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Hydrogen breath test

Also called: Lactose intolerance test, SIBO breath test, Lactulose breath test

A hydrogen breath test checks for lactose intolerance and small intestinal bacterial overgrowth (SIBO) by measuring gases in your breath.

SampleBreath
Fasting?Overnight
ResultsSame day to a few days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

You drink a sugar solution, and breath samples are collected over 2 to 3 hours.

Why it's done

  • Bloating, gas, or diarrhea after dairy
  • Possible SIBO

Getting ready and what happens

  • Follow a special low-fiber diet the day before and fast overnight.
  • Avoid antibiotics for 4 weeks and laxatives for a week, if possible.
  • Don't smoke or exercise before the test.

How the test is done

  • You breathe into a bag before and every 15 to 30 minutes after drinking the solution.

What the results mean

Rise in hydrogen or methane

Suggests lactose intolerance or SIBO, depending on the sugar and timing.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Related conditions

Related medicines

Sources

Last updated 2026-11-13.