Fructose intolerance test
Fructose intolerance
Before delving into fructose intolerance tests, it’s important to have a general idea of what fructose intolerance is. Fructose intolerance is a condition in which the body has difficulty absorbing fructose, a natural sugar found in fruits, honey, and some vegetables. When fructose is not absorbed effectively, it can cause gastrointestinal discomfort, including symptoms such as bloating, gas, diarrhea, and abdominal pain. These symptoms occur as undigested fructose moves into the colon, where bacteria ferment it, this can produce gases and cause discomfort.
What is a fructose intolerance test?
A fructose intolerance test is designed to determine how well the body can absorb fructose. This test is especially helpful for individuals experiencing symptoms like bloating and abdominal pain after consuming fructose-rich foods. By confirming fructose intolerance, healthcare providers and dietists can help patients adjust their diets, ultimately to minimize their symptoms and to enhance quality of life.
Fructose intolerance breath test
How the test works
The fructose intolerance breath test is one of the most common methods for diagnosing fructose malabsorption. During this test, patients consume a drink containing a measured amount of fructose. Over the following hours, they periodically breathe into a device that measures the amount of hydrogen in their breath. Elevated hydrogen levels indicate fructose malabsorption, as undigested fructose ferments in the colon and releases hydrogen, which is absorbed into the bloodstream and exhaled through the lungs. Before you do a breath test, you can do an Intolerance test/questionnaire online. This helps indicate if you need to do a breath test. You can do an online fructose intolerance test here:

What to expect during the procedure
The breath test typically takes 2-3 hours. After consuming the fructose solution, patients will need to remain at the testing facility to provide breath samples at regular intervals. During this time, it is recommended to avoid eating, drinking, or engaging in strenuous activity, as these could affect the results.
Interpretation of results
If hydrogen levels in the breath are significantly elevated, it suggests that the body is not absorbing fructose effectively, confirming fructose intolerance. Low hydrogen levels, on the other hand, may indicate normal fructose absorption. A healthcare provider will review the results and discuss potential dietary changes to manage symptoms effectively.
Fructose intolerance test at home
- Available at-home testing options
At-home tests for fructose intolerance are available and may offer convenience for those unable to visit a testing facility. These home kits typically include instructions for self-administering a hydrogen breath test, with samples sent to a lab for analysis. - Steps for conducting the test at home
To conduct a home test, individuals consume a fructose solution provided in the kit and collect breath samples at specified times. These samples are then mailed to a lab, where they are analyzed for hydrogen content. The lab will send results directly to the patient or their healthcare provider. - Pros and cons of home testing versus clinical testing
Home testing offers the convenience of testing in a familiar environment without the need to travel to a medical facility. However, results may be less accurate if instructions are not carefully followed, or if factors like recent food intake interfere with readings. Clinical testing, while requiring a visit to a healthcare provider, generally offers more precise results due to controlled conditions.
Fructose tolerance test
- Differences between fructose tolerance and intolerance tests
While the fructose intolerance test focuses on how well the body absorbs fructose, a fructose tolerance test assesses the body’s reaction to varying amounts of fructose. This type of test is less common but may be used to understand tolerance levels in individuals with mild symptoms. - When a tolerance test may be used
A fructose tolerance test may be recommended for individuals who suspect they have only a partial intolerance to fructose. This test helps determine how much fructose the body can tolerate without causing symptoms, providing guidance for dietary modifications.
Next steps after testing
- Understanding results
If testing confirms fructose intolerance, the healthcare provider will review the results and explain their significance. They may recommend further evaluations or dietary adjustments depending on the severity of the intolerance. If you suspect fructose intolerance, you can contact one of our dietitians for free personal advice. - Dietary adjustments and management tips
For managing fructose intolerance, dietary adjustments are often essential. A low-fructose diet involves limiting foods high in fructose, such as apples, pears, honey, and certain processed foods. Gradually identifying tolerable levels of fructose and incorporating fructose-free alternatives can help alleviate symptoms. Additionally, enzyme supplements, like xylose isomerase, may be helpful in digesting fructose, allowing for a more flexible diet.
Testing for fructose intolerance provides essential insights into digestive health, enabling individuals to make informed dietary choices that support long-term comfort and well-being. By understanding their unique tolerance levels and working with a healthcare provider, those with fructose intolerance can manage symptoms effectively and enjoy a broader range of foods.
You can read more about the topic in our knowledge bank or you can contact one of our dieticians for personalized advice.
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.