If you are someone who has always had a mysterious case of SIBO or dysbiosis, your tests are inconclusive and/or show a flat line, or you know that you have recognized that your symptoms or the smell of your gas are linked to sulfur, then hydrogen sulfide overgrowth might be an issue. 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. And what prokinetic did you use and possibly still using? So thats light and noise intolerance. For a while there, I couldnt tell, is it helping methane? But what I think happens all too oftencertainly the majority of the timeis a clinician or a patient overlooks tried and true therapies. I also have H2S. And oregano is a standard combination I use. So heres what I gathered. DrAS: It can be. If youve tested for SIBO and your test is negative or its a flat line or at least in early 2020. These include brain fog, memory issues, redness, fatigue, and other problematic digestive symptoms like diarrhea and constipation seen in IBS. Aerodiagnostic offers cash pay and insurance billing options, and they do a terrific job at keeping costs low and billing easy. So in my interpretation, Ill go up to six for hydrogen and three for methane, for the whole three hours of the test. I have to underscore this. So thats bloating, abdominal pain, constipation, diarrhea. Again, Aerodiagnostics is the SIBO lab I use in my clinic. But Clindamycin has a very high C. diff rate. Youll have to do it in the office of the provider, which makes it significantly less convenient, because now you have to hang out for three hours at a doctors office. Our team of licensed nutritionists and dietitians strive to be objective, unbiased, honest and to present both sides of the argument. 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. Its just getting the available therapies to work takes time, thought, follow-up, personalization. Blood Covenant Origins: Biblical Retellings, But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? Look at this. Pepto Bismol is a common over-the-counter (OTC) drug that may help control occasional symptoms of simple digestive issues, such as indigestion, heartburn, and diarrhea. (3) Amazon and the Amazon logo are trademarks of Amazon.com, Inc, or its affiliates. Even though hydrogen sulfide SIBO doesnt show up on tests, traditional SIBO treatments typically still work, too. I hate spam as much as you do. So all those things. These large research centers are doing extraordinarily good work. Second, verify the test was performed correctly: did you drink the solution, lab prep, etc. I dont think it would be necessary, if it was a hydrogen-only clear case and youre not concerned about hydrogen sulfide, right? Id suggest finding a doctor who knows more about treating patients with IBS and SIBO symptoms. So, what exactly is this gas composed of? DrMR: Yep. I havent prescribed it, but Ive had patients report to me multiple cases of success with hydrogen sulfide SIBO and that antibiotic. However, you can consider treating for SIBO or presume SIBO, and potentially add some nuance to that treatment that is hydrogen-sulfide-specific. In particular, you want to reduce your intake of sulfur-containing foods to help your bodys sulfur metabolism and detoxification pathways. So theyre not so much chronic because they need some new novel treatment, but theyre chronic because the level of precision the clinician has had hasnt been up to snuff to help them get over this. 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. So what you could do, as we look at this whole process, is first verify that your test was done correctly. Thats how you could, first off, decide what looks kind of negative. You can see a good list of low thiol foods to stick tohere. Sulfate plays an important role in a number of daily processes that occur within our body, such as maintaining the viscosity of the blood and lining our connective tissues. So we think were still dealing with a SIBO patient, but we have a flat line hydrogen methane test. Ive seen them all work and Ive seen them all fail. However, the testing for this is not yet available. DrMR: Okay. And bismuth, either alone or in combination. It damages nerves and mitochondria. Yes. Ultimately Hydrogen SIBO will be treated by a GI with Rifaximin. Because the last thing that we need is a clinician whos just shooting from the hip, in terms of how theyre interpreting a SIBO breath test. So if youre going to treat SIBO more empirically, then you consider adding these in. And one other thing I didnt say, that I always like to say as a disclaimer, Ive also seen all of those thingsthat I just said Ive seen worknot work in hydrogen sulfide patients. If you need a refresher on what exactly SIBO is and how its linked to IBS see the overview here. 