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D-xylose absorption test (serum concentration, 2-hour post-oral load)

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

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.

Quick summary

["Assesses intestinal absorption function with a simple oral challenge test."]

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

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

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

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.
You can eat and drink normally before the test, but avoid taking medications that could interfere with absorption unless your doctor advises otherwise.
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.
How long will I need to wait before my test results are ready, and how will my healthcare provider share those results with me once they are available?
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.
Can I eat or drink anything before the test, or will I need to avoid certain foods, beverages, or medications for a specific amount of time beforehand?
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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