We want to know whether or not were dealing with it from a hydrogen and methane perspective. The clinician might treat. 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. But Allison, what are your thoughts regarding the best way to maybe tackle hydrogen sulfide SIBO? GS: I only ask because of what both you and Dr. Ruscio have said on this call. Hydrogen sulfide is a new gas being studied as a cause of SIBO Specific hydrogen sulfide test not available as of August 2019 (in development) Current Method to Detect First, test for SIBO using a breath test Second, verify the test was performed correctly: did you drink the solution, lab prep, etc. Zinc acetate has some research, and also soy isoflavones, and a Chinese herbal preparation. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. If they do, then we yield to Dr. Siebeckers work here, and weve been validating that they are hitting on one or more of these. Because 60 to 70 percent of the time, its they didnt drink the substrate! And if there isnt a rise there, if we see zero or close to zero, then thats when we call it a flat line or low fixed. So we cant see that gas, but the hydrogen is getting converted into hydrogen sulfide and no methane is being made (because methane also uses hydrogen). Lets use the flat line. So we just have to wait. Irrespective of all these details, first thing, double-check that the task was done the correct way. Because unfortunately then, what ends up happening is, we get all these non-true-positive cases that are told that theyre positive. Lets say the technology does come out, but its only in office and its not something that offices want to buy because of the cost of the technology. In summary, testing a low sulfur diet combined with daily Epsom salt baths for 7 days is a great place to start. If youre exhibiting a lot of these symptoms, that increases the probability that the underlying cause of your symptoms may be this hydrogen sulfide SIBO, which could mean some nuanced changes in how you treat SIBO. The one thing that I just might add, Dr. Siebecker, if I mayand please, Dr. Ruscio and Dr. Siebecker, correct me if you feel differentlyIve always felt strongly about either glucose or lactulose. But if we dont have enough of it, one theory is that the body encourages overgrowth of H2S producing bacteria to compensate. 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. 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. 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. 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. I appreciate that. But what you will notice is that this main SIBO breath test is not able to detect hydrogen sulfide gas yet. Then the hands and feet and fingers and toes can have tingling or numbness. But you do need to have a lactulose breath test, not a glucose. Meaning they cant master what they already have at their disposal. Because youd think an Epsom salt bath would help pain and things like body pain. Alternatively, 1048 mg to 1050 mg may be given orally every hour not to exceed 4 doses in any 24 hour period. Today well be talking about hydrogen sulfide SIBO, what we can do in regards to treatment and testing, and what we may want to be cautious regarding. And it doesnt matter if you eat a hamburger or if you eat a pancake or if you eat something else. But it is tenable to say that almost any symptom could be driven by a problem in the gut. So in my interpretation, Ill go up to six for hydrogen and three for methane, for the whole three hours of the test. So thats always the kind of thing thats going to happen. Bismuth subsalicylate- 'Pepto-bismol', follow label dosing, short term use Possible side effects: constipation, blackened stools and/or tongue, Tinnitus Imodium, follow label dosing Avoid/careful with fats (ex. SIBO, Small Intestine Bacterial Overgrowth, is an overgrowth of bacteria in the small intestine that typically produces an excess of either hydrogen or methane gas, or both. Since a majority of the gas in the body will be H2S, this may be why a traditional breath test will show little to no hydrogen or methane and will look like a flat line. buff.ly/3JsH0FZ. 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. There are a number of different reasons why this could occur. Its Biofilm Phase-2 Advanced. And I was going to add that, for the benefit of the listeners, its absolutely working out. Pepto-Bismol has been around for more than 100 years. This is just theory. Bacteria found in your mouth and gastrointestinal tract produce hydrogen sulfide from decomposing materials that contain vegetable or animal proteins. Is there increased frequency? So they go for the new and novel, at the expense of what we already know can work. 