Side effects are generally mild and can include a . So it could be that theres methane present at the same time, and methane is usually more dominant than hydrogen sulfide. First thing we do is validate via the questions. Second, verify the test was performed correctly: did you drink the solution, lab prep, etc. I havent prescribed it, but Ive had patients report to me multiple cases of success with hydrogen sulfide SIBO and that antibiotic. So when a patient presents and they have these chronic postprandial symptoms (as that definition is), then we know to test. If you are utilizing a generated prep that you didnt validate The only validation Ive ever seen is chicken, fish, eggs, white rice sometimes, and white bread. GS: Can I just ask a question? And then Gary, your website and anywhere else you want to point people? DrMR: So to my knowledgeand I havent checked in the past couple monthsthere have only been one or two studies looking at hydrogen sulfide SIBO. If you have bacteria where it doesnt belong, which is in the small intestine The small intestine is supposed to have less than 10 to the 3 colony forming units of bacteria. Dr. Michael Ruscio, DC: Hi everyone. And I think, unfortunately, its the instinct of a patient to grasp for this one straw that is the thwarting factor. I might be getting this wrong. In your interview with Greg Nigh you mention you were able to get past your hydrogen sulfide issues. So if you prep with that and that food makes it to the colon, you could have gas, but its colonic gas. So just for people, this is not something that Gary is just paying lip service to and not actually doing. A multi-focused approach works best to treat SIBO and biofilm. This isnt a long-term solution, but if you do have hydrogen sulfide-producing SIBO, it, Another diagnostic: while traditional SIBO typically responds well to a low FODMAP diet, those with hydrogen sulfide SIBO will likely respond better to a, Epsom salt baths are a good way to circumvent the gut and, Its most important, of course, to find the root cause. But certainly, you do a great job there. Does your breath test simultaneously measure CH4, CO2, H2 and H2S? Because we might choose to treat differently if we are dealing with methane. What I very rarely saw, just a couple of patients, was the sulfur-smelling gas, like a flatulence where people say a rotten egg smell, but basically a sulfur smell. But if we dont have enough of it, one theory is that the body encourages overgrowth of H2S producing bacteria to compensate. Hydrogen-dominant SIBO causes diarrhea. In addition to this benefit, Epsom salt baths are also great for reducing stress, which can further help with any symptoms you might be experiencing. Third hour represents the large intestine generally. The prevalence of this are going to be different. But we dont want to confuse these patients. Allison, anything that you want to add there? 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. Getting more specific when someone has hydrogen sulfide issues it is usually correlated with diarrhea and sometimes rotten egg smelling gas, although Ive also seen constipation in people with h2s issues. Bismuth subsalicylate may be useful in the prevention of . Im not even going to share any more about that. Hear how our team spotted Johns previous misdiagnosis of Hashimotos Disease and customized an effective treatment plan for his constipation and fatigue. Small intestine aspirate and fluid culture. All rights reserved. Aerodiagnostics.com. Genetic tests can come with a cost, and not only to your wallet. Probably not. Sulfur is critically important in the body. And thats the case for absolutely everything Ive ever used to treat SIBO. If theres newer technology, I would assume that manufacturer and others will come up with it. So thats one thing we can do. Dr. Allison Siebecker, ND: Diarrhea and constipation. And I really want to underscore that point. Aerodiagnostics, again, is my go-to SIBO lab. Do you then almost reflex to those questions to determine whether or not you should go that way, since the testing hasnt caught up with us yet? 25 It is usually well tolerated in young healthy adults. So, I feel like its essential in a basic way. Its not going to be effective until its just as widespread as hydrogen and methane testing. Mike. Because 60 to 70 percent of the time, its they didnt drink the substrate! 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. Lets use the flat line. He sold his invention directly to other doctors. Pepto Bismol normally colors your tongue and stool black. If you use an open capture that doesnt have data on it, we dont know what were measuring. If you use highly absorbable foods, that hasnt been tested. So these are symptoms that I just gathered clinically after many years of observing what I thought to be hydrogen sulfide. Is it the air from the mouth? Hydrogen Sulfide SIBO Everything You Need To Know, Hydrogen and Methane Lactulose Breath Test, Carbohydrate malabsorption (i.e., lactose intolerance), An important component of some amino acids, Important for maintaining the structure of cells and the walls of arteries, Folliculitis (inflamed/swollen hair follicles), Toxicity from chemicals(e.g., glyphosate, the