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VMA (Vanillyl Mandelic Acid) - 24-hour Urine Test

Vanillylmandelic Acid (VMA) is a metabolite of the catecholamines epinephrine (adrenaline) and norepinephrine. The VMA 24-hour urine test is used as a screening tool for detecting and managing patients with certain types of tumors, such as neuroblastomas, pheochromocytomas, and paragangliomas.

These tumors can cause an overproduction of the hormones adrenaline and noradrenaline in the adrenal glands. These hormones are subsequently broken down into different substances, including VMA, which are expelled through the urine.


  • Test NameVMA (Vanillyl Mandelic Acid) - 24-hour Urine Test
  • Sample TypeUrine
  • Preparations RequiredPrior to this test, you may need to avoid coffee, tea, bananas, citrus fruits, vanilla, and chocolate for about 2-3 days. Ensure to maintain your normal fluid intake and avoid strenuous exercise before the test.
  • Report Time4 Days

Why is the VMA 24-hour Urine Test done?

This test is carried out to determine if there are high levels of VMA in your urine, indicating a potential neuroblastoma, pheochromocytoma, or paraganglioma.

Is fasting required before this test?

Usually, fasting is not needed, but you may be asked to avoid specific foods, medicines, and vigorous physical activity a few days prior to the test.

Home Sample Collection Process

1
Book your convenient slot
Book your convenient slot
2
Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
3
Reporting of the sample at lab
Reporting of the sample at lab
4
Download Reports
Download Reports
Frequently Asked Questions

The VMA 24-hour urine test uses a urine sample collected over a 24-hour period.

Your healthcare provider might order this test if you exhibit symptoms of a neuroblastoma or pheochromocytoma, such as high blood pressure, heart palpitations, excessive sweating, or anxiety.

This test quantifies the VMA levels in your urine, which can help determine if your body is producing excessive amounts of adrenaline and noradrenaline.

The frequency of testing depends on your individual health condition and the advice of your healthcare provider.

Normal values can vary, but generally, adults have less than 13.6 mg of VMA in their urine in 24 hours.

You should abstain from strenuous physical activity and certain foods and medications that can impact VMA levels. Your healthcare provider will provide specific guidelines.

Stress, intense physical activity, and certain foods and medicines can influence VMA levels.

If your test results are abnormal, you should consult your healthcare provider, who may refer you to an endocrinologist or another specialist.

An abnormal result means that the VMA levels in your urine are higher than normal. This could be due to neuroblastomas, pheochromocytomas, or paragangliomas, conditions that cause the adrenal glands to produce excess amounts of adrenaline and noradrenaline.

While sample collection can technically be done at home, it's crucial that the sample is stored and transported properly. Also, the analysis of the sample requires laboratory equipment. Thus, this test is typically done in a clinical setting or through a home-collection service provided by some laboratories.

To prepare for the VMA test, you may need to avoid certain foods and medications that could affect your VMA levels for a few days before the test. Also, try to avoid strenuous exercise and stress. Your healthcare provider will give you specific instructions.

Several medications can affect VMA levels, including certain antihypertensives, antidepressants, decongestants, and asthma medications. If you are on any medications, discuss with your healthcare provider whether they could interfere with the test.

The VMA test is a low-risk test. The only potential risk might be related to the temporary changes in diet and medication usage advised prior to the test.

Yes, this test can be performed on children. It is sometimes used to diagnose neuroblastoma, a type of cancer that often affects children.

High VMA levels may indicate a medical condition that needs treatment, such as a tumor. If you have high VMA levels, you should follow the treatment plan recommended by your healthcare provider.

Maintaining normal VMA levels generally involves maintaining a healthy lifestyle, managing stress, and treating any underlying conditions that can cause high levels of adrenaline and noradrenaline.

While you can typically eat and drink normally before the test, you may be asked to avoid certain foods that can interfere with the test results. These include coffee, tea, bananas, citrus fruits, vanilla, and chocolate.

The VMA 24-hour urine test is a crucial tool for diagnosing certain conditions and monitoring their treatment. It is important to follow your healthcare provider's instructions accurately to ensure the most precise test results.

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