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. (The characteristic rotten egg smell is due to sulfur.). We need to validate, is this bacteria in the small intestine where it doesnt belong, or is it not? And many GI's are not aware of that and simply prescribe course after course of Rifaximin. People use that word toxic like an adjective. Because you will most likely need an experienced clinician or a good program to work through to rebuild your gut health, which would include things other than just, Okay, were going to use bismuth plus high-dose oregano.. It also works to protect the stomach and lower part of your food pipe (esophagus) from stomach acid. All rights reserved. But for right now, I think weve laid out some good guidelines for people to follow. Find everything you need to know about Pepto-Bismol (Bismuth Subsalicylate), including what it is used for, warnings, reviews, side effects, and interactions. (2) The Ruscio Institute is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites. Even if you kill the overgrown bacteria and restore normal sulfur levels, if the reason sulfur dropped in the first place is due to toxicity, then identifying and eliminating the toxin(s) is in order. They were both saying, you just treat it the same way you would have before, you treat the presentation, meaning constipation versus diarrhea. DrMR: Hence this functional medicine, which is taking the small cropping of treatments that are often reserved for the minority. Id suggest finding a doctor who knows more about treating patients with IBS and SIBO symptoms. Regarding support, if youre not highly proficient in reading SIBO labs, Gary definitely offers the best clinical support Ive ever come across. And there are different treatments for hydrogen sulfide. The herb Sparga also helps the body to break down sulphur. The large intestine, way more than 10 to the 5. Leave a comment or connect with me on social media asking any health question you may have and I just might incorporate it into our next listener questions podcast episode just for you! Now, I think what that would mean is were missing some people who maybe are showing a negative and they really do have hydrogen sulfide, because theyre not showing a flat line. I also have H2S. I mean, it could be celiac. It works by helping to slow the . Dysbiosis just means an imbalanced bacterial flora and SIBO means small intestine bacterial overgrowth. I would start it slow, be careful. And I just looked at all the patterns of all my hydrogen sulfide patients. In this study the ability of bismuth subsalicylate, a compound that binds H 2 S . A hydrogen breath test is a fairly simple, noninvasive way to check for sugar intolerance or SIBO. One tab of Pepto bismol 20min before meals. So many of the chronic cases, sadly, appear to be chronic because the provider hasnt had the requisite knowledge in how to really get in there and use the available tools appropriately. So is it a I have a positive SIBO, Im just going to check on the hydrogen sulfide symptoms, the tingling of the hands and feet, the photophobia and intolerance, all the things that youve already reviewed? This medication is used to treat occasional upset stomach, heartburn, and nausea. Could be fungal. So what does it really mean? Well, first off, I didnt know what to do all those years ago. This can also be used as a simple diagnostic tool to determine whether H2S is playing a role in your symptoms. And we can get into the treatment differences in a second. So were seeing it. And then when I started going out to our normal time framesa minimum of two weeks, if not a monthand usually a month, then we were starting to see better results. Hydrogen sulfide is a colorless and odorless gas that is produced both by our own cells, and, by bacteria in the large intestine. Maybe we should start with defining hydrogen sulfide SIBO for people who havent heard of it Im sure most of our audience has. So those are my clinical symptoms Ive gathered over time and I just share them. Pepto-Bismol is used to treat diarrhea and relieve the symptoms of an upset stomach. But really, you could just add it to whatever you were doing. So were seeing this really play out. The test tells you whether your IBS was caused by food poisoning from anti-cdtb and anti-vinculin antibodies. As an Amazon Associate I earn from qualifying purchases. (SIBO) can cause smelly burps that have a sulfur "egg" odor. 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. Probably not. Could be mold. So we need sulfur. So this conversation is relevant to almost anyone listening. This is the baseline approach to healing any GI issuesactually any health issues at all. But as an example, just looking at the SIBO biofilm data that we collected, yes, we did show a measurable benefit that was statistically significantwhere the people who are treated with SIBO herbs plus antibiofilm agents had a greater reduction in hydrogen than did patients treated with SIBO herbsbut it didnt really seem to be clinically meaningful. Okay. And I appreciate that both Dr. Ruscio and Dr. Siebecker are participating in this conversation. Pepto Bismol need to NOT be used in children, and no longer then 2-3 weeks in grownups. However, the testing for this is not yet available. Pepto Bismol normally colors your tongue and stool black. belching. I think it mightve been six or seven years before I even started teaching about hydrogen sulfide in special classes I would do with physicians. Symptoms seem to be similar and my doctor did have me on Bebbermine with no success. And when we talked to Dr. Pimentel about it, he said what it could be is that methane is present, but its a level that is below detectable by the breath test machine in parts per million. In fact, although most of us consume enough sulfur through our daily diets, some disorders based on an inability of our bodies to metabolize sulfur or other types of sulfur deficiencies can still occur. And this is where SIBO enters, which Im sure most of us have heard about. I might be getting this wrong. We respect your privacy. So, I feel like its essential in a basic way. Then we zero in and revisit the chronic postprandial symptoms. To the 5 do need to have a sulfur & quot ; egg & quot egg! 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