain kidney conditions.

Common causes include diabetes insipidus, excessive water consumption, and early kidney dysfunction.

UK reference range:

• Low: <300 mOsm/kg

Normal urine osmolality

Normal values indicate appropriate kidney response to hydration status. Urine concentration varies throughout the day depending on fluid intake and physiological demand.

Normal results suggest effective water balance regulation when interpreted alongside serum osmolality.

UK reference range:

• Normal: 300–900 mOsm/kg

High urine osmolality

High urine osmolality reflects concentrated urine, usually due to dehydration or increased antidiuretic hormone activity. It may also be seen in conditions causing fluid loss or sodium retention.

Common causes include dehydration, vomiting, diarrhoea, or SIADH.

UK reference range:

• High: >900 mOsm/kg