To detect excessive exposure to mercury
Mercury
Mercury
Also Known As
Hg (chemical symbol)
Formal Name
Mercury, Urine and Blood
This article was last reviewed
on
This article waslast modified
on December 6, 2019.
At a Glance
Why Get Tested?
When To Get Tested?
When you have signs and symptoms of mercury poisoning or have been exposed to mercury; to monitor occupational exposure to mercury
Sample Required?
A blood sample drawn from a vein in your arm and/or a random or 24-hour urine sample may be collected. Rarely, another sample such as hair, breast milk, or nails may be tested.
Test Preparation Needed?
None needed; however, consult with your healthcare provider or laboratory about urine collection to avoid sample contamination.
Accordion Title
Common Questions
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How is the test used?
Mercury testing is used to detect the presence of an excessive amount of mercury in a person's blood and/or urine sample. It may be ordered by a healthcare practitioner to determine whether a person has had short-term exposure to a toxic level of mercury (acute exposure) or has been exposed over an extended period of time (chronic exposure). Testing may also be used to monitor those who may be exposed to mercury in the workplace.
To test for the various forms of mercury, more than one type of sample may be collected and tested.
- Blood is primarily tested to detect the presence of methyl mercury. Other forms of mercury (metallic and inorganic) can also be detected in the blood, but the amount present will decrease by half about every 3 days as the mercury moves into organs such as the brain and kidneys. Therefore, blood testing must be done within days of suspected exposure.
- Urine is used to test for metallic mercury and inorganic forms of mercury, but it cannot be used to determine exposure to methyl mercury.
- Hair testing may be useful to detect methyl mercury exposures that occurred several months previously, but hair testing is relatively complex and is not used frequently.
- Although not routinely ordered tests, mercury has been shown to be present in nails, breast milk, stool, and breath.
Other general laboratory tests may be used to help evaluate the health of various organ systems in someone who has been exposed or thought to be exposed to toxic levels of mercury. Some examples include a comprehensive metabolic panel (CMP) and a complete blood count (CBC).
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When is it ordered?
Mercury testing may be ordered when a person has signs and symptoms suggesting excessive exposure to mercury. Acute signs and symptoms may include:
- Burning in the mouth and lungs
- Cough, difficulty breathing, chest tightness
- Difficulty urinating and decreased urine output
- Nausea, vomiting, diarrhea, or abdominal cramping
- Increased heart rate
- Fever or chills
- Dizziness
- Headache
Those who are chronically exposed may have nonspecific symptoms that involve the lungs, kidneys, and nervous system. Some of the chronic symptoms may include:
- Problems with hearing, taste and smell
- Blurry vision or sometimes tunnel vision
- Tingling or tremors in the arms or legs
- Difficulty walking
- Irritability
- Memory loss
Testing may also be ordered even in the absence of symptoms when it is known that a person has been exposed to mercury in order to help evaluate the extent of the exposure.
Mercury measurements may be ordered on a regular basis to monitor people who work in industries that use mercury. It may be ordered, along with tests to detect lead and/or other heavy metals, for individuals who work with a variety of potentially hazardous materials.
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What does the test result mean?
Levels of mercury in blood and urine are normally very low. A test result showing no mercury or a low level indicates that it is likely that the person tested has not been exposed to excessive levels of mercury, at least not in the window of time that the test is measuring.
An increased blood level suggests a relatively recent exposure to mercury. In general, a blood level greater than 10 mcg/L indicates an unusual level of exposure for someone who does not regularly work with mercury.
In contrast to levels of mercury in the blood, a 24-hour urine sample gives more of an average past history of exposure to metallic or inorganic mercury. Normal urine levels are typically less than 10 mcg/L for someone without risk of occupational exposure. (For information on occupational exposure levels, see the Related Content section.)
Levels of mercury in either the blood or urine will not indicate the form or quantity of mercury to which a person was exposed.
An increased level of mercury in hair testing may indicate exposure to increased levels of methyl mercury, but hair samples are rarely used because of issues involving testing standardization, sample contamination, and the fact that hair is subject to many pre-analytical variables (hair exposure to dyes, bleach, shampoo, etc.).
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Is there anything else I should know?
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Is it ok for pregnant women and young children to eat fish?
The high levels of mercury found in certain fish may harm the developing nervous systems in unborn babies and young children. The U.S. Food and Drug Administration (FDA) recommends that pregnant women, women who may become pregnant, young children, and nursing mothers avoid eating fish with increased mercury levels, such as shark, swordfish, king mackerel and tilefish. It advises these groups to eat fish that are usually found to have lower levels of mercury such as canned light tuna, shrimp, or salmon. (See the Related Content section for their advice.)
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What is Thimerosal?
Thimerosal is an organic mercury compound that has been used in small amounts as a preservative in some vaccines. Although it is generally regarded as safe, the use of thimerosal is now being phased out. Thimerosal is no longer used as a preservative in any childhood vaccine, except for the influenza vaccine.
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Do silver teeth fillings contain mercury?
Yes. Dental amalgams (teeth fillings) are made up of about 50% metallic mercury. Some people feel that the tiny amount of mercury vapor released when a person chews may affect their health, but internationally most major health organizations feel that the amalgams are safe at this time. The U.S. Food and Drug Administration (FDA) has determined that dental amalgams are safe for adults and children over age 6. A few countries have begun to restrict their use as a precaution.
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What types of fish have higher levels of mercury?
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What can I do to reduce my exposure to mercury?
In addition to avoiding consumption of fish known to harbor higher levels of mercury, you can avoid purchase and use of consumer products that contain mercury, such as thermostats and thermometers, and alternative medicines that contain mercury. These include some Hispanic folk remedies and Ayurvedic herbal preparations. Dispose of batteries, light-up novelty toys, thermometers, thermostats, and other mercury-containing items, including compact fluorescent light bulbs (CFLs), in hazardous waste facilities. Finally, exercise caution when handling CFLs, especially if you break one.