This work aims to understand the distribution and migration mechanisms of U and Mo between surface sediment and water in acid mine drainage (AMD) regions near a molybdenum mining region. A series of river sediment and water samples near the Jinduicheng mining area, one of the largest deposits of molybdenite ore in Asia, were collected and analyzed. Our results indicate that: (1) The pH value of river water samples increases with distance from upstream to downstream, while the pH has poor correlation with Mo and U; (2) The content of Mo and U in the sediment are significantly higher than the background value, which suggests potential pollution; (3) The content of Mo and U in the water and sediments in the lower reaches of the Wenyu river is significantly linearly related with the distance from the mining area, suggesting that AMD is a potential source; (4) BCR analysis shows that Mo in river sediments mainly existed as the residual, while U mainly existed as the non-residual; (5) The distribution coefficient K_d(Mo) exceeds K_d(U), indicating that Mo is enriched in sediments while U is more prone to porewater.