Blood Urea Nitrogen (BUN) Test: About This Test (2024)

Blood Urea Nitrogen (BUN) Test: About This Test (1)

What is it?

A blood urea nitrogen (BUN) or urea test measures the amount of nitrogen in your blood that comes from the waste product urea. Urea is made in the liver and passed out of your body in the urine. If your kidneys are not able to remove urea from the blood normally, your urea level rises. Dehydration can also make your urea level higher.

A urea test may be done with a blood creatinine test. The level of creatinine in your blood also tells how well your kidneys are working. A high creatinine level may mean your kidneys are not working properly. Urea and creatinine tests can be used together to find the urea-to-creatinine ratio.

Why is this test done?

A urea test is done to:

  • See if your kidneys are working normally.
  • See if your kidney disease is getting worse.
  • See if treatment of your kidney disease is working.
  • Check for severe dehydration. Dehydration generally causes urea levels to rise more than creatinine levels. This causes a high urea-to-creatinine ratio. Kidney disease or blockage of the flow of urine from your kidney causes both urea and creatinine levels to go up.

How do you prepare for the test?

Do not eat a lot of meat or other protein in the 24 hours before having a urea test.

How is the test done?

A health professional uses a needle to take a blood sample, usually from the arm.

What happens after the test?

  • You will probably be able to go home right away.
  • You can go back to your usual activities right away.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to keep a list of the medicines you take. Ask your doctor when you can expect to have your test results.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter Y870 in the search box to learn more about "Blood Urea Nitrogen (BUN) Test: About This Test".

Adaptation Date: 2/28/2022

Adapted By: Alberta Health Services

Adaptation Reviewed By: Alberta Health Services

Blood Urea Nitrogen (BUN) Test: About This Test (2024)

FAQs

Blood Urea Nitrogen (BUN) Test: About This Test? ›

The blood urea nitrogen (BUN) test measures how much urea nitrogen is in your blood. It helps a healthcare provider determine if your kidneys are working as they should. BUN levels vary according to your age and sex. Abnormal levels may indicate a health condition, including kidney damage.

What does BUN test blood urea nitrogen tell you? ›

The BUN test measures the amount of urea nitrogen in your blood. Urea nitrogen is a waste product that your kidneys remove from your blood. Higher than normal BUN levels may be a sign that your kidneys aren't working well. People with early kidney disease may not have any symptoms.

What level of BUN indicates kidney failure? ›

However, if a patient's BUN levels exceed their normal baseline and their creatinine levels are elevated, it indicates potential kidney failure. A BUN level higher than 20 mg/dL suggests that the kidneys may not be functioning at optimal capacity.

Why would your BUN be low? ›

Low values

A low BUN value may be caused by a diet very low in protein, by malnutrition, or by severe liver damage. Drinking too much liquid may cause overhydration and cause a low BUN value. Women and children may have lower BUN levels than men because of how their bodies break down protein.

What is a normal BUN blood urea nitrogen level? ›

The BUN, then, is roughly one-half (28/60 or 0.446) of the blood urea. The normal range of urea nitrogen in blood or serum is 5 to 20 mg/dl, or 1.8 to 7.1 mmol urea per liter.

Does drinking water lower BUN levels? ›

Proper hydration is the most effective way to lower BUN levels. A low-protein diet can also help lower BUN levels. A medication wouldn't be recommended to lower BUN levels. However, abnormal BUN levels don't necessarily mean you have a kidney condition.

What causes your BUN to be high? ›

A high BUN level is generally caused by impaired kidney function; however, it can also be due to a high-protein diet; dehydration; congestive heart failure; or increased protein breakdown caused by gastrointestinal bleeding, trauma, or corticoid therapy.

What is a normal BUN level for a 70 year old? ›

General reference ranges for a normal BUN level are as follows: Adults up to 60 years of age: 6-20 mg/dL. Adults over 60 years of age: 8-23 mg/dL.

How to lower BUN levels quickly? ›

A low-protein diet can also help reduce high BUN levels. Healthy low-protein foods include: Grains: Oats, rice and pasta. Fruits: Apples, berries and bananas.

What is a bad BUN creatinine level? ›

Typically, the ratio of BUN to creatinine should be between 10:1 and 20:1. If it's lower or higher than that, it may mean you have a problem with your kidneys or you may not be drinking enough water.

Is a low BUN OK? ›

Having a low BUN level is usually not serious. However, if you want to raise your levels, you should eat more protein and improve the health of your liver by drinking less alcohol and losing weight.

What happens if urea is low? ›

Low urea levels are not common and are not usually a cause for concern. They can be seen in severe liver disease or malnutrition but are not used to diagnose or monitor these conditions. Low urea levels are also seen in normal pregnancy. Urea levels increase with age and also with the amount of protein in your diet.

Is BUN low in liver disease? ›

BUN levels may be high due to heart failure, dehydration, or a high protein diet. Low BUN levels could be due to liver disease.

Is it better to have a low or high BUN level? ›

A level surpassing the BUN normal range of 6-20 mg/dL indicates kidney problems. If your BUN test shows extreme results, it might signal kidney failure. For example, a BUN level of 75 mg/dL is highly considered alarming. It may suggest immense kidney damage to the extent of possibly relying on dialysis.

Is 4 a good BUN level? ›

Results of the BUN test are measured in milligrams per deciliter (mg/dL) in the United States and in millimoles per liter (mmol/L) internationally. In general, around 6 to 24 mg/dL (2.1 to 8.5 mmol/L ) is considered normal. But normal ranges may vary, depending on the reference range used by the lab and your age.

What does a BUN level of 15 mean? ›

The normal range of blood urea nitrogen (BUN) is between 7 and 20 mg/dL or 2.5 and 7.1 mmol/L. There may be slight variations between labs. A decline in kidney function can cause an increase in BUN levels. There is no definite value of BUN that would diagnose kidney failure.

What is an alarming bun creatinine ratio? ›

Values consistently around 20:1 may be early warning signs of kidney disease. Any value above 20:1 indicates that you are dehydrated, and may also be developing kidney-related or other health issues. A BUN/creatinine ratio of 50:1 or above is dangerously high that requires immediate medical attention.

Is a BUN level of 25 high? ›

Results of the BUN test are measured in milligrams per deciliter (mg/dL) in the United States and in millimoles per liter (mmol/L) internationally. In general, around 6 to 24 mg/dL (2.1 to 8.5 mmol/L ) is considered normal. But normal ranges may vary, depending on the reference range used by the lab and your age.

What are the symptoms of high urea levels? ›

Patients with uremia may present with various symptoms, including nausea, vomiting, fatigue, anorexia, weight loss, dysgeusia (bad taste in the mouth), chest pain, palpitations, dyspnea, muscle cramps, restless legs, pruritus, easy bleeding, or mental status changes.

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