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+04 222 25151
Mon - Fri: 9.30am - 5.30pm & Sat: 9 - 1pm
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benjamin McAvoy

SIBO TEST

Small intestinal bacterial overgrowth (SIBO)

TEST BACKGROUND

What is SIBO?
SMALL INTESTINE BACTERIAL OVERGROWTH Normally, bacteria are found in the trillions in the LARGE INTESTINE, where they perform various symbiotic functions for the human body. SIBO is a condition where bacterial overgrowth occurs in the absorptive area of the body the SMALL INTESTINE. The breath test is a simple, non-invasive test. After a 24 hours preparatory diet, the lactulose (or glucose or fructose) test substrate is swallowed. Lactulose is not absorbed and therefore may act as a food source for bacteria, if present, in the small intestine.

The bacteria may ferment the lingering substances and produce hydrogen and/or methane. These gasses may then be diffused into the bloodstream and exhaled via the breath. Breath samples are collected every 20 minutes for 3 hours. All tests use machines from QuinTron, the original manufacturer of BreathTracker, to measure both hydrogen and methane in a single sample of breath (alveolar air). Extensive quality control, including carbon dioxide measurements to assure an acceptable alveolar air sample, comply with the highest standards of analytical excellence. Effects of SIBO SIBO causes damage to the absorptive surface of the small intestine – the ability of the body to absorb nutrients from food.

The absorptive surface of the small intestine is likened to a shaggy carpet, with finger-like protrusions called villi. The surface of the villi contain microvilli, which act as the interface of absorption—microvilli secrete enzymes called “brush border enzymes” which break starches into single molecules and proteins into single amino acids, so these can be absorbed. Small Intestine – absorbing nutrients from food


  • Post infectious: a case of gastroenteritis can often be the “heralding event” for the development of SIBO Overconsumption of simple carbohydrates
  • Medications: proton pump inhibitors, morphine and other opiates, narcotics, possibly beta agonists and calcium channel blockers
  • Stress: chronic stress can decrease stomach acid output (hypochlorhydria). Normal stomach acid levels are required to kill bacteria Stress also causes changes in the motility of the small intestines, causing a pooling and stagnation which allows for bacterial overgrowth
  • Altered anatomy: malformation of the ileocecal valve, surgical intervention causing scarring and adhesions altering the normal anatomy of the small intestines Initial
  • Colonization of bad bacteria: caesarean birth, no breast feeding
The ileocecal valve (which connects the large and the small intestine) is dysfunctional, allowing large intestinal bacteria to migrate upwards into the small intestine, where they wreak havoc.

The normal cleansing wave of the small intestine is disrupted or stopped. This cleansing wave is called the Migrating Motor Complex (MMS), and occurs approximately every 90 minutes, typically between meals. The function of the MMC is to wash out accumulated bacteria and propel them toward the colon. The MMC is not related to the peristaltic waves of the large intestines. The result is bacteria are allowed to grow and proliferate throughout the small intestine (a little over 6 meters in length).

SIBO can result in:

Malabsorption of monosaccharides and amino acids (carbohydrates and proteins)
Fermentation of disaccharides by bacteria causing hydrogen, methane and hydrogen sulphate gasses
These gasses themselves are damaging to the gut wall
Malabsorption of vitamins (especially B12 and Folic acid)
Malabsorption of minerals (especially, magnesium, iron, and calcium SIBO can cause leaky gut, with a damaged gut wall allowing larger particles to pass through, causing an immune response

Common Symptoms of SIBO

Diarrhoea
Constipation
Alternating constipation and diarrhoea
Abdominal cramping
Bloating and/or wind
Burping and Acid Reflux/GORD
Food sensitivities
Joint pain
Skin rashes
Iron and B12 deficiency
Respiratory symptoms such as asthma

SIBO Basic Test (Lactulose)

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Breath
 1-2 weeks
$254.00

This lab is the only one that uses Lactulose for breath testing to find SIBO. Other labs only use Glucose for testing and Lactulose as a backup. But using only Glucose might not catch all the cases of SIBO. Many doctors use Lactulose breath testing to diagnose SIBO.

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SIBO Advanced Test (Lactulose and Glucose)

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Breath
 1-2 weeks
441.00

Glucose is like extra food for bacteria. It gets absorbed in the beginning of the small intestine. If the test shows positive for glucose, it can help confirm SIBO. But there's a problem with the glucose test. Glucose gets absorbed fast, so it might not catch bacteria that are further down in the small intestine. Some doctors think using both lactulose and glucose together is better for finding SIBO accurately.

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SIBO Comprehensive (Glucose, Lactulose, Fructose)

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Breath
 1-2 weeks
610.00

This test doesn't miss anything. By using three methods together, it's really good at finding fermentation and gas if they're there. Also, if your test shows you have SIBO, it can tell you if you should avoid fructose in your diet while treating it. If your symptoms are really bad, it's a good idea to do this combined test to help figure out what foods to avoid.

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Benjamin McAvoy
Benjamin McAvoy
ACONT is a TGA Schedule 1 listed association (Therapeutic Goods Act 1990, Section 42AA, Attachment 2). Benjamin’s Membership Number is 602019

Benjamin Mcavoy

Email : Message Here
Phone : 0422225151
Address : Horseshoe Bend - Central Maitland NSW 2320 Australia
Hours Are Flexible
Mon – Fri : 9.30am – 5.30pm
Sat : 9am – 12pm - Alternate Saturday's
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