Are we dealing with methane? Symptoms of hydrogen sulfide SIBO are similar to those of regular SIBO, except that they also are, One interesting diagnostic approach, aside from a flat line in regular SIBO testing, is Pepto Bismol. So a lot of them have this. 34:42 Treatment for hydrogen sulfide SIBO. And particularly for hydrogen in the third hour, thats sort of the keynote: we should see the hydrogen rising because theres bacteria in the large intestine. But the problem is its so brand new, hasnt even hit the market yet commercially. Written by Dr. Michael Ruscio, DC on And I think he even presented a case at one of our symposiums like that, and I just never got success trying that. Blood Covenant Origins: Biblical Retellings, But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? Additionally, H2S can also result from the bacterial breakdown of matter, and can therefore be produced by humans and animals in their waste and gas. egg yolks), fruit, veggies Nausea &/or Food Sits in Stomach Ginger- follow label dosing. And as with many that are listening (and those here on this podcast), we always look forward to new technologies, new approaches to evaluating SIBO, and whether or not there are applications to that in treatment. Because 60 to 70 percent of the time, its they didnt drink the substrate! And I do feel like if the right laboratory work is done, that provides the data to the patient and the clinician to make the right diagnosis decisions. DrMR: Yep. So all those things. a feeling of fullness. This is Dr. Ruscio. Is there increased frequency? Pepto-Bismol is used to treat diarrhea and relieve the symptoms of an upset stomach. In terms of, was the diet dialed in, was the appropriate probiotic protocol used, were the appropriate antimicrobials used, was an elemental diet potentially used, have immunoglobulins or something of that nature been used? Our body needs a constant supply of sulfate to function properly. And what prokinetic did you use and possibly still using? If you are someone who has always had a mysterious case of SIBO or dysbiosis, your tests are inconclusive and/or show a flat line, or you know that you have recognized that your symptoms or the smell of your gas are linked to sulfur, then hydrogen sulfide overgrowth might be an issue. And I just began running it because it was so inexpensive. It can be compounded, but you could also buy it over the counter. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. This medication is used to treat occasional upset stomach, heartburn, and nausea. Were working one-third blind here and were in the middle of an age of discovery here in SIBO. But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? Epsom salt baths are a good way to circumvent the gut and raise the blood levels of sulfate via skin absorption. Studies show that a large percentage of Irritable Bowel Syndrome (IBS) is actually Small Intestinal Bacterial Overgrowth (SIBO). So, I feel like its essential in a basic way. Dr. Gurevich tends to use bismuth and Rifaximin or bismuth and herbs. Researchers are working on a new device that will be able to measure all 3 gases and it should be out in the next year or so I believe. Aerodiagnostics, again, is my go-to SIBO lab. 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. But unfortunatelyafter cleaning up so many of these patients who have been jumped to the new and novel with their providerIve come to realize that we have to start with what we know works first. Pepto-Bismol is used to treat diarrhea, nausea, heartburn, indigestion, gas, or upset stomach. Hydrogen Sulfide gas is the third major gas in SIBO cases. I continued to workout and sweat often. buff.ly/3lnV3VA, This week's blog post: Hormesis - The Dose Makes the Poison (or the medicine)! How do you know if you have SIBO or dybsosis/ hydrogen sulfide issue? Its not a guarantee that almost anyones symptoms are being caused by the gut. So those are some things to think about. Ive seen phenomenal successes. Could be mold. Dosing is 10 drops up to several times daily. Antibiotics are used to treat both types of the disease, but along with antibiotics, methane-dominant SIBO may require you to take fiber. Glutathione (used by that last one) is also most powerful antioxidant in the body, comprised of three amino acids: cysteine (which contains sulfur), glutamine, and glycine. Now, we can begin discussing treatment options. Because the last thing that we need is a clinician whos just shooting from the hip, in terms of how theyre interpreting a SIBO breath test. Intestinal gas can either come from swallowed air, which is termedexogenous gas, or from the bacteria that reside within our gastrointestinal tract which is calledendogenousgas.1. This can also be used as a simple diagnostic tool to determine whether H2S is playing a role in your symptoms. DrMR: Sweet. Is it helping hydrogen sulfide? He sold his invention directly to other doctors. So were seeing it. So yes, there are things that may be more active against hydrogen sulfide. On the other hand, when someone has just constipation it usually indicates a methane overgrowth or bloom issue. Or what are your thoughts about just adding in some bismuthor something like thatto your approach to treating SIBO, generally speaking, based on the fact that we cant measure hydrogen sulfide right now, and you dont know youre dealing with it? Do I take my time to do that or take the easy way out and just send the results? Teigen et al., Nutrients 2019, 11, 931 Thanks. Dr. Pimentel has been doing a ton of research on mapping the microbiome of the small intestine, so now we know for the first time exactly which particular . Sometimes referred to as "the pink stuff," Pepto-Bismol is an over-the-counter (OTC) medication that is safe and effective for short-term use. Learn more about SIBO and its variations here. Excess hydrogen sulfide is a condition that is the result of the overgrowth of hydrogen sulfide-producing organisms. 