Bacterial Overgrowth of the Small Intestine (SIBO)
This simple, non–invasive, gastrointestinal test detects bacterial overgrowth in the small intestine, often referred to as BOSI or SIBO. Small intestine bacterial overgrowth (SIBO) is a common gastrointestinal disorder that often underlies chronic gastrointestinal symptoms of mal digestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain.
Normally, far fewer bacteria inhabit the small intestine than the ample growth found in the colon. Gastric acid secretion and intestinal motility keeps the small intestine relatively free of bacteria. However, a wide range of abnormalities, toxins, infections and malfunctions can encourage bacteria to multiply in the small intestine causing SIBO
Once bacterial overgrowth has been detected, intervention strategies involving diet, digestive support, probiotics and antimicrobials can be used to treat the condition
Bacterial overgrowth can inhibit nutrient absorption and may lead to the following serious health problems:
 Altered intestinal permeability (leaky gut)-and all autoimmune conditions
 Carbohydrate intolerance
 Malabsorption-rash–eczema-psoriasis
 Malnutrition and weight loss
 Anemia-fatigue
 Fibromyalgia-headaches
 Chronic Fatigue Syndrome
 Osteoporosis
 Neurological symptom-brain fog
 And more
I recommend this test to be done at physician’s office
Important things to know and consider
-Caution: This test uses lactulose as its testing agent, and is not recommend for individuals who have had allergic reactions to lactulose, are diabetics with a fasting urine glucose concentration >105mg/dl, or are on a galactose/lactose-restricted diet. Discuss with you ordering physician.
-We do not suggest collecting during an acute infectious illness. Wait at least 4 weeks from colonoscopy or barium enema before beginning the test. If you are using antibiotics, antifungals or Pepto-Bismol, wait at least 2 weeks from your last dose before beginning the test.
-1 week before the test: Avoid the use of laxatives, stool softeners and/or stool bulking agents (Ex-Lax, Colace, Metamucil®, Fibercon®) as well as the use of antacids containing aluminum or magnesium hydroxide (e.g. Maalox liquid, Equate, Milk of Magnesia, Rolaids, Mylanta)
-The Hydrogen/Methane Breath Test Patient Preparation guidelines below are to be followed for all Hydrogen/Methane Breath Tests
. No smoking, including second-hand smoke, for at least 1 hour before or at any time during the breath test.
No sleeping or vigorous exercise for at least 1 hour before or at any time during the breath test.
-If you recently had antibiotic therapy, runny diarrhea, colonoscopies, barium studies or enemas, please wait 14 days after completion of the above mentioned prior to starting your breath test. If you take any Proton Pump Inhibitors (PPI) which contain Omeprazole, Lansoprazole, Dexlansoprazole, Esomeprazole, Pantoprazole, Rabeprazole , please wait 7 days after completion of the above mentioned prior to starting your breath test.-discuss with your provider.
-The day before your test, you must limit your diet. Here are foods that you CAN eat before you start your 12 hour fast. Baked or broiled chicken, fish or turkey. (Salt and pepper only) White bread (only) Plain steamed white rice. Eggs. Clear chicken or beef broth with (no vegetables pieces).
-12 hours before you start your breath test, you should fast. This means do not eat or drink anything other than water during the specified time frame. You can take all your allopathic medicines except what are mentioned above.
Before coming to office- Brush your teeth and tongue (including the back of your tongue) without using tooth paste or mouth wash. Rinse your mouth with water,
You will be given Lactulose-sweet testing liquid- for this test.
Your breath collection schedule will be as follows-

1 before drink
2. 20 minutes after drink
3. 40 minutes after drink
4 .60 minutes (1 hour) after drink
5. 90 minutes (1 1/2 hours) after drink
6.120 minutes (2 hours) after drink
-so you see it is about 3 hour test.

You may experience some bloating or loose stool occasionally.

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