Tagged: SIBO test negative
- jessParticipantMarch 17, 2015 at 7:19 amPost count: 1
I have experienced problems with reflux for the last 4-5 years ( diagnosed in my early 30’s). The reflux has been partially managed by PPI medication for most of that time, i’ve always experienced break through symptoms. I’ve also experienced IBS for most of my life, constipation was the main issue until I started PPI meds and since then i’ve had issues with dirrahea. I recently had a hydrogen breath test – it came back negative for SIBO. Is the fast track diet only helpful if SIBO is present? I’m determined to understand the underlying cause of my reflux but have difficulty finding an answer. I’ve been following a FODMAP eating plan with some relief, but continued symptoms. It would be good to know if the fast track diet would offer increased benefit ? ( despite a negative hydrogen breath test).Norm RobillardKeymasterMarch 25, 2015 at 3:33 amPost count: 441
That’s a great question. SIBO, as you might imagine is always in flux. Your body’s control mechanisms (stomach acid, efficient digestion of food, bile, immunity, motility, etc) are always working to keep intestinal bacteria in check, especially in the small intestine. And bacteria are often trying to work their way back into the small intestine where more nutrients are available.
I believe you can test negative and still have periodic bouts or blooms of SIBO.
Other possible contributors to false negative results:
1. Eliminating fiber and high residue foods from your diet either the day before or the night before. By doing this, you are actually beginning an intervention diet that helps control SIBO. I would like to see this practice adjusted to only limiting fiber the night before.
2. Using glucose instead of lactulose. Glucose is absorbed very quickly and may not detect SIBO, but lactulose is not digested at all so can detect SIBO throughout the length of the small intestine.
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