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Lactose Intolerance Screening (Gas and Breath Hydrogen)

Published: August 9, 2026Updated: August 16, 2026

This test measures gas and hydrogen levels in your breath after drinking a lactose-containing solution. It helps determine if your body struggles to digest lactose, a sugar found in milk and dairy products.

Quick summary

["A positive result suggests possible lactose intolerance, which may cause digestive symptoms after consuming dairy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
82920-0
Short code
L pneumo IgA Ser IA-aCnc
Synonyms
L pneumo IgA Ser IA-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
CPT
82784
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

How the Test Works

You’ll drink a solution containing lactose. Your breath is collected before and after drinking it. Special sensors detect hydrogen gas, which builds up in your system if you can’t digest lactose properly. This gas passes out of your body through your breath.

What to Expect Before the Test

No special preparation is needed, but avoid eating or drinking dairy products for at least 3 days before the test. Stop taking any medications that affect digestion (like probiotics or antacids) unless your doctor approves otherwise.

Possible Symptoms of Lactose Intolerance

If you have lactose intolerance, you might experience bloating, gas, diarrhea, stomach cramps, or nausea shortly after eating dairy products. This test helps identify if these symptoms are linked to lactose digestion issues.

What the Results Mean

Higher than expected hydrogen levels in your breath after drinking lactose suggest lactose intolerance. Your doctor will discuss the results with you and may recommend dietary changes or further testing if needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Lactose intolerance is common and usually harmless. It can cause discomfort but doesn’t usually lead to serious health problems. If symptoms are severe or persistent, your doctor may recommend a lactose-free diet or other tests to confirm the diagnosis.

Short name

Lactose Breath Test (Screening)

Frequently asked questions

Why did my doctor order this test?
Your doctor may suggest this test if you frequently experience digestive symptoms (like bloating, gas, or diarrhea) after eating dairy products. It helps determine if lactose intolerance is the cause.
What does a positive result mean?
A positive result indicates that your body likely struggles to digest lactose, meaning you may have lactose intolerance. This doesn’t mean you can’t eat dairy—just that you may need to limit or avoid it to avoid discomfort.
Can I eat or drink dairy before the test?
No, avoid dairy products for at least 3 days before the test. This helps ensure accurate results. If you have questions about specific foods, ask your doctor or lab technician.
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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 16, 2026. · Read our editorial policy