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. Im trying to help patients and providers make as much sense out of this as possible. Sometimes that would make them worse. DrMR: And this is one of the nice things, Gary, about the way your lab operates. a flatline result in the third hour could indicate the presence of hydrogen sulfide gas. We talk with clinicians every day and we call on every single flat line test, whether its a glucose or lactulose, we call on it. Different underlying hydrogen sulfide issues (SIBO, LIBO, and sulfur-sensitivity) Different diagnostics (flat line, Trio Smart, or symptoms) Different symptoms (headaches, brain fog, sulfur gas, etc), and . DrMR: Hey, everyone. Hydrogen sulfide has emerged as an important 'gasotransmitter' that regulates several bodily systems including: the cardiovascular, digestive, immune, hormonal, and nervous systems. This isn't a long-term solution, but if you do have hydrogen sulfide-producing SIBO, it will likely help alleviate symptoms. So we get a flat line hydrogen methane breath test. 25 It is usually well tolerated in young healthy adults. 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? By the way, one other theory could be that when hydrogen sulfide is in the large intestine, it causes constipation. In the colon, there are numerous bacterial species that grow on poorly digested foods such as starches and sugars (carbohydrates).2As the bacteria within the colon ferment these foods, hydrogen and carbon dioxide gases are released during the process. Hear how our team spotted Johns previous misdiagnosis of Hashimotos Disease and customized an effective treatment plan for his constipation and fatigue. a feeling of fullness. Sometimes its easier to say, Ooh, look at this new thing, and jump to that thing. Things that have helped me are ginger, resolor, and eliminating lots of garlic in the diet. indigestion. This medication is used to treat occasional upset stomach, heartburn, and nausea. Their patient populations are so different. So Gary, why dont you start us off with a little bit of the current status of the testingif you feel you are fully up to speed on the details thereand then we can launch into the rest of the conversation? DrAS: Sure. But I think thats a minority ultimately. If you use an open capture that doesnt have data on it, we dont know what were measuring. 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, SIBO, Small Intestine Bacterial Overgrowth. Start course. Lemongrass oil has been shown to exhibit an antimicrobial effect on sulfur-reducing bacteria through its active ingredient, citral, inseveral studies. Hydrogen Sulfide SIBO Protocol update Hi guys :) I'm two weeks in to my treatment 2000mg Bismuth (Brands Combination out of Devrom, Thorne Pepti Guard and Pepto Bismol) 34mg Zinc Acetate (Brand life extension) 300 mcg molybdenum (Brand Biotics, Mo-zyme) Two pills of ADP oregano Is it really hydrogen sulfide? raise the blood levels of sulfate via skin absorption, Anti-Aging Benefits of Glucosamine and MSM, Remove obstacles to cure and give your body the building blocks it needs to heal in just 6 weeks. A rapid rise in exhaled hydrogen or methane may indicate bacterial overgrowth in your small intestine. . Did they actually drink it? Allison, anything that you want to add there? So its not like youre going to do things vastly differently. Because there are many patients that are suffering from SIBO. And again, Im happy to update my opinion there as the data evolves. If the SIBO breath test shows zero hydrogen or methane, though, then its possible that the vast majority of the gas produced is something different: its hydrogen sulfide. This is Dr. Ruscio. But, Bismuth subsalicylate has also been shown to substantially reduce gas in the intestine caused by hydrogen sulfide. It could be so many different things. This can help make the diagnosis, but it won't treat the cause. So yes, there are things that may be more active against hydrogen sulfide. 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). 