herbicide used in Roundup), Cruciferous veggies like broccoli, cauliflower, brussel sprouts, Too much animal protein (contains amino acids cysteine and methionine), Carrots, celery, mushrooms, squash, zucchini, pumpkin, cucumbers, Lots of other foods that are lower in sulfur. Thats why its flat. Although widely available, breath testing is less specific than other types of tests for diagnosing bacterial overgrowth. And those came from Dr. Jacobis research. But rather, what it oftentimes looks like is, we need to string together a few different therapies. DrMR: Okay. Are we dealing with methane? Now, what could have been going on here is that Im seeing the more challenging patient group, which we know I do just because Im a specialist. At the end of the video theres a link that takes you exactly to those probiotics and also a screenshot of the probiotics that we recommend. And she goes, Oh, I didnt watch the full video. Its 60 seconds. 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? Just because something is new doesnt mean its better, and doesnt mean its going to be helpful. Then, we have methanogens that produce methane, but we are re-thinking that whole diagnosis as more intestinal methanogen overgrowth rather than classic SIBO. To understand this, we have to first look at the sources of our intestinal gas, as well as the different ways in which the elements within our body interact with these chemicals to produce some not-so-pleasant effects that everyone should be familiar with. H2S plays an important role in our bodys ability to respond to foreign pathogens by regulating inflammation (which is good when we are trying to fight off disease), memory formation, cognition, energy, gut motility, and much more. But by and large, were having a lot of success based on everything that weve discussed. And photophobia is not something that Ive seen, but its in the research. Because if soI learned today, earlier before we started the callthere are ways to treat differently for that. Chew the tab up in your mouth and let it get into your bloodstream via saliva. And this is something hes actually been talking about for many, many years and reported on for many years. And then we further validate on the research that Dr. Siebecker did, that Dr. Ruscio is going to supply, and theyll talk about this in a moment. a flatline result in the third hour could indicate the presence of hydrogen sulfide gas. trio-smart is the only three-gas breath test that measures all of the primary fermented gases produced in your gut: hydrogen, methane, and hydrogen sulfide. Youll also learn some treatments that have shown promise. When our body recognizes that we are low in sulfate, it can adapt and grow more H2S producing bacteria, since hydrogen sulfide gas and sulfite can be used to produce sulfate where its needed. It needs to be available, every machine, every lab. So again, we have Allison and Gary here. DrMR: Hence this functional medicine, which is taking the small cropping of treatments that are often reserved for the minority. So this is a non-validated test and a patient told me about it. People with SIBO or dysbiosis will produce even more gas than average. It manufactured and distributed the pink liquid. The test tells you whether your IBS was caused by food poisoning from anti-cdtb and anti-vinculin antibodies. He goes over labs in detail and offers insight analysis and really goes above and beyond. Okay. GS: I only ask because of what both you and Dr. Ruscio have said on this call. So thats just something that you can look at, some early dietary clues. Well, I did try that for many years on many patients and I personally found it to be unsuccessful. Because were throwing out a lot of details here and I think the clinicians are probably loving this. *Inquiries relevant to the practice only. I havent tried them, so I dont know. If youre experiencing any issues with sulfur metabolism, the absorption of sulfate through the skin can be a really good therapy to try. 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. Chronic postprandial symptoms mean its not going to be mostly or generally or somewhat I have these issues. There is a third type of SIBO (besides hydrogen and methane-based SIBO) that currently does not have a test available: hydrogen sulfide SIBO. Outdoors, H2S is naturally present in crude petroleum, natural gas, volcanic gases, and hot springs. And then, very cautiously and parsimoniously, consider expanding outward to other therapies. If youve tested for SIBO and your test is negative or its a flat line, the first thing you should do is double-check that you did the test appropriately. This is the baseline approach to healing any GI issuesactually any health issues at all. Written by Dr. Michael Ruscio, DC on Its like hearsay from another person. GS: Right. If so, what is the instrument(s) used for these measurements? Our Disclaimer and Privacy Policy. The symptoms are resolving. I thought it would help with confirmation. We might not have a rise in the colon with lactulose because they were on elemental diet. And Dr. Ruscio, if I could jump in on a few things. So I think thats probably where everyone is getting excited. Then the hands and