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    What is Calcium Creatinine Ratio, Urine Test?

    The Calcium Creatinine Ratio test is a urine test used to measure the amount of calcium and creatinine excreted in the urine. Creatinine is naturally produced by muscle activity. This test compares calcium levels to creatinine, providing an accurate assessment of calcium metabolism and detecting irregularities like hypercalciuria (excess calcium in urine) or hypocalciuria (low calcium in urine). It is a reliable method for analysing kidney function and tracking calcium balance in the body.

    The test is often used to diagnose medical conditions associated with calcium imbalance. Increased calcium levels in urine may signal kidney stones, hyperparathyroidism (overactive parathyroid glands), or inherited conditions like familial hypocalciuric hypercalcemia (FHH). Reduced levels of calcium in urine can suggest vitamin D deficiency or hypoparathyroidism. Additionally, this test is helpful in identifying preeclampsia, a pregnancy-related complication involving high blood pressure.

    For children, this test serves as a non-invasive diagnostic tool to detect hypercalciuria and other metabolic conditions. In adults, it is highly recommended for those experiencing repeated kidney stones or with a family history of calcium-related metabolic disorders.

    If you're in Delhi and plan to schedule a Calcium Creatinine Ratio test, consult your doctor to determine if it aligns with your healthcare needs.

    Calcium Creatinine Ratio, Urine Test Parameters

    The Calcium Creatinine Ratio test focuses on three main parameters: calcium levels, creatinine levels, and the calcium-to-creatinine ratio in a urine sample.

    Measurement of Calcium in Urine

    The test measures the amount of calcium excreted in urine. Elevated calcium levels, or hypercalciuria, may suggest conditions like hyperparathyroidism or excessive dietary calcium. Conversely, low calcium excretion, or hypocalciuria, often points to parathyroid gland dysfunctions or insufficient calcium absorption.

    Analysis of Urinary Creatinine Levels

    Creatinine is a waste product from muscle activity, filtered out through urine. Its concentration serves as a benchmark for assessing calcium excretion. A disparity where creatinine levels are high but calcium levels remain unchanged might signal impaired kidney filtration or metabolic imbalances.

    Derivation of Calcium-Creatinine Ratio

    This ratio is determined by dividing the calcium concentration (mg/dL) by the creatinine concentration (mg/dL) in the urine sample. A higher-than-normal ratio suggests conditions like nephrolithiasis, hyperparathyroidism, or calcium overconsumption. A lower ratio could indicate inadequate calcium absorption or underactive parathyroid glands.

    Calcium Creatinine Ratio, Urine Test Preparation

    To test for the Calcium Creatinine Ratio test at home, follow these important instructions:

    • Prerequisites

    Typically, fasting is not required for the Calcium Creatinine Ratio test unless instructed by your doctor.

    • Best Time to Get Tested

    The Calcium Creatinine Ratio test involves a random urine sample, allowing it to be performed at any time of the day for maximum convenience.

    • Who Should Get a Calcium Creatinine Ratio Test?

    The Calcium Creatinine Ratio test is recommended for individuals prone to kidney stones, those showing symptoms of metabolic disorders, or those suspected of having calcium balance irregularities. It is also advisable for anyone with a family history of conditions like hypercalciuria, hyperparathyroidism, or similar metabolic concerns.

    • Cautions Before Taking a Calcium Creatinine Ratio Test

    Inform your physician about any medications or supplements you are currently using, as these substances could impact calcium or creatinine measurements in the urine.

    Why Take the Calcium Creatinine Ratio, Urine Test?

    The Calcium Creatinine Ratio test plays a critical role in managing and diagnosing calcium metabolism disorders. The following are significant reasons to take the test:

    • Detection of Kidney Stones: Excessive calcium in the urine is a common reason for kidney stones. This test is advised for symptoms such as sharp abdominal pain, red-tinged urine, or increased urination frequency.

    • Evaluation of Kidney Health: The test assesses your kidneys’ ability to filter calcium, which helps detect kidney-related issues. Abnormal levels could indicate kidney damage or imbalances in calcium metabolism.

    • Parathyroid Function Assessment: Anomalies in parathyroid hormone (PTH) can cause calcium metabolism disorders. This test helps diagnose hyperparathyroidism, hypoparathyroidism, and other related conditions.

    • Bone Health Analysis: Irregular calcium metabolism can lead to bone conditions like osteoporosis. The test supports the identification of these disorders, particularly when paired with abnormal blood calcium results.