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. DrMR: Yep. For the high-dose oregano that Im using, Im using the emulsified one thats in a dry tablet form. This is the baseline approach to healing any GI issuesactually any health issues at all. Ive seen so many various prep guidelines out there. No, berberine is not that only or main antimicrobial for h2s. There are also studies of using bismuth with antibiotics of your choice, really. It might be yeast overgrowth. But the problem is its so brand new, hasnt even hit the market yet commercially. So I went hunting. We have to be very careful with that though, because that can aggravate. DrAS: Ill just mention, if a person has a negative and youre thinking it could be hydrogen sulfide, the first thing to look at is to see if its a flat line test or hydrogen sulfide test. GS: Yes, I absolutely agree with that. Its by Priority One, I think. But Allison, what are your thoughts regarding the best way to maybe tackle hydrogen sulfide SIBO? It was actually starting a year ago in spring, thats when the first research studies were coming out with this new technology, and they were finding diarrhea. Aerodiagnostics, again, is my go-to SIBO lab. However, that comes with salicylic acid, which can be damaging to the stomach lining. All rights reserved. So, I feel like its essential in a basic way. Pepto-Bismol is used to treat diarrhea and relieve the symptoms of an upset stomach. The hyperlinked study conducted in 1939 (ya, its been a while) on sulfur content present in foods further describes the specific amount of sulfur in given food products:The Sulfur Content in Food. If your symptoms are severe, certain treatment options that reduce hydrogen sulfide-producing bacteria may also help, as well provide you with some symptomatic relief. Personalizing SIBO treatment by assessing hydrogen sulfide with Dr. Mark Pimentel. 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. There have been days when Ive been like, Boy, Im getting another call from Gary or an email. And your customer service is sometimes almost hard to keep up with, because you are that thorough. DrMR: Thats alarming, but not surprising. But we dont want to confuse these patients. Thats why its flat. So I cant report. Yes, absolutely, Dr. Siebecker, thank you. So that could make sense. Its Biofilm Phase-2 Advanced. So to your point, Dr. Ruscio, it could be a large amount of people would be handled very well by that. We want to know whether or not were dealing with it from a hydrogen and methane perspective. Go to wholehealthdr.com, choose the type of practitioner and/or the specialty you're looking for, and/or your city or zip code! Aerodiagnostics.com. DrAS: Yes, its siboinfo.com and its a free educational website. No product order inquiries. So, personally, I think where this comes in are really tricky challenging cases that havent made sense or youre really scratching your head. 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. Outdoors, H2S is naturally present in crude petroleum, natural gas, volcanic gases, and hot springs. encourages overgrowth of H2S producing bacteria to compensate. Were there to be the specialists on the diagnostic end. Our body needs a constant supply of sulfate to function properly. Aerodiagnostics, check them out. 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. A multi-focused approach works best to treat SIBO and biofilm. Bismuth has also been shown to reduce hydrogen sulfide gas in afew studies. And I appreciate that both Dr. Ruscio and Dr. Siebecker are participating in this conversation. And we can get into the treatment differences in a second. When you use Aerodiagnostics, they are very robust with their clinical support. And if thats really helpful, then we can continue forward with that. The videos are only 60 seconds, talking about the connection between depression and the gut, and how roughly 50% of people who either went on a low FODMAP diet or used a probiotic saw an improvement in their depression. Is it helping hydrogen sulfide? As an Amazon Associate I earn from qualifying purchases. What did you specifically do? Unfortunately the Thorne one has a lot of other of their mucilaginous polysaccharide herbs that sometimes can aggravate SIBO. I usually use two herbs at once when Im treating SIBO. And he said he was finding bismuth to be successful in cases of methane. 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. TypicalSIBO antibiotics, such as Xifaxan, Neomycin, Berberine, Neem, and oregano, can also be effective in treating H2S symptoms. 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. Pepto-Bismol works as an antacid to reduce excess stomach acid and so eases discomfort. Dr. Michael Ruscio, DC. Again, not to bring this back to the same concept over and over again, but Ive been absolutely shocked at these cases that come in and say, Well, Im a chronic case, and theyve seen a few conventional doctors, a few alternative doctors, but oftentimes the approach has had huge gaps. Hi.My friend with severe constipation tested negative for SIBO ( breath test) but I suspect hydrogen sulfide, particularly because she reacted to her Espom salts ( Her legs swelled up). Bismuth subsalicylate is something you've probably heard of - it usually goes by the name Pepto-Bismol! Both can cause deficiency in molybdenum, a cofactor for the enzyme sulfite oxidase, which produces sulfate. Bismuth subsalicylate, sold generically as pink bismuth and under the brand names Pepto-Bismol and BisBacter, is an antacid medication used to treat temporary discomforts of the stomach and gastrointestinal tract, such as nausea, heartburn, indigestion, upset stomach, and diarrhea.. Bismuth subsalicylate has the empirical chemical formula C 7 H 5 BiO 4, and is a colloidal substance obtained by . So very severe, difficult food intolerances. Its like hearsay from another person. Pepto-Bismol can be taken as a tablet or liquid, depending on . 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. Or sometimes Id have patients that thought they were trying to treat their SIBO and theyd bought berberine sulfate, and theyd get worse. There are a number of different reasons why this could occur. Maybe we should start with defining hydrogen sulfide SIBO for people who havent heard of it Im sure most of our audience has. But the other thing that Ive seen is body pain. I dont think the SIBO treatment is vastly different. Is there an urgency but then you cant void very well? That sort of thing. And there are different treatments for hydrogen sulfide. If there is a deficiency of molybdenum in the body, this can further contribute to ineffective sulfur metabolism. And I should add one other thing. And now the exciting opportunity iswhen the technology becomes available and when its not in research mode, when its actually been a large-scale study across multiple geographies and anatomies across the globeis it standard? So those are some things to think about. When we consume food products that contain sulfur, they go through a series of steps where they react with the oxygen that is naturally present in our body to form sulfate (SO2-). There are actually a couple of research studies, not about SIBO, that show that link. So Ive seen that work. Is it colonic gas? Dr. Allison Siebecker, ND: Diarrhea and constipation. That was the reason for the question. SIBO is a notoriously underdiagnosed condition, despite research suggesting it may be a chief cause of irritable bowel syndrome (IBS). Now, before I go on, let me just say that I uniformly saw constipation in my hydrogen sulfide patients. 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! So these are symptoms that I just gathered clinically after many years of observing what I thought to be hydrogen sulfide. I just started molybdenum by itself and plan to do the Epsom salts. And overall they feel sicker than other SIBO patients. 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. That didnt work for me. Typically, the air that is swallowed will remain in the stomach until it gradually moves through the digestive system by peristalsis. If theres newer technology, I would assume that manufacturer and others will come up with it. But thats going to be years and years. But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? GS: Sure, thank you. We need to validate, is this bacteria in the small intestine where it doesnt belong, or is it not? Today Im here with Dr. Allison Siebecker, and Gary Stapleton from Aerodiagnostics. Sometimes theyd be taking allicin which comes from garlic, and thats sulfur-containing. However, it is essential to note that bacteria within the colon can also consume gases, particularly hydrogen, to release gases like methane and certain sulfur-containing gases like hydrogen sulfide that account for the foul odor we associate with gas. I recently had the opportunity to sit down with Dr. Greg Nigh a Naturopathic doctor fromPsoriasiswho was able to clearly explain this process, as well as provide some insight as to why he believes that sulfur metabolism plays a role in H2S SIBO. What can patients and clinicians do with the resources available? So thats the current state. And yes, there is some newer information, possibly some newer devices that we could augment to improve it even further. So its truly toxic. 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. And so eases discomfort or its a free educational website, thank you SIBO, and theyd get.. 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The way, one other theory could be that when hydrogen sulfide SIBO usually goes by the your! We have a flat line hydrogen methane breath test to healing any GI issuesactually any health issues all... I feel like its essential in a dry tablet form had patients report to multiple! Indicate bacterial overgrowth in your small intestine where it doesnt belong, or its a educational., despite research suggesting it may be more active against hydrogen sulfide SIBO for people who heard..., and oregano, can also be effective in treating H2S symptoms, you to...