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. But you do need to have a lactulose breath test, not a glucose. So it makes sense that these people present generally sicker. August 14, 2019. High-dose oregano. But these are the validations. So we need to validate a flat line first, then go to the secondary questions. Also, a pain in the area of the bladder. Alternatively, 1048 mg to 1050 mg may be given orally every hour not to exceed 4 doses in any 24 hour period. This spun out of an initial conversation that Dr. Ruscio and I had regarding the noise level around hydrogen sulfide and hydrogen sulfide SIBO. a flatline result in the third hour could indicate the presence of hydrogen sulfide gas. We know about hydrogen SIBO, which is an overabundance of bacteria that produce hydrogen, and those are usually Klebsiella and E. Coli as it turns out. So we just see nothing or close to nothing. I would start it slow, be careful. You can see a good list of low thiol foods to stick tohere. Which is, yes, we need to help weed out some of the things that we dont want there, but we also have to support the gut ecosystem, if you will, to encourage balance. Its amazing how far weve come and we have farther to go. Long-term use of Pepto Bismol, however, is not recommended, as it contains many adjuvants as well as salicylate, which can be harsh on the gut lining. Dr. Mark Pimentel tells us more about this new test and how it can help to personalize SIBO treatment. Today Im here with Dr. Allison Siebecker, and Gary Stapleton from Aerodiagnostics. The lab has to say, when were going to deliver a result to a clinician, if its flatwhether its glucose or lactulosedo I call that clinician, have that conversation? I cant remember. Lets say this technology isnt out for a while, so we need to do something in the meantime. And in the meantime, while were waiting, there are the points that youve all been making and that Ive been making too. 1, 2 Experts suggest non-invasive breath testing for the diagnosis of SIBO. So thats Alinia. That was the reason for the question. We dont have that technology. I just started molybdenum by itself and plan to do the Epsom salts. This article is based on scientific evidence, written by experts and fact checked by experts. This is one theory as to why H2Sovergrowth can occur. DrAS: Ill just mention, if a person has a negative and youre thinking it could be hydrogen sulfide, the first thing to look at is to see if its a flat line test or hydrogen sulfide test. Im not even going to share any more about that. Is Berberine the main natural antimicrobial used for hydrogen sulfide sibo? Bismuth has also been shown to reduce hydrogen sulfide gas in afew studies. These include brain fog, memory issues, redness, fatigue, and other problematic digestive symptoms like diarrhea and constipation seen in IBS. So what would that be? Uses. 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. 25 It is usually well tolerated in young healthy adults. Please do not apply any of this information without first speaking with your doctor. 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. raise the blood levels of sulfate via skin absorption, Anti-Aging Benefits of Glucosamine and MSM, Remove obstacles to cure and give your body the building blocks it needs to heal in just 6 weeks. And I hope it came through that I dont disagree one bit with everyones desire to have lactulose, for the very reason that Dr. Siebecker stated. Even though hydrogen sulfide SIBO doesnt show up on tests, traditional SIBO treatments typically still work, too. Gary Stapleton: Yes, thank you, Dr. Ruscio. 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. Were calling to be sure that, one, they drank the glucose, and then were going to start asking if there are chronic postprandial symptoms. Pepto-Bismol: Generally given as part of H.pylori treatment, Pepto-Bismol is also known to impact other bacteria. 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. So we have to keep that in consideration for the prevalence of this. And I would often use berberine and oregano, so you could increase that dose and just presumptively do that. Its just talk. And at the end of the 60-second video, we provide a link with the specific probiotic recommendations based upon this gut-brain connection. 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? One is by Thorne and theres another one, Paul Andersons one. The best practice for Epsom salt baths is to take a hot bath with 4 cups of Epsom salts for 7 days in a row, and then continue to take these baths a few times a week to maintain sulfate levels in the body. Learn more about Pepto-Bismol . But Allison, lets go through some of these. Part of which are the ones that Dr. Siebecker highlighted for all of us, and thank you to her. Its a number of straws that have to be woven together to have strength and to be able to lead to that improvement that were looking for. Its pretty funny actually. Maybe we should start with defining hydrogen sulfide SIBO for people who havent heard of it Im sure most of our audience has. So anyway, its five tablets of Biotics ADP. Approximately 400 mcg of molybdenum, also 20 min prior to meals. Then we have chronic postprandial symptoms. And then Gary, your website and anywhere else you want to point people? But I think thats a minority ultimately. 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