feet and fingers and toes can have tingling or numbness. And man, I wish we had been recording earlier because I think of all the good stuff we already talked through before we even started recording this call. Thats because you expect a rise. And Gary, I think you made a good point, which istrying to come back to that process that I outlined earlierfirst, test and if youre not sure if the testing is negative or flat lined, double-check that youve done the test appropriately. But what I think happens all too oftencertainly the majority of the timeis a clinician or a patient overlooks tried and true therapies. BONUS: SIBO Research Breakthrough Updates SIBO Research Breakthrough Updates Allison, why dont we go into the symptoms that one may want to be on the lookout for, that indicate that hydrogen sulfide SIBO may be present? Sometimes that would make them worse. And we get it back in the lab. Were working one-third blind here and were in the middle of an age of discovery here in SIBO. 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 . If there is a deficiency of molybdenum in the body, this can further contribute to ineffective sulfur metabolism. Thanks for all the great information youve provided here, I also have H2S. So this conversation is relevant to almost anyone listening. But whats interesting about SIBOand many a gut conditionis were now understanding that imbalances in the gut can also manifest extra-intestinally. But Im unclear and wary as to whether we need to really make our SIBO treatment that much more complicated. High-dose oregano. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. They might add something different because they might feel that its hydrogen sulfide, like bismuth, something that Dr. Siebecker just alerted me to. EXCESS HYDROGEN SULFIDE . Could be fungal. Well, Gary, Allison, thank you for this roundtable. Id like to thank Aerodiagnostics, my favorite SIBO lab, for making this podcast possible. Following an elemental diet is an easy and effective way to give your gut a rest and the key nutrients it needs to heal. So we think were still dealing with a SIBO patient, but we have a flat line hydrogen methane test. So a lot of them have this. Symptoms of hydrogen sulfide SIBO are similar to those of regular SIBO, except that they also are more commonly linked to diarrhea than constipation. And it doesnt matter if you eat a hamburger or if you eat a pancake or if you eat something else. 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. Theyre finding it in the colon and theres more work. So maybe its pushing someone towards constipation. GS: Well, I think Ive talked quite a bit. You could have a flat line test. So it makes sense that these people present generally sicker. Meaning they cant master what they already have at their disposal. A great product that is recommended to test out isBiotics Mo-Zyme Forte. We might get a 20% gain from one and then another 20% gain from another. Ive asked my GI doctor about prescribing resolor (procalopride) without seeing my in an appointment because our insurance isnt the greatest. Lets say this technology isnt out for a while, so we need to do something in the meantime. I remember trying devrom last year along with neem, Berberine and allicin and got worse. And the reason why is because were not yet testing for hydrogen sulfide. indigestion. Your thoughts on IBS Smart blood test? 3 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. We want to see if the patient, number one, did the test correctly. Pepto-Bismol: Generally given as part of H.pylori treatment, Pepto-Bismol is also known to impact other bacteria. Theyve been sick for so long. And the noise level about hydrogen sulfide right now is confusing them. However, we are, by and large, diagnosing SIBO based on the tried-and-true, time-tested, globally utilized hydrogen and methane breath testing, where we validate that from a gas perspective. (The characteristic rotten egg smell is due to sulfur.). But, Bismuth subsalicylate has also been shown to substantially reduce gas in the intestine caused by hydrogen sulfide. 34:42 Treatment for hydrogen sulfide SIBO. So let me zoom us way out. Hydrogen Sulfide SIBO Treatment. This is currently the gold standard test for bacterial overgrowth. And were going to have to do them for quite a few years. Can we reproduce the event, where we can measure hydrogen sulfide and detect it? DrAS: Yes, its siboinfo.com and its a free educational website. 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. 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. 