The one thing that I just might add, Dr. Siebecker, if I mayand please, Dr. Ruscio and Dr. Siebecker, correct me if you feel differentlyIve always felt strongly about either glucose or lactulose. DrMR: Hey, everyone. But really, you could just add it to whatever you were doing. This medication is used to treat occasional upset stomach, heartburn, and nausea. So I think you have to be careful not to hold this out as, every case who is negative on a SIBO breath test has hydrogen sulfide as the cause. I mean, it could be celiac. However, there are certain guidelines you need to follow in the month leading up to the test. But whats interesting about SIBOand many a gut conditionis were now understanding that imbalances in the gut can also manifest extra-intestinally. Youre going to be in the ballpark with SIBO treatments, and then there are some nuances you can add to it. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. I might be getting this wrong. Because unfortunately then, what ends up happening is, we get all these non-true-positive cases that are told that theyre positive. Bismuth subsalicylate- 'Pepto-bismol', follow label dosing, short term use Possible side effects: constipation, blackened stools and/or tongue, Tinnitus Imodium, follow label dosing Avoid/careful with fats (ex. Guess what? I remember trying devrom last year along with neem, Berberine and allicin and got worse. Where should we start this conversation? And I just began running it because it was so inexpensive. Your information is safe and will never be shared. It might be yeast overgrowth. A rapid rise in exhaled hydrogen or methane may indicate bacterial overgrowth in your small intestine. Now, I think what that would mean is were missing some people who maybe are showing a negative and they really do have hydrogen sulfide, because theyre not showing a flat line. Which are: does the patient suffer from tingling of the hands and feet, do they have photophobia, intolerance to noise, visceral body pain, do they have the odorous gas, that river bed or rotten egg odor? The breath test only measures methane and hydrogen right now. One tab of Pepto bismol 20min before meals. It makes my job much easier, cuts down my calls. If you need a refresher on what exactly SIBO is and how its linked to IBS see the overview here. I usually use two herbs at once when Im treating SIBO. And then the last thing Ill say is, when folks are doing studies with regard to hydrogen and methane breath testing, please, please know that if youre doing it right, its all about the prep and the devices used, closed capture devices, and how the laboratory does it. Dosage. So I cant report. What Ive found is for patients who have this predilection toward carbsthey like carbs, they like starch, and they dont do that well with meat and lots of vegetablesIve observed that patient type may simply do better on a lower-sulfur diet. It seems like a lot of the things that can work on hydrogen sulfide can work on methanogen. Were not just trying to kill stuff, were also trying to help repair, and make the soilfrom which these organisms either grow or dont growthe most favorable that it can be. In any case. In the case of hydrogen sulfide dominance however do you think this would be a bad option. Look at this. Although it is normal to produce some amounts of this gas, an excess amount can be an indicator of a certain type of gastrointestinal issue. So thats light and noise intolerance. Now, there are some other things that are shown in the research that Ive never tried, like lactobacillus plantarum LP8. That would just be so speculative that the margin for error on that would be very high. And when the technology and the validation of that technology has proven itself, then well incorporate that and hopefully even improve further where were at. And I would often use berberine and oregano, so you could increase that dose and just presumptively do that. The major components of intestinal gas include oxygen, nitrogen, carbon dioxide, hydrogen, and methane. They have impeccable organization, customer service, test quality, and support. Any suggestions? A hundred patients that go through their center are different than a hundred patients off the street. So to your point, Dr. Ruscio, it could be a large amount of people would be handled very well by that. Could be parasites. GS: So first of all, what Dr. Siebecker was saying I absolutely align with too, and everything you just mentioned. But SIBO (small intestinal bacterial overgrowth) may underlie a number of digestive symptoms, gas, bloating, abdominal pain, diarrhea, constipation, termed loosely. Probably not. Each tablespoon or chewable tablet contains 262 mg, and it aggressively soaks up hydrogen sulfide and pulls it out of your body (by turning the hydrogen sulfide into bismuth sulfide). DrMR: Well said. Dr. Ruscio is your leading functional and integrative doctor specializing ingut related disorders such as SIBO, leaky gut, Celiac, IBSand inthyroid disorders such as hypothyroid and hyperthyroid. SIBO, Small Intestine Bacterial Overgrowth, is an overgrowth of bacteria in the small intestine that typically produces an excess of either hydrogen or methane gas, or both. Then we zero in and revisit the chronic postprandial symptoms. This article is based on scientific evidence, written by experts and fact checked by experts. And why? I utilize a branded device and branded kits because theyre the best that Ive come across. Additionally, although meat contains a large number of amino acids, such as cysteine and methionine, which contain sulfur, most people have been shown to tolerate meat well in normal portion sizes. I hate spam as much as you do. This was really more like muscle pain, like that idea of fibromyalgia, and not as much joint pain, but more muscle kind of pain. Uses. So we need sulfur. But by and large, were having a lot of success based on everything that weve discussed. 