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    Blood Urea Nitrogen

    How It Feels

    The blood sample is taken from a vein in your arm. An elastic band is wrapped around your upper arm. It may feel tight. You may feel nothing at all from the needle, or you may feel a quick sting or pinch.

    Risks

    There is very little chance of a problem from having a blood sample taken from a vein.

    • You may get a small bruise at the site. You can lower the chance of bruising by keeping pressure on the site for several minutes.
    • In rare cases, the vein may become swollen after the blood sample is taken. This problem is called phlebitis. A warm compress can be used several times a day to treat this.
    • Ongoing bleeding can be a problem for people with bleeding disorders. Aspirin, warfarin (Coumadin), and other blood-thinning medicines can make bleeding more likely. If you have bleeding or clotting problems, or if you take blood-thinning medicine, tell your doctor before your blood sample is taken.

    Results

    A blood urea nitrogen (BUN) test measures the amount of nitrogen in your blood that comes from the waste product urea.

    Normal

    The normal values listed here-called a reference range-are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what's normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.

    Blood urea nitrogen (BUN) 1

    Adults:

    10-20 milligrams per deciliter (mg/dL) or 3.6-7.1 millimoles per liter (mmol/L)

    Children:

    5-18 mg/dL

    BUN-to-creatinine ratio 1

    Adults:

    6-25 with 15.5 being the best value.

    High values

    • A high BUN value can mean kidney injury or disease is present. Kidney damage can be caused by diabetes or high blood pressure that directly affects the kidneys. High BUN levels can also be caused by low blood flow to the kidneys caused by dehydration or heart failure.
    • Many medicines may cause a high BUN. Be sure to tell your doctor about all the nonprescription and prescription medicines you take.
    • A high BUN value may be caused by a high-protein diet, Addison's disease, tissue damage (such as from severe burns), or from bleeding in the gastrointestinal tract.
    • High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by shock or severe dehydration. A very high BUN-to-creatinine ratio may be caused by bleeding in the digestive tract camera.gif or respiratory tract camera.gif.

    Low values

    • A low BUN value may be caused by a diet very low in protein, malnutrition, or severe liver damage.
    • Drinking excessive amounts of 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.
    • A low BUN-to-creatinine ratio may be caused by a diet low in protein, a severe muscle injury called rhabdomyolysis, pregnancy, cirrhosis, or syndrome of inappropriate antidiuretic hormone secretion (SIADH).

    WebMD Medical Reference from Healthwise

    Last Updated: November 14, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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