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D-Xylose Absorption Test (24-Hour Urine Collection)

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

This test measures how well your body absorbs the sugar D-xylose, which helps assess intestinal function and malabsorption disorders.

Quick summary

["A low absorption rate may indicate problems like celiac disease or short bowel syndrome."]

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

Key facts at a glance

LOINC
41257-7
Short code
Xylose 2h p 25 g Xyl PO Ur-mCnc
Synonyms
Xylose 2h p 25 g Xyl PO Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your doctor may recommend this test if you have symptoms like chronic diarrhea, weight loss, or unexplained nutrient deficiencies, or if you have a suspected condition affecting how your intestines absorb nutrients.

What to Expect Before the Test

You’ll need to collect your urine for 24 hours after drinking a specific dose of D-xylose. Follow your healthcare provider’s instructions carefully to ensure accurate results.

How the Test Works

After drinking the D-xylose solution, your body absorbs some of it through the intestines. The test measures how much xylose appears in your urine over 24 hours to determine absorption efficiency.

What the Results Mean

Results are typically compared to a standard absorption rate. Lower than expected levels may suggest malabsorption, while normal results indicate healthy intestinal function.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: urine

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: This test is particularly useful for diagnosing conditions like celiac disease, tropical sprue, or other intestinal disorders that interfere with nutrient absorption. It can also help rule out conditions where dietary changes might be needed.

Short name

D-Xylose Test

Frequently asked questions

What is the normal range for this test?
There is no single standard reference range for D-xylose absorption tests, as results vary based on individual metabolism and test conditions. Your healthcare provider will interpret the results in relation to your clinical symptoms and other test findings.
How long does it take to get results from this test?
Results are usually available within 1 to 2 weeks after the test is completed, depending on the lab and your healthcare provider’s workflow.
Can I eat or drink anything before the D-xylose test?
Yes, you can eat and drink normally before the test, but avoid high-fiber or fatty foods for 24 hours before drinking the D-xylose solution to ensure accurate results.
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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