    • Screening for Genetic Disorders: Genetic conditions such as familial hypocalciuric hypercalcemia (FHH) influence calcium excretion. This test distinguishes between genetic and other metabolic causes of calcium imbalance.

    FAQs on Calcium Creatinine Ratio, Urine Test in Delhi

    The cost for the Calcium Creatinine Ratio test in Delhi is ₹500. This fee includes the convenience of home sample collection, which will be arranged within 60 minutes after you place the booking.

    Yes, Orange Health Labs provides hassle-free home sample collection services for the Calcium Creatinine Ratio test, ensuring that your test is conducted at your convenience and comfort.

    The test measures the calcium levels in your urine and compares them to creatinine levels. It is essential for diagnosing conditions such as calcium-based kidney stones, hyperparathyroidism, metabolic disorders affecting calcium regulation, bone-related conditions like osteoporosis, and rare genetic disorders such as familial hypocalciuric hypercalcemia.

    No fasting is needed for the Calcium Creatinine Ratio test. However, if you are undergoing additional tests simultaneously, consulting with your doctor is recommended to ensure accurate results.

    Follow these easy steps to book the Calcium Creatinine Ratio test at home:

    • Search for the test: Look up "Calcium Creatinine Ratio test in Delhi" or "Calcium Creatinine Ratio test at home" and select Orange Health Labs from the available options.

    • Confirm your booking: Choose the test, review any instructions, enter your location, and set up a preferred time for sample collection.

    • Sample collection process: A trained eMedic will visit your home to collect your urine sample at the scheduled time.

    • Laboratory analysis: The sample will be processed in an ICMR-approved, NABL-accredited laboratory for accurate results.

    • Receive your results: Results will be delivered via email or WhatsApp within 6 hours and can also be accessed through the Orange Health app.

    Normal values for the Calcium Creatinine Ratio test are typically <0.2. If the ratio exceeds this level, it may indicate hypercalciuria, often linked to conditions like kidney stones or metabolic disorders. Lower ratios might suggest hypocalciuria, which could be caused by issues such as hypoparathyroidism or inadequate calcium absorption.

    After booking, an eMedic will visit your location within 60 minutes to collect your sample. The processed results will be shared with you via WhatsApp or email within 6 hours after sample collection.

    The frequency depends on your doctor’s advice, which will take into account your medical history, symptoms, and any underlying health conditions. Regular testing may be recommended for ongoing monitoring of calcium metabolism disorders.

    The test evaluates the concentration of calcium and creatinine in your urine and calculates the calcium-to-creatinine ratio.

    Orange Health Labs offers the Calcium Creatinine Ratio test across Delhi in localities such as Connaught Place, Chandni Chowk, Karol Bagh, Lajpat Nagar, South Extension, Greater Kailash, Hauz Khas, Saket, Vasant Kunj, Dwarka, Rohini, Pitampura, Janakpuri, Rajouri Garden, Mayur Vihar, Preet Vihar, Shahdara, Laxmi Nagar, Green Park, Safdarjung Enclave, Defence Colony, New Friends Colony, Kalkaji, Malviya Nagar, Nehru Place.

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    References

    1. Foley KF, Boccuzzi L. Urine Calcium: Laboratory Measurement and Clinical Utility. Laboratory Medicine [Internet].  Available from:  https://academic.oup.com/labmed/article-abstract/41/11/683/2504912?redirectedFrom=fulltext
    2. Choi IS, Jung ES, Choi YE, Cho YK, Yang EM, Kim CJ. Random Urinary Calcium/Creatinine Ratio for Screening Hypercalciuria in Children with Hematuria. Annals of Laboratory Medicine [Internet].  Available from:  https://pmc.ncbi.nlm.nih.gov/articles/PMC3819437/
    3. Creatinine [Internet]. National Kidney Foundation.  Available from:  https://www.kidney.org/kidney-topics/creatinine
    4. Rodriguez MHellen, Masaki DI, Mestman J, Kumar D, Rude R. Calcium/creatinine ratio and microalbuminuria in the prediction of preeclampsia.  Available from:  https://pubmed.ncbi.nlm.nih.gov/3061296/
    5. Wills MR. The urinary calcium/creatinine ratio is a measure of urinary calcium excretion. Journal of Clinical Pathology.  Available from:  https://jcp.bmj.com/content/22/3/287
    6. Calcium in Urine Test [Internet].  Available from:  https://medlineplus.gov/lab-tests/calcium-in-urine-test/