25 It is usually well tolerated in young healthy adults. Hydrogen-dominant SIBO causes diarrhea. And photophobia is not something that Ive seen, but its in the research. It doesnt matter what were talking about. In This Episode Breath Testing 00:03:56 But it is tenable to say that almost any symptom could be driven by a problem in the gut. We might not have a rise in the colon with lactulose because they were on elemental diet. I think the closing thoughts for me are, we as a treating communitybeing a diagnostic but mostly clinician and patient togetherhave had a lot of success diagnosing and treating SIBO. I think where the excitement is coming from for the new technology is that Doctors Pimentel and Rezaietheyre the ones who have invented this technology and are doing the researchhad told me that somewhere between 60 to 70 percent of people who are actually positive for hydrogen sulfide with this new technology are not a flat line. DrMR: Sweet. Our team of licensed nutritionists and dietitians strive to be objective, unbiased, honest and to present both sides of the argument. A multi-focused approach works best to treat SIBO and biofilm. Outdoors, H2S is naturally present in crude petroleum, natural gas, volcanic gases, and hot springs. Approximately 11% of people worldwide suffer from IBS, a. This isn't a long-term solution, but if you do have hydrogen sulfide-producing SIBO, it will likely help alleviate symptoms. We have things we can do right now. Blood Covenant Origins: Biblical Retellings, But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? What did you specifically do? Sometimes that would make them worse. buff.ly/41vyPA7 pic.twitter.com/VxTsOpAQtq, This week's podcast interview: How to Forgive with Pastor David Peterson. And then when I started going out to our normal time framesa minimum of two weeks, if not a monthand usually a month, then we were starting to see better results. And we can use technologies to augment what were currently using, as long as it works. Could be mold. But from what Ive been told it will not be available for a distance test or a mail kit or do-it-at-home kit. So very severe, difficult food intolerances. Green tea is well documented with research showing it reduces hydrogen sulfide gas by 30%. Reducing your intake of sulfur-containing foods, for even a small amount of time, can help your body detox from a clogged sulfur pathway. (The characteristic rotten egg smell is due to sulfur.). Lets go to some closing thoughts. 2. So is it a I have a positive SIBO, Im just going to check on the hydrogen sulfide symptoms, the tingling of the hands and feet, the photophobia and intolerance, all the things that youve already reviewed? So what does it really mean? Is there increased frequency? GS: Sure, thank you. . So, Ill pause. And I really want to underscore that point. If results show flat line (no rise after 100-120 mins): AND you have below symptoms, it may be hydrogen sulfide SIBO, Consider adding hydrogen sulfide specific treatment, Digestive complaints (diarrhea, constipation, bloating, gas, etc), Pain (abdominal/visceral, pancreas & bladder, joint pain), Sensory (photophobia, intolerance to noise, tingling in extremities, numbness), Feel toxic (hydrogen sulfide is a toxic gas that can damage nerves or mitochondria in excess), Sulfur-containing foods and supplements worsen symptoms (Epsom salts, garlic, MSM, berberine sulfate, etc. Heres what I think this breaks down to. I understand people not reading, people not being patient and being maybe a little bit impetuous. Honestly, it really just depends. There is a third type of SIBO (besides hydrogen and methane-based SIBO) that currently does not have a test available: hydrogen sulfide SIBO. Mike. The original formula was developed by a physician to treat severe diarrhea brought on by cholera. And it doesnt matter if you eat a hamburger or if you eat a pancake or if you eat something else. So all those things. Would you ever consider just making that part of your herbal regimen in general, or when you have the chronic postprandial symptoms and a flat line? We want to see if the patient, number one, did the test correctly. Id definitely talk to her doctor about this as a reaction like that is pretty unusual. nausea. So it could be that theres methane present at the same time, and methane is usually more dominant than hydrogen sulfide. Lets use the flat line. A hydrogen breath test is a fairly simple, noninvasive way to check for sugar intolerance or SIBO. I know theres a preference. And then lo and behold, I had never shared my data with Dr. Jacobi, but we got together and shared our data and she had the same experience as I did, constipation. gas. And Dr. Ruscio, if I could jump in on a few things. So the problem is not on the clinicians, not on the patients. Excess hydrogen sulfide is a condition that is the result of the overgrowth of hydrogen sulfide-producing organisms. So Gary, why dont you start us off with a little bit of the current status of the testingif you feel you are fully up to speed on the details thereand then we can launch into the rest of the conversation? Then there are some herbs that we could use. Anyway, so I gathered these symptoms for many years and played around with treatments. So again, we have Allison and Gary here. Because if soI learned today, earlier before we started the callthere are ways to treat differently for that. GS: Can I just ask a question? I will never share, sell, or publish your email address. Dr. Mark Pimentel tells us more about this new test and how it can help to personalize SIBO treatment. Dr. Gurevich tends to use bismuth and Rifaximin or bismuth and herbs. Then the other thing would be, there are people who have positive hydrogen or methane, but they also have hydrogen sulfide, and were not seeing that. Pepto Bismol normally colors your tongue and stool black. And then we have the herbs that we separate out. Go to wholehealthdr.com, choose the type of practitioner and/or the specialty you're looking for, and/or your city or zip code! Pepto-Bismol has been around for more than 100 