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₹80
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24 Hour Urine 5-Hiaa
₹3,500
The 24-hour urine 5-HIAA test measures 5-hydroxyindoleacetic acid, a breakdown product of serotonin, excreted in urine over a full day.
Normal levels are about 2–9 mg/24 hours, varying by lab.
High 5-HIAA indicates excess serotonin production, mainly from carcinoid (neuroendocrine) tumors of the intestine or lungs. These cause carcinoid syndrome, with facial flushing, diarrhea, wheezing, and heart valve damage. Very high levels strongly suggest the disease.
Certain foods and medicines can falsely raise results. The test also helps monitor treatment and detect recurrence.
You should get a 24-hour urine 5-HIAA test if you have symptoms of carcinoid syndrome, such as episodes of facial flushing, chronic watery diarrhea, wheezing, abdominal cramps, or a fast heartbeat. It is also recommended when scans show a suspected neuroendocrine tumor or liver lesions, and for monitoring carcinoid tumor treatment and recurrence.
For a 24-hour urine 5-HIAA test, avoid bananas, pineapple, kiwi, plums, tomatoes, avocado, eggplant, and walnuts for 72 hours before and during collection, as they raise 5-HIAA. Avoid alcohol and smoking. Inform your doctor about paracetamol, cough syrups, or antidepressants. Collect all urine for 24 hours in the provided container, keeping it refrigerated.
No, fasting is not required for a 24-hour urine 5-HIAA test. However, you must avoid serotonin-rich foods such as bananas, pineapple, kiwi, plums, tomatoes, avocado, eggplant, and walnuts for 72 hours before and during the collection, as they can falsely raise results. Avoid alcohol and smoking as well.
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