Lactose Intolerance

Exams and Tests

If your doctor thinks you have lactose intolerance, he or she will ask questions about your medical history and do a physical exam. Before making a diagnosis, your doctor may ask that you avoid dairy products for a short time to see if your symptoms improve.

To confirm a diagnosis, your doctor may order a:

• Hydrogen breath test. This is the most accurate lactose intolerance test. Before the test, you need to avoid certain foods and medicines and cigarettes. On the day of the test, you will drink a liquid that contains lactose and then breathe into a machine several times over a couple of hours. If the hydrogen levels in your breath are high, you may have lactose intolerance. This test is not usually done on babies and very young children because it can cause severe diarrhea.
• Lactose tolerance test. This test measures your blood sugar after you eat or drink lactose. After midnight on the night before the test, you should not eat or drink anything. On the day of your test, you will drink a liquid that contains lactose, which may cause gas or pain in your belly. Then your blood will be tested every 30 minutes for 2 hours. If your blood sugar levels do not rise, you may be lactose-intolerant. This test is not done on people who have diabetes, and it is usually not done on babies and very young children.
• Stool acidity test. The stool acidity test measures the amount of acid in your large intestine. To take the stool acidity test, you collect a sample of your stool in a sealed container and immediately bring it to the lab for testing. If there is acid in your stool, you may not be digesting lactose normally. The stool acidity test can be done with infants and very young children.

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Author:	Shannon Erstad, MBA/MPH	Last Updated: August 15, 2007
Medical Review:	Kathleen Romito, MD - Family Medicine Jerome B. Simon, MD, FRCPC, FACP - Gastroenterology
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