SIBO is in every single place. In my estimation, 1 in 3 Individuals—over 100 million folks—have SIBO in some type. It could or might not be related to gastrointestinal signs at current, however it might probably nonetheless be there. Even when there isn’t a bloating, extreme gasoline, or diarrhea, you possibly can expertise SIBO as joint ache, despair, pores and skin rashes, meals intolerances, fibromyalgia, incapability to shed pounds or many different widespread well being circumstances, all through the method of endotoxemia.
One of many methods I advocate for nearly everybody, even for those who would not have gastrointestinal signs, is to have your breath hydrogen (H2) measured after consuming a prebiotic fiber, one thing readily achieved with the provision of the AIRE machine, in addition to a take a look at your physician can order (although hardly ever carried out, as most docs don’t have any information of breath H2 testing). As a result of people don’t produce H2 however many microbes do, the rapidity of H2 manufacturing after consuming the prebiotic fiber tells us how excessive up within the human gastrointestinal (GI) tract micro organism are dwelling. Prebiotic fiber mustn’t attain the colon the place H2 manufacturing usually happens before 90 minutes on the earliest, typically many hours later. In different phrases, for those who devour 2 teaspoons of prebiotic inulin powder in your espresso, breath H2 can rise many hours later—that is regular and anticipated, as many species (each doubtlessly pathogenic and regular inhabitants) produce H2. But when breath H2 rises in, say, 30-45 minutes, it indicators the presence of H2-producing micro organism excessive up within the abdomen, duodenum, or jejunum: small intestinal bacterial overgrowth, SIBO.
Many pathogenic (disease-causing) species and species that overproliferate in SIBO produce H2. This embrace species equivalent to Salmonella, Campylobacter, and Clostridia which you can see are sometimes current at abnormally excessive numbers on stool evaluation in somebody with SIBO. SIBO is often attributable to overgrowth of Proteobacteria species, all of which produce H2. Their presence is subsequently reliably mapped by the rapidity of breath H2 launch.
However right here’s an issue: Not all bacterial overgrowth is because of H2-producing species. Staphylococcus aureus, Streptococcus pneumoniae,and Atopobium are, for example, widespread overproliferated species in SIBO however don’t produce H2. There are additionally species prevalent in SIBO that aren’t enthusiastic producers of H2 gasoline. Some strains of the exceptionally widespread species, E. coli, produce H2 however can accomplish that in comparatively minor portions and may thereby be underestimated by H2 breath testing. E. coli proliferates particularly after a course of antibiotics, however might or might not be detectable through breath H2. H2 breath testing does certainly establish many instances of SIBO, however not all. Not solely are there overgrown species of non-H2 producing microbes, however there are the added problems with methane and hydrogen sulfide manufacturing, in addition to fungal overgrowth, none of that are recognized by H2 testing.
Backside line: When utilizing H2 breath testing, a constructive outcomes signifies SIBO, i.e., microbial overgrowth of H2-producing species within the small gut. A destructive outcome, nevertheless, doesn’t rule out SIBO—it solely tells you that H2-producing species aren’t overgrown. You possibly can nonetheless have overgrowth of non or minimally H2-producing species which you can blame for gasoline, bloating, diarrhea, colitis, autoimmune or neurodegenerative illnesses, and different well being circumstances.
In the event you’d like a extra prolonged dialogue about these necessary well being points, in addition to detailed discussions on learn how to establish the varied types of microbial overgrowth even for those who don’t have the AIRE machine, after which what motion to take to handle these points, I invite you to try my new guide, Tremendous Intestine: A 4-Week Plan to Reprogram Your Microbiome, Restore Well being and Lose Weight, now out there on pre-order. Go right here and enroll for extra free incentives.