Creatinine is a waste product that the muscles produce at a steady rate as part
of normal daily activity. The bloodstream carries creatinine to the kidneys, which
filter it out of the blood, then creatinine passes out of the body in the urine (pee).
A urine creatinine test measures the amount of creatinine in the urine. It can
be done on its own or with other tests that determine the amounts of other substances
in the urine.
Why It's Done
Healthy kidneys filter the blood to rid it of waste products that the body can't
use. Low levels of creatinine in the urine may point to a kidney disease, certain
muscular and neuromuscular disorders, or a blockage in the urinary tract. If test
results are abnormal, other tests will be done to make a specific diagnosis.
A creatinine clearance test measures how much creatinine is passed in the urine
over several hours. A blood test to measure the creatinine level in the blood is also
usually done. This gives doctors information about how well the kidneys are functioning.
A doctor may order a urine creatinine test in combination with other urine tests
even when no kidney problem is suspected. Because creatinine is filtered out at a
fairly steady rate, doctors compare the creatinine level with levels of other substances
to see if they're excreted at a normal rate.
Your child might need to temporarily stop taking certain drugs that affect the
urine's creatinine levels and might be asked to not eat large quantities of meat in
the day or two before the test.
For a creatinine clearance test, you'll need to collect all the urine your child
passes usually over 24 hours. If you are doing this at home, this usually involves
first getting a special container from the lab in which to collect the urine, plus
If your child isn't potty trained and can't urinate into a cup, urine collection
bags with adhesive tape on one end might instead be used to collect the samples. Your
baby's genital area will need to be cleaned, and then the bag is placed around the
urinary opening and secured with the attached tape. A diaper can be placed over the
bag. The bag will need to be changed frequently to collect all of the urine, and each
bag will need to be emptied into the special container.
Another option is the use of a catheter (a narrow, soft tube), which can be inserted
into the bladder and left there for 24 hours to obtain urine.
If you collect the specimen at home, follow any storage and transportation instructions
the lab gives you.
What to Expect
Because the test involves normal urination, there shouldn't be any discomfort as
long as your child can provide a urine specimen.
Getting the Results
In general, the results of the urine creatinine test are available within a day
or two. Your doctor will go over the results with you and explain what they mean.
If abnormalities are found, further tests may be needed.
No risks are associated with taking a urine creatinine test.
Infants may occasionally have skin irritation from the adhesive tape on the collection
bag. If a catheter is used to get the urine, it may cause temporary discomfort. If
you have any questions or concerns about this procedure, talk to your doctor.
Helping Your Child
Explaining how the test will be conducted and why it's being done can help ease
any fear. Make sure your child understands that there should be no foreign matter,
such as toilet paper or hair, in the sample. And all the urine should be collected
for the test to be accurate.
If You Have Questions
If you have questions about the urine creatinine test, speak with your doctor.