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SIBO Test (Small Intestinal Bacterial Overgrowth). Three tests Glucose, Lactose, Lactulose

$499.00

Description

Excess bacteria in the upper part of the digestive tract produces gas via fermentation of dietary sugars and starches, that can then lead to symptoms such as bloating, flatulence, abdominal discomfort and nausea, as well as constipation or diarrhoea. SIBO is found to be present in 70% of IBS patients and the build-up of gas in the intestines can be triggered by easily fermentable foods e.g. high FODMAP foods, refined carbohydrates and sugars; by foods which are hard to digest, such as grains, dairy, meat or raw food; and also by insufficient chewing, stress, or over-eating.

The SIBO breath test checks for the production of hydrogen and methane gases, indicating if bacteria have overgrown in the small intestine, where they are not usually found in large numbers. The results will help to tailor your nutrition programme, according to which type of gas is being produced and can be used in conjunction with a stool test, which analyses the health of the colon, or large intestine (see Complete Microbiome Stool Test).

We strongly recommend that if this is your first hydrogen-methane breath test, that you complete the “gold trio” of tests, i.e., challenges with Lactulose, Glucose, and then Fructose. These three test can be done on alternate days over one week, such as Mon-Weds-Fri. Sample analysis provides your clinician with the most accurate information regarding the possible role of bacterial metabolism in your digestive symptoms. Tests can be conducted in the privacy of your home

Description
Written instructions, including the preparation diet are here. In brief, you will follow a special diet for 1-2 days. Then on the morning of testing a baseline breath sample is collected, after which you’ll have a drink with the provided testing substance (a type of sugar). Then, every 15-20 minutes breath samples are collected for a total of 2.5-3 hours. The exact spacing and number of samples is dependent on the sugar being tested (see videos below). Once your test has been completed, you can eat and drink normally for the rest of the day.

The hydrogen-methane breath test can help determine the role of bacteria in the small intestine in your health and overall digestive function. Small intestinal bacterial overgrowth (SiBO) has been associated with irritable bowel (IBS), inflammatory bowel diseases (IBD), eczema, rosacea, fibromyalgia, liver disorders and many other conditions. Emerging evidence links it to autoimmune diseases such as scleroderma and neurological disorders such as Parkinson’s Disease & depression.
Breath testing is also used to test for malabsorption or intolerance of other sugars, such as lactose, fructose and sucrose (table sugar).

Who Should do the Hydrogen-Methane Breath Test?
There are several indications for running the Hydrogen-methane breath test. The main thing to be aware of is that it is a measure of bacterial activity – no matter which test you choose. Testing for SiBO test may be indicated if you experience any of these symptoms:
Gas, bloating, reflux or heartburn
Abdominal pain
Constipation or diarrhoea
Hypermobility disorders
Unexplained malabsorption
Digestive disturbance after a tummy bug, antibiotics, pain killers or stomach acid-reducing drugs (may also be worse from probiotics, fibre, certain fruit/veges or wholefoods).
Skin problems (acne, psoriasis, rosacea etc)
Body pain or fibromyalgia
Brain fog or fatigue
Iron deficiency or gut symptoms when taking iron supplements
Cognitive dysfunction (memory, concentration/brain fog)
Neurological disorders including Parkinson’s Disease
Women with endometriosis and digestive problems
The best strategy for determining the role of bacterial aberrations in the small bowel, is conducting lactulose, glucose and fructose challenges. These are tested on different days. For malabsorption testing, lactulose is done first, then (at least 2 days later) the sugar is tested. Each test is completed at least 2 days apart. You have to follow the same preparation diet for each test.

More info
Excess bacteria in the upper part of the digestive tract produces gas via fermentation of dietary sugars and starches, that can then lead to symptoms such as bloating, flatulence, abdominal discomfort and nausea, as well as constipation or diarrhoea. SIBO is found to be present in 70% of IBS patients and the build-up of gas in the intestines can be triggered by easily fermentable foods e.g. high FODMAP foods, refined carbohydrates and sugars; by foods which are hard to digest, such as grains, dairy, meat or raw food; and also by insufficient chewing, stress, or over-eating.

The SIBO breath test checks for the production of hydrogen and methane gases, indicating if bacteria have overgrown in in the small intestine, where they are not usually found in large numbers. The results will help to tailor your nutrition programme, according to which type of gas is being produced and usually in conjunction with a stool test, which analyses the health of the colon, or large intestine (see Complete Microbiome Stool Test above).

How to complete the SIBO Test
The SIBO breath test can be completed any day of the week, but requires you to follow specific dietary guidelines for one day beforehand (2 days if you are constipated and do not have a daily bowel movement). After following the restricted diet, you must fast overnight for at least 12 hours before testing. The aim of the diet is to clear any residual fibre from your gut (hence white rice and no fruit, vegetables, nuts or seeds on the menu) and then when you drink the lactulose solution, which is an indigestible fibre, you gain an accurate picture of whether the fibre is fermented by bacteria in your small intestine.

Do not complete the test if you have taken antibiotics or had a colonoscopy within the past 4 weeks. Continue with any prescription medication, but avoid taking any kind of digestive support products such as digestive enzymes, or any other supplements for at least 3 days before testing. Probiotics and antimicrobial supplements, such as those containing berberine or oregano, should be avoided for at least 1 week.

The test takes 3 hours, so set aside a quiet morning to complete it. Brush your teeth as soon as you wake and do not eat or drink anything other than water for the duration of the test.
More information will be provided with your kit

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