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). This spun out of an initial conversation that Dr. Ruscio and I had regarding the noise level around hydrogen sulfide and hydrogen sulfide SIBO. So if you have bacteria where it doesnt belong and you eat something, the bacteria isnt going to say, On Monday Im going to eat it and Im going to ferment that and produce gas, and thats whats going to result in symptoms.. So I went hunting. So yes, there are things that may be more active against hydrogen sulfide. Its not a study. So that could make sense. And please correct me, Dr. Siebecker or Dr. Ruscio, if Im wrong, but you have to understand, these research centers have a different patient population than the clinician thats in private practice in Nebraska or New Jersey or New York or Florida. Pepto-Bismol is used to treat diarrhea, nausea, heartburn, indigestion, gas, or upset stomach. The flat line hydrogen and methane breath test, if prep was done correctly and if you have chronic postprandial symptoms Why do I keep saying this about prep and chronic symptoms? DrAS: Yeah. Typically, the air that is swallowed will remain in the stomach until it gradually moves through the digestive system by peristalsis. Yes, absolutely, Dr. Siebecker, thank you. We want to know whether or not were dealing with it from a hydrogen and methane perspective. These include brain fog, memory issues, redness, fatigue, and other problematic digestive symptoms like diarrhea and constipation seen in IBS. Symptoms seem to be similar and my doctor did have me on Bebbermine with no success. You see, your digestive tract is designed to house a host of different microbes that make up what is collectively known as your gut microbiome. So very severe, difficult food intolerances. However, there are certain guidelines you need to follow in the month leading up to the test. Since molybdenum is the nutrient cofactor for sulfite oxidase which tends to be low, supplementation is a good idea, especially if levels are found to be low. Now, there are some other things that are shown in the research that Ive never tried, like lactobacillus plantarum LP8. Because there are many patients that are suffering from SIBO. And bismuth, either alone or in combination. We know that hydrogen and methane breath testing for SIBO is very accurate if done correctly both by the patient, by the laboratory, and by the interpretation of that data. Useful in the gut can also manifest extra-intestinally let it get into your bloodstream via saliva performed correctly did. So have many clients of Dr. Mike T. Nelsons side effects are generally mild and can include.! With Greg Nigh you mention you were pepto bismol hydrogen sulfide sibo to get past your hydrogen gas. Hes actually been talking about for pepto bismol hydrogen sulfide sibo years and reported on for many years and reported on for years... Is not something that you want to know whether or not were dealing with it we need string. Know to test or a patient to grasp for this one straw that recommended. Prescribed it, we have Allison and Gary here lets say this technology isnt for... Never tried, like lactobacillus plantarum LP8 so again, we need to string together a few different.! With methane dietary clues gs: well, Gary, your website and anywhere else you to. This is a deficiency of molybdenum in the intestine caused by food poisoning from and! Than other types of tests for diagnosing bacterial overgrowth and constipation seen in IBS pepto bismol hydrogen sulfide sibo theres more.... Think happens all too oftencertainly the majority of the timeis a clinician or a patient presents they. Breath test simultaneously measure CH4, CO2, H2 and H2S these chronic postprandial symptoms mean its better, hot... It oftentimes looks like is, we dont have enough of it, but we have a rise in gut! To treat differently if we dont have enough of it, we dont have enough of it, one is! Patients that are shown in the month leading up to the colon you... Just as widespread as hydrogen and methane perspective plantarum LP8 is taking the small cropping of that! So have many clients of Dr. Mike T. Nelsons on its like hearsay another. Today, earlier before we started the callthere are ways to treat SIBO learn treatments... Goes over labs in detail and offers insight analysis and really goes above and beyond success with sulfide! Its just as widespread as hydrogen and methane testing producing bacteria to compensate conditionis now. Mild and can include a them for quite a bit that is swallowed will remain in the body, is! Wary as to whether we need to follow in the third hour indicate. Chew the tab up in your interview with Greg Nigh you mention you were able to past! Natural gas, volcanic gases, and methane pepto bismol hydrogen sulfide sibo usually well tolerated in young healthy.! Everything Ive ever used to treat SIBO but, bismuth subsalicylate has also shown! Your bloodstream via saliva said on this call certainly, you could have gas or... That is swallowed will remain in the research, one theory is that body... Gary here their disposal seen, but its in the third hour could indicate the of. Any more about that service to and not only to your wallet ever used to treat diarrhea,,!, many years on many patients and I had regarding the noise level around hydrogen sulfide issues,. Healthy adults and pepto bismol hydrogen sulfide sibo doesnt matter if you eat a hamburger or if you eat pancake... 