The Missing Piece Towards Improving And Standardizing SIBO Breath Tests

I have irritable bowel syndrome (IBS). Research suggests Small Intestinal Bacterial Overgrowth can explain IBS symptoms in as much as 78% of the cases (1). So, I reached out to the top doctors across the country to get properly tested and diagnosed. Here is what I found out:

  • Stanford and Augusta recommend SIBO detection via Glucose breath tests
  • Cedars Sinai recommends Lactulose breath test
  • Mayo Clinic does not recommend doing a SIBO breath test at all for IBS-C patients

If the top institutes cannot agree on an important protocol to identify whether problem lies in the small intestine, then the patients don’t have a prayer to get properly diagnosed and treated. There have been efforts to drive consensus (2) but so far that has not moved the needle for something as basic as deciding between Glucose vs Lactulose breath test. So, what is the problem?

Read more