Skip to content

Lactobacillus count (stool culture with selective medium)

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

This test checks for the presence of beneficial bacteria called Lactobacillus in your stool. These bacteria help support gut health and may be important if you have digestive issues or are taking antibiotics.

Quick summary

["Lactobacillus count helps assess gut microbiome balance and may guide treatment for infections or digestive problems."]

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

Key facts at a glance

LOINC
20866-0
Short code
L acidophilus CC # Mlk Cult
Synonyms
L acidophilus CC # Mlk Cult
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
2
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
organism-specific-culture
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

The test looks for live Lactobacillus bacteria in your stool sample. These bacteria are part of your gut microbiome and play a role in maintaining healthy digestion and immune function. The result may indicate whether these beneficial bacteria are present in sufficient numbers.

Why Might You Need This Test?

Your healthcare provider may order this test if you have symptoms like persistent diarrhea, bloating, or digestive discomfort, especially if antibiotics were recently taken. It can also help diagnose or monitor conditions like small intestinal bacterial overgrowth (SIBO) or certain infections.

How Is the Test Performed?

A small sample of your stool is collected in a sterile container. The sample is then sent to a lab where it is cultured on a special medium that supports the growth of Lactobacillus bacteria. After incubation, the lab checks for bacterial growth to determine if these beneficial bacteria are present.

What Are the Possible Results?

Results are qualitative (positive or negative) rather than numerical. A positive result means Lactobacillus bacteria were detected in your stool sample. A negative result suggests they were not found, which may prompt further evaluation of your gut health.

Reference range

NCBI: SCC <2.0 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Frequently asked questions

What does a positive result mean?
A positive result indicates the presence of Lactobacillus bacteria in your stool, which is generally a good sign for gut health. However, the exact meaning depends on your symptoms and medical history. If you had recent antibiotics, this test can help determine if probiotics or other treatments are needed to restore balance.
What does a negative result mean?
A negative result means Lactobacillus bacteria were not detected in this sample. This could suggest an imbalance in your gut microbiome, which may require further testing or treatment to address. Your doctor will discuss next steps based on your symptoms and overall health.
How often should I get this test?
This test is typically ordered as needed, depending on your symptoms or medical concerns. Your healthcare provider will determine the best timing for retesting if results are abnormal or if symptoms persist.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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