Bacterial balance, digestion, inflammation markers and H. pylori antigen.
Why this test is orderedGut & Digestion
A stool test looks at what is actually happening in the gut: bacterial balance, how well food is digested, and whether infection is present.
A stool test looks at what is actually happening inside your gut: bacterial balance, how well your gut digests food, signs of inflammation, and whether an infection such as H. pylori is present. It is one of the most direct tests available, because it examines the end result of digestion rather than inferring it from blood.
The base panel looks at occult blood, faecal fat which indicates malabsorption, calprotectin as a marker of gut inflammation, pancreatic elastase for digestive enzymes, and H. pylori antigen. An extended panel adds a microbiome profile and antibiotic sensitivity once tests confirm an infection.
This test is ordered after a consultation, and the results are read with you in a separate session.
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A positive H. pylori result leads to a treatment regimen based on current guidance, followed by confirmation testing six weeks after treatment ends. Microbiome results, meanwhile, are not read as simply good or bad. We read them alongside symptoms and diet. See the gut health pathway, or the food allergy test if symptoms track particular foods.
It does not look at structure, so it cannot detect ulcers, polyps, or changes in the gut lining. If warning signs appear, such as vomiting blood, black stools, difficulty swallowing, or sudden weight loss, endoscopy is still needed and we will refer you to a gastroenterologist. Treatment guidance follows the Ministry of Health Malaysia. Book a consultation.
To map gut bacterial composition rather than look for an infectious organism, read the gut microbiome test.
Every iLIV guide is written and reviewed under our editorial standards, and each one carries the name of the reviewing doctor together with their MMC registration number.
H. pylori is a bacterium that infects the stomach lining and links to ulcers and to long-term stomach cancer risk. Infection rates in Malaysia vary between population groups, although it is common enough to screen for whenever upper abdominal symptoms persist. The stool antigen test is non-invasive and needs no endoscopy.
Yes, proton pump inhibitors two weeks before and antibiotics four weeks before. Speak to the doctor first.
Five to seven working days for the base panel.
No. If warning signs such as vomiting blood or sudden weight loss appear, endoscopy is still needed.
The results decide which of these is relevant. Nothing is arranged before the consultation.
An initial consultation to understand your situation before any testing is recommended.
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