Just completed SIBO test

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Zizzle
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Just completed SIBO test

Post by Zizzle »

I finally completed the Genova Diagnostics home test for Small Intestine Bacterial Overgrowth (SIBO) this morning. It required a virtually fiber free diet for 36 hours prior to the test, and no tummy meds or probiotics for several weeks. I drank 8 ounces of water mixed with 10 grams of Lactulose, which is a combo of Galactose and Lactose. Some people use it as a laxative. :shock: Interestingly, I really didn't feel sick or bloated from it, other than a few burps and my usual morning D. I guess I'm not as sensitive to lactose as I thought, and my insane, immediate bloating when exposed to milk must be related to the casein intolerance, not the lactose.

I'll be amazed if the test picks something up. You mail in 6 test tubes that have collected a small portion of your exhaled breath every 20 minutes for 2 hours. I am expecting to be hydrogen dominant, which causes D. Methane dominance causes C. I expect to have SIBO because I always get remission from MC while on antibiotics. I also continue to have D once or twice a day, despite my restrictive paleo diet.

If I have it, I suppose they may offer me Refaximin. I am also going to re-start Nystatin for yeast overgrowth, which I already know about. In the long run, I hope to be able to manage with probiotics alone (water kefir and/or sauerkraut)

Here's an article about a celebrity having SIBO. This caught my attention, as it probably applies to my rapid-transit gut:
However, Dr Penman points out: ‘A more recent study found that some people with IBS give false positive results for the SIBO breath test. The reason is that what they really have wrong with them is the time it takes for stuff to go from the stomach to the bowel is too fast. So when we give them lactulose for the breath test, it reaches the bowel too quickly, which causes them to excrete hydrogen in their breath, so we get a positive result. My estimate would be that in fact no more than 10 per cent of IBS sufferers actually have SIBO.’
http://www.dailymail.co.uk/health/artic ... z36JyqFr4d
1987 Mononucleosis (EBV)
2004 Hypomyopathic Dermatomyositis
2009 Lymphocytic Colitis
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Gabes-Apg
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Post by Gabes-Apg »

I did two tests, one with fructose, and the second with glucose.
Still waiting for the results. Each test was 10 tubes over 4 hours

Yes, lactulose is a pro-biotic. I take 10ml per day.
It is fantastic for C dominate, as it works better than paraffin.

http://en.m.wikipedia.org/wiki/Lactulose
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Zizzle
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Post by Zizzle »

Interesting. Your link says it's made of fructose and galactose, while my sample definitely said lactose and galactose.

This is concerning from your link:
Lactulose is used as a test of small intestine bacterial overgrowth (SIBO). Recently the reliability of it for diagnosing SIBO has been seriously questioned.[9][10][11][12] A large amount of it is given with subsequent testing of molecular hydrogen gas in the breath. The test is positive if an increase in exhaled hydrogen occurs before that which would be expected by normal colonocyte digestion. An earlier result has been hypothesized to indicate digestion occurring within the small intestine. An alternate explanation for differences in results is the variance in small bowel transit time among tested subjects.[12]
1987 Mononucleosis (EBV)
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Post by Gabes-Apg »

Concerning?? That motility transit time is a factor in intestinal health?

The liquids and blends they use for the tests can differ from lab to lab.
The sibo test I did here, is actually 6 different tests, each sugar is tested individually.
I couldn't afford all 6, so we did 1xglucose and 1xfructose.
(The first test is covered by govt Medicare system, patient pays for additional)

The others are; lactose, lactulose, sorbitol; and a blend of all 5.
http://shepherdworks.com.au/disease-inf ... th-testing

Interestingly the gut permeability test (urine based test) uses a blend of lactulose and fructose.
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Post by Zizzle »

Concerning that I may get a positive SIBO test that may be measuring hydrogen produced in the colon (where it theoretically belongs), rather than the small intestine, because I seem to have relatively fast digestive transit time. We'll see...one step at a time.
1987 Mononucleosis (EBV)
2004 Hypomyopathic Dermatomyositis
2009 Lymphocytic Colitis
2010 GF/DF/SF Diet
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Post by Gabes-Apg »

Yes,
Hence why my nutritionist and I didn't think it good to outlay shitloads of money when there are subjective aspects to the results.

Our main aim for the results is to ascertain which pre-biotic, and pro-biotic will be best value. (With all the other health issues in play)
And, for all the other supplements, if paying the extra for lingual is a necessity.

Based on my research this past week, namely because of the Pyrrole, fixing the leaky gut is more important than sibo. And maybe sibo will be less of an issue once leaky gut is fixed.
Times like this I wish we had a mini computer inside that can identify the exact issue, current testing protocols can give hints, mostly it is trial and error, and listen to your body.
Gabes Ryan

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Post by Zizzle »

My remission on antibiotics is the clearest sign for me. Then again, I rarely suffer from any bloating or gas lately, so who knows what's going on. I feel great, but I still have watery D!! Maybe I just have an electrolyte imbalance of the colon!
1987 Mononucleosis (EBV)
2004 Hypomyopathic Dermatomyositis
2009 Lymphocytic Colitis
2010 GF/DF/SF Diet
2014 Low Dose Naltrexone
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Post by Gabes-Apg »

Maybe the antiobiotics reduce the inflammation enough to improve the poop, and not necessarily linked to the sibo?
Gabes Ryan

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