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Orotic Acid - Diagnostic Test

The orotic acid test is a diagnostic procedure primarily used to measure the level of orotic acid in the urine. This test plays a crucial role in diagnosing and monitoring inherited metabolic disorders, especially those involving the urea cycle such as Orotic Aciduria.


  • Test NameOrotic Acid - Diagnostic Test
  • Sample TypeUrine
  • Preparations RequiredNone
  • Report Time4 days

Orotic Acid is a compound naturally present in the body. It plays a crucial role in the biosynthesis of pyrimidines, which are essential components of DNA and RNA. In normal circumstances, orotic acid is produced and subsequently converted into other compounds in the body. However, certain genetic disorders can disrupt this process, leading to an accumulation of orotic acid in the body, which is then excreted in the urine. This test measures the levels of orotic acid in the urine to aid in the diagnosis of these disorders.

Home Sample Collection Process

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Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
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Reporting of the sample at lab
Reporting of the sample at lab
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Frequently Asked Questions

The Orotic Acid test is primarily used to detect inherited metabolic disorders such as Orotic Aciduria. In such conditions, an excess of orotic acid is present in the body, which is then excreted in the urine.

If a person is exhibiting symptoms of metabolic disorders like lethargy, failure to thrive, developmental delay, seizures, or has a family history of these disorders, an orotic acid test may be recommended.

The test is performed on a urine sample. The patient is required to provide a sample, typically a 24-hour urine collection, which is then sent to a laboratory for analysis.

The test measures the concentration of orotic acid in the urine. High levels can indicate a metabolic disorder.

The frequency of this test is typically determined by your healthcare provider, based on your symptoms, medical history, and the progression of any diagnosed metabolic disorder.

Normal values can vary based on the lab performing the test. Your healthcare provider will interpret your results based on their knowledge of your health history and symptoms.

Before the test, no specific preparation is required. After the test, follow your healthcare provider's instructions.

Factors such as diet, hydration, and certain medications can potentially affect orotic acid levels. Inform your healthcare provider of any medications or supplements you are taking.

In case of abnormal values, a further consultation with a medical geneticist or a metabolic disorders specialist may be required to confirm a diagnosis and guide treatment.

No, fasting is generally not required for this test.

While this test is primarily used to detect disorders involving the urea cycle, abnormal results may suggest the need for further testing for other potential metabolic disorders.

A healthy lifestyle is always beneficial. However, the levels of orotic acid are mainly influenced by metabolic processes that are often genetically determined.

Yes, this test can be performed during pregnancy if deemed necessary by a healthcare provider.

While your diet may affect the levels of many substances in your body, orotic acid levels are mostly determined by your body's metabolic processes and any genetic disorders that affect them.

Certain medications may influence the levels of orotic acid. Always inform your healthcare provider of any medications you are taking.

The test is generally safe and non-invasive, as it simply involves the collection of a urine sample.

The accuracy of the test depends on the methodology used by the laboratory. However, it is generally considered to be a reliable test for diagnosing conditions associated with elevated orotic acid levels.

No, this test does not involve any radiation exposure as it is a biochemical analysis performed on a urine sample.

While an abnormal result can be indicative of certain conditions, further diagnostic tests may be necessary to confirm a diagnosis.

If you have symptoms but your orotic acid levels are normal, your healthcare provider may recommend further testing to investigate other potential causes of your symptoms.

Yes, this test can be performed on individuals of all ages, including infants and children, especially if there are symptoms or a family history suggestive of a metabolic disorder.

It's important to inform your healthcare provider if you have a urinary tract infection or any other urinary symptoms, as these could potentially affect the test results.

Coverage for this test will depend on your insurance policy. Please consult with your insurance provider for more information.

There is no direct evidence to suggest that exercise significantly impacts the levels of orotic acid.

Orotic aciduria type I is caused by a deficiency in the enzyme orotate phosphoribosyltransferase, while type II is caused by a combined deficiency of this enzyme and the enzyme orotidine 5'-phosphate decarboxylase. Both result in an accumulation of orotic acid in the body.

Orotic Acid
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