D-xylose absorption test (serum concentration, 2-hour post-oral load)
This test measures how well your intestines absorb the sugar D-xylose after you drink a special solution. It helps check for conditions that may affect digestion or nutrient absorption.
["Assesses intestinal absorption function with a simple oral challenge test."]
Key facts at a glance
- LOINC
- 34053-9
- Short code
- Xylose 2h p 5 g Xyl PO SerPl-sCnc
- Synonyms
- Xylose 2h p 5 g Xyl PO SerPl-sCnc
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Ref low
- 20
- Ref high
- 400
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 82670
- 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
This test gives your healthcare provider important information about your health. It may be done to look for a specific condition, help confirm a diagnosis, or check how well a current treatment is working for you.
Your doctor may order this test if you have symptoms like chronic diarrhea, weight loss, or unexplained nutrient deficiencies. It’s also used to diagnose conditions like celiac disease, short bowel syndrome, or malabsorption disorders.
During this test, a small sample or measurement is taken so it can be examined in a laboratory or analyzed with special equipment. The results help your care team get a clearer picture of what is happening inside your body.
You’ll drink a solution containing D-xylose, a sugar that your body absorbs through the intestines. Blood is drawn from your arm 2 hours later to measure the concentration of xylose in your serum. This helps determine how efficiently your intestines are working.
Before your test, your healthcare provider will explain the procedure and answer any questions you may have. You may receive specific instructions, such as avoiding certain foods, drinks, or medications, so be sure to follow them carefully.
No special preparation is needed, but avoid taking certain medications (like antibiotics or antacids) that could affect absorption. If you have a history of severe vomiting or nausea, let your doctor know before the test.
During the test, a trained member of your care team will guide you through each step and help you stay as comfortable as possible. Most tests are quick and cause little to no discomfort, and you can usually return to your normal activities right afterward.
You’ll drink the xylose solution, and a blood sample will be taken 2 hours later. The process takes about 30 minutes and is done in a lab setting. You can eat and drink normally afterward.
Reference range
Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A
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
Short name
D-Xylose Absorption Test
Frequently asked questions
A low xylose concentration in your blood after 2 hours may indicate malabsorption, where your intestines aren’t absorbing nutrients properly. This can be linked to conditions like celiac disease, inflammatory bowel disease, or other digestive disorders. Your doctor will use the results along with your symptoms and medical history to guide further testing or treatment.
A low xylose level suggests poor intestinal absorption, which could mean your digestive system isn’t working as it should. This might need further evaluation to rule out conditions like celiac disease or other malabsorption issues. A high level is less common but may sometimes indicate normal absorption or rare metabolic disorders.
Results are typically ready within a few days to a week, depending on your lab. Your doctor will discuss the findings with you during your follow-up visit.
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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