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Blood Test: What It Is, How It Is Performed, and How to Prepare

Published: August 9, 2026Updated: August 17, 2026

A stool test that measures ammonia levels to evaluate digestive health and detect bacterial overgrowth in the intestines.

Quick summary

{"Measures ammonia levels in your stool sample","Helps diagnose small intestinal bacterial overgrowth (SIBO)","A simple stool collection is required","Results help assess gut bacterial balance","Your healthcare provider will interpret results based on your symptoms"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
97753-8
Short code
Ammonia Stl-sCnt
Synonyms
Ammonia Stl-sCnt
Category
chemistry
Sample
stool
Container
Clean container
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 200 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

This is a laboratory test that uses a small sample of your blood to measure important substances, such as blood cells, chemicals, proteins, or hormones. Your healthcare provider may order it to check your overall health, find the cause of symptoms, screen for certain medical conditions, or monitor how well a treatment is working over time.

The Stool Ammonia test measures the amount of ammonia present in your stool. Ammonia is a compound produced when bacteria break down proteins in your intestines. Normally, bacteria in your gut help with digestion, but an overgrowth of certain bacteria can produce excess ammonia, which may cause digestive symptoms and indicate underlying health conditions.

A trained healthcare professional will draw a small amount of blood, usually from a vein in your arm or the inside of your elbow. The site is cleaned with an antiseptic, an elastic band is placed around your upper arm, and a sterile needle is used to collect the sample into a tube. The process typically takes only a few minutes, and the sample is then sent to a laboratory for analysis.

You will be given a sterile collection container for your stool sample. Simply collect a small amount of stool (typically about the size of a walnut) in a clean, dry container. Avoid mixing urine or water with the sample. Label the container with your name and date, and deliver it to the laboratory as instructed, preferably within a few hours of collection.

Preparation depends on the specific test your provider has ordered. Some tests require fasting for 8 to 12 hours beforehand, so you may be asked to avoid all food and drinks except water. Others need no special preparation. Tell your provider about all medications, vitamins, and supplements you take, because some can affect the results. Drink water and keep taking your prescription medications unless your provider gives you different instructions.

Generally, no special preparation is required. However, your healthcare provider may ask you to avoid certain medications or supplements before the test, especially antibiotics or probiotics, as these can affect the test results. Follow any specific instructions given by your doctor or the testing facility.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated stool ammonia levels may indicate small intestinal bacterial overgrowth (SIBO), a condition where excessive bacteria grow in the small intestine. This can lead to symptoms like bloating, gas, diarrhea, and malabsorption of nutrients. The test can also help evaluate digestive function and gut health, particularly in patients with chronic digestive complaints. Normal or low ammonia levels typically suggest healthy gut bacterial balance.

Frequently asked questions

What does a high ammonia level in stool mean?
High stool ammonia levels often indicate bacterial overgrowth in the intestines, particularly in the small intestine (SIBO). This means bacteria are producing more ammonia than normal during protein breakdown. Your healthcare provider will correlate these results with your symptoms to determine if treatment is needed.
Is the test painful?
No, the stool ammonia test is completely painless. You simply collect a stool sample at home using the provided container. No blood draw or invasive procedure is required.
How long does it take to get results?
Results are typically available within 3-5 business days, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
Do I need to fast before this test?
Fasting is usually not required for a stool ammonia test. However, follow any specific instructions from your healthcare provider, as they may have given you personalized preparation guidelines.
What happens if my results are abnormal?
If your stool ammonia levels are elevated, your healthcare provider may recommend additional testing to confirm SIBO or other digestive conditions. Treatment options may include dietary changes, antibiotics, or probiotics, depending on the underlying cause.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy