Small Intestinal Bacterial Overgrowth (SIBO) Breath Test
This simple, non–invasive, gastrointestinal test detects bacterial overgrowth in the small intestine, often referred to as BOSI or SIBO. Small intestine bacterial overgrowth (SIBO) is a common gastrointestinal disorder that often underlies chronic gastrointestinal symptoms of maldigestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain.
Highlight: Digestive Health in the small intestine
Functional Screen of: Breath test for digestion in the small intestine
Indicated for: Those with digestive concerns and overall wellness.
If you are experiencing:
- Irritable Bowel Syndrome (IBS), the most commonly diagnosed gastrointestinal disorder, affecting 20% of the general population. The SIBO test aids in identifying the actual cause of IBS. Studies suggest that as many as 50-75% of patients with IBS have SIBO/BOSI, as demonstrated by hydrogen breath testing
- Unexplained abdominal symptoms, especially gas and bloating
- The inability to tolerate sweet or starchy foods, fibre (i.e. commonly worsens constipation), or friendly flora (pre or probiotic) supplements (i.e. causes you more gas and bloating)
- You have celiac or are gluten intolerant and are still not feeling 100% better with the removal of gluten
- You develop chronic digestive symptoms such as gas, bloating, constipation or diarrhea after taking pain medications, like opiates
- You are chronically low in iron or ferritin with no known cause
- Chronic constipation
- Hypochlorohydria and or the use of antacids or antacid drugs
- Cancer Treatment i.e. Chemotherapy and or Radiation
- Osteoporosis or low bone density
The Top 7 Symptoms of SIBO Include:
- You notice an improvement in IBS symptoms when taking antibiotics
- Abdominal bloating
- Abdominal pain or discomfort
- Acid reflux or heartburn
- Excessive gas or belching
Bacterial Overgrowth (SIBO) can inhibit nutrient
absorption and lead to the following serious
Caution: This test uses lactulose as its testing agent, and is not recommend for individuals who have had allergic reactions to lactulose, are diabetics with a fasting urine glucose concentration >105mg/dl, or are on a galactose/lactose-restricted diet.
Step 1: Schedule Your Pre-Lab Consult (Naturopathic 30 minute) and receive the at home test kit with directions.
Step 2: Please read all of the directions, and familiarize yourself with the collection procedures.
Step 3: Prepare for the test: It is not recommended to collect your sample during an acute gastrointestinal illness.
- 4 Weeks Prior: Colonoscopy or Barium Enema: collect your sample at least 4 weeks after these tests
- 2 Weeks Prior: Antibiotics, Antifungals or Pepto-Bismol: discontinue at least 2 weeks prior unless directed otherwise by your physician. If you have had runny diarrhea wait 2 weeks before beginning your test.
- 1 Week Prior: Laxatives, Stool Softeners and/or Stool Bulking Agents (i.e.Ex-Lax, Colace, Metamucil®, Fibercon®); the use of antacids containing aluminum or magnesium hydroxide (e.g. Maalox liquid, Equate, Milk of Magnesia, Rolaids, Mylanta) and any Proton Pump Inhibitors (PPI) which contain Omeprazole, Lansoprazole, Dexlansoprazole, Esomeprazole, Pantoprazole, Rabeprazole discontinue use of at least 1 week prior to testing.
- 1 Day Prior: Diet: limit your diet. Here are foods that you CAN eat before you start your 12 hour fast.
Baked or broiled chicken, fish or turkey. (Salt and pepper only)
White bread (only) Plain steamed white rice.
Clear chicken or beef broth with (no vegetables pieces).
• 12 hours before you start your breath test, you should fast.
This means do not eat or drink anything other than water.
- 1 Hour Prior or During Testing: Smoking, Sleeping & Exercise: avoid smoking including second hand smoke; avoid sleeping; avoid vigorous exercise
Step 4: Follow the directions in the test kit to complete your test
Step 5: Proceed to Shipping Instructions
- Shipping: The test contents are sent directly by the patient once the sample is gathered in the comfort of their home. Follow the directions in the kit for the shipping instructions
- Cost of Shipping: The cost of shipping in Canada is covered. It is recommended to ship your sample Monday-Wednesday to deter it being held up over the weekend.
Step 6: Schedule Your Post-Lab Consult (Naturopathic 30 minute): The results are sent to the clinic and generally take 2 weeks once the test is received by the lab (US). It is recommended to book a post-lab consult.