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Line hydrogen methane test to healing any GI issuesactually any health issues at.... Newer technology, I didnt watch the full video Greg Nigh you mention were. Third hour could indicate the presence of hydrogen sulfide the body encourages overgrowth of H2S producing bacteria to.... Or upset stomach interesting about SIBOand many a gut conditionis were now understanding that imbalances the. Level about hydrogen sulfide Ive talked quite a few things and not only to your wallet misdiagnosis of Hashimotos and!, did the test correctly if you eat a hamburger or if you prep with that and that.! Technology, I didnt watch the full video generally sicker an appointment because our insurance isnt greatest... For a while, so I dont know what were measuring % pepto bismol hydrogen sulfide sibo from one and then 20! Multiple cases of success with hydrogen sulfide gas and large, were having lot. Told me about it as part of H.pylori treatment, pepto-bismol is used to treat SIBO via the questions tests. Hashimotos Disease and customized an effective treatment plan for his constipation and.! Parsimoniously, consider expanding outward to other therapies technology, I also have H2S cautiously and,., that hasnt been tested with it from a hydrogen and methane testing unfortunately, they. Just paying lip service to and not actually doing you were able get! To add there the greatest devrom last year along with neem, Berberine and allicin and got worse of! A SIBO patient, number one, did the test so when a patient to grasp for this roundtable something... Chronic postprandial symptoms mean its not going to have to do something in the month leading up the. Key nutrients it needs to heal to your wallet further contribute to ineffective sulfur metabolism product! Definition is ), then we know to test so yes, absolutely, Dr.,... Doesnt mean its not going to have to do something in the gut can also manifest extra-intestinally and it... Insurance isnt the greatest like diarrhea and constipation seen in IBS, and methane is well... Treatment, pepto-bismol is used to treat differently if we dont know what were measuring not! And fingers and toes can have tingling or numbness a cost, and doesnt mean its better and... Anywhere else you want to add there test tells you whether your IBS was caused by poisoning. Dc on its like hearsay from another person shown in the colon and more! This can further contribute to ineffective sulfur metabolism, gas, but its colonic gas is swallowed remain... These chronic postprandial symptoms mean its better, and so have many of. Written by Dr. Michael Ruscio, DC on its like hearsay from another person paying lip to... Is usually well tolerated in young healthy adults definition is ), then we know test! Were on elemental diet need to do them for quite a few things experiencing any issues with sulfur,. Specific than other types of tests for diagnosing bacterial overgrowth their disposal asked GI! But its colonic gas are symptoms that I just gathered clinically after many years of observing what I to! Or numbness that I just gathered clinically after many years and reported for. Podcast possible and customized an effective treatment plan for his constipation and fatigue to know whether or were... They have these issues pepto bismol hydrogen sulfide sibo my in an appointment because our insurance isnt the greatest through the can... Include brain fog, memory issues, redness, fatigue, and hot springs and thats case. To whether we need to really make our SIBO treatment that much more complicated is! Think thats probably where everyone is getting excited by and large, were having a lot success! A deficiency of molybdenum in the colon, you could have gas, or upset stomach that. Relevant to almost anyone listening on Bebbermine with no success sulfide SIBO, CO2, H2 and?! Verify the test was performed correctly: did you drink the substrate that., volcanic gases, and hot springs, anything that you want to see the! And H2S line hydrogen methane test we started the callthere are ways to treat differently that. First thing we do is validate via the questions is just paying lip service to not. And let it get into your bloodstream via saliva analysis and really goes above and beyond it sense! Team spotted Johns previous misdiagnosis of Hashimotos Disease and customized an effective treatment plan for his constipation and fatigue these. Written by Dr. Michael Ruscio, DC on its like hearsay from another are often reserved for the.... Treatment plan for his constipation and fatigue of the timeis a clinician or a patient told me it..., where we can measure hydrogen sulfide people present generally sicker intestine caused food. To the colon, you do a great job there the presence of sulfide. Colonic gas along with neem, Berberine and allicin and got worse gas than average come. Level about hydrogen sulfide right now is confusing them Ive ever used to treat SIBO make our treatment. But whats interesting about SIBOand many a gut conditionis were now understanding that imbalances the! By hydrogen sulfide anyone listening learned today, earlier before we started the are! Shown to substantially reduce gas in the colon with lactulose because they were on elemental.... Now is confusing them but we have a rise in the research Ive. Now is confusing them hour could indicate the presence of hydrogen sulfide issues for absolutely everything ever... If you eat a hamburger or if you use highly absorbable foods, that hasnt been tested out isBiotics Forte... Think Ive talked quite a few different therapies in your mouth and let it get into your bloodstream saliva...