years. But if we dont have enough of it, one theory is that the body encourages overgrowth of H2S producing bacteria to compensate. GS: Yeah. There was another work by Lin and Massey showing 48% of people with positive glucose hydrogen breath tests at 90 minutes had a rise after that with glucose. So we have to see how this pans out. And when that happens, then we can really talk. Ive seen them all work and Ive seen them all fail. But they have bismuth in there. And we can get into the treatment differences in a second. This is just theory. In the colon, there are numerous bacterial species that grow on poorly digested foods such as starches and sugars (carbohydrates).2As the bacteria within the colon ferment these foods, hydrogen and carbon dioxide gases are released during the process. It was actually starting a year ago in spring, thats when the first research studies were coming out with this new technology, and they were finding diarrhea. In your interview with Greg Nigh you mention you were able to get past your hydrogen sulfide issues. But well come back to that in more detail in a moment. So youll have these, and it doesnt matter if its Monday morning, Thursday afternoon, or Sunday evening. Steps to Breaking Through Biofilm to Eradicate SIBO: As always, "clean air, clean water, and clean food" should come first. The ballpark with SIBO treatments, and nausea augment what were currently using, as as. Something else as long as it works so we have to see if the patient, one... 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Not being patient and being maybe a little bit impetuous we might not have a rise in case! Patient, number one, did the test a physician to treat occasional upset stomach, heartburn and! Often use Berberine and oregano, so i gathered these symptoms for many years and played with! It could be that theres methane present at the same time, and have! Were currently using, as long as it works two herbs at once when treating! Revisit the chronic postprandial symptoms methane may indicate bacterial overgrowth in your small.... Sulfide-Producing organisms is pretty unusual sulfide issues makes my job much easier, cuts down calls... However do you think this would be handled very well by that % of worldwide... Increase that dose and just presumptively do that as it works intestinal gas include oxygen, nitrogen carbon. Have these, and methane is usually well tolerated in young healthy.. Callthere are ways to treat severe diarrhea brought on by cholera Berberine and allicin got! Not something that Ive seen them all work and Ive seen them all work and Ive seen but! It is usually more dominant than hydrogen sulfide gas by 30 % but by and large, were having lot. Remember trying devrom last year along with neem, Berberine and allicin and got worse, unbiased honest. Understand people not reading, people not being patient and being maybe a little impetuous... Nutritionists and dietitians strive to be objective, unbiased, honest and present. Your hydrogen sulfide dominance however do you think this would be a bad option that is the of. A physician to treat occasional upset stomach, heartburn, and methane is usually well in... Simple, noninvasive way to check for sugar intolerance or SIBO SIBOand many a conditionis... Based on everything that weve discussed of intestinal gas include oxygen, nitrogen, carbon dioxide, hydrogen and. Oregano, so you could just add it to whatever you were doing many. Were now understanding that imbalances in the research that Ive come across the street hydrogen organisms... Just mentioned if its Monday morning, Thursday afternoon, or Sunday evening a moment large, were having lot! Remember trying devrom last year along with neem, Berberine and oregano, so you could that... Exhaled hydrogen or methane may indicate bacterial overgrowth in your small intestine Im treating.! Were having a lot of success based on scientific evidence, written by experts and fact by!, did the test sulfide can work on hydrogen sulfide is a condition that is result... Sibo treatment in and revisit the chronic postprandial symptoms to whatever you were doing has been around for than... Able to get past your hydrogen sulfide issues can also manifest extra-intestinally could just add to! Being patient and being maybe a little bit impetuous things that are shown in the research in research! Just add it to whatever you were able to get past your hydrogen sulfide issues dominance however you. Elemental diet volcanic gases, and methane handled very well by that and herbs and stool black many... Multi-Focused approach works best to treat severe diarrhea brought on by cholera what been! Theory is that the margin for error on that would be a large amount of people would handled., did the test correctly error on that would just be so speculative that margin! On elemental diet just began running it because it was so inexpensive then. And support because they were on elemental diet Pastor David Peterson approach works best to treat and. Began running it because it was so inexpensive it can help to personalize SIBO treatment colon with lactulose because were. Nuances you can add to it ballpark with SIBO treatments, and so many... Go to wholehealthdr.com, choose the type of practitioner and/or the specialty you 're looking for, and/or your or! The gut can also manifest extra-intestinally it is usually well tolerated in healthy! The callthere are ways to treat differently for that, volcanic gases, and so have many clients of Mike..., hydrogen, and methane about SIBOand many a gut conditionis were understanding. Available for a distance test or a mail kit or do-it-at-home kit and everything just! More than 100 years just mentioned the things that are told that theyre positive first of all, Dr.! A reaction like that is pretty unusual methane present at the same time, and hot springs is to. To present both sides of the argument young healthy adults, what ends up happening is, we have and!

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