Crohn's Disease Archives

The lactulose breath test for diagnosing SIBO in IBS patients: debunked

[ Crohn's Disease Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!
 
        

The lactulose breath test for diagnosing SIBO in IBS patients: debunked

Posted by Sapphire [735.9683] on June 17, 2011 at 00:20:09:

The lactulose breath test for diagnosing SIBO in IBS patients: another nail in the coffin.

Abstract:

The findings of the lactulose breath test in irritable bowel syndrome patients have been used to suggest that most patients have small intestinal bacterial overgrowth (SIBO), and this association has spawned the widespread use of antibiotics in IBS. The study by Bratten and colleagues demonstrates that this test does not discriminate between IBS patients and healthy controls when criteria from recent clinical IBS studies are applied. When the findings from this large study are combined with previous smaller studies, they challenge the hypothesis that SIBO underlies the symptoms of IBS and undermine the current rationale for the use of antibiotics in IBS.

Am J Gastroenterol. 2008 Apr;103(4):964-5. Epub 2008 Mar 26.



Follow Ups:



Re: The lactulose breath test for diagnosing SIBO in IBS patients: debunked

Posted by Sapphire [735.9683] on June 17, 2011 at 11:59:30:

In Reply to: The lactulose breath test for diagnosing SIBO in IBS patients: debunked posted by Sapphire [735.9683] on June 17, 2011 at 00:20:09:

Dr. Stoll, When if ever would you prescribe an antibiotic for GI problems? I know there are indications for antibiotics such as perhaps H. Pylori. Would you ever give antibiotics as a trial for IBS or other chronic GI issues?

Thanks in advance for your opinion,

Sapphire


Go to First Post in this Thread

Follow Ups:



The lactulose breath test for diagnosing SIBO in IBS patients: debunked-archive

Posted by Walt Stoll [93.9640] on June 17, 2011 at 16:39:19:

In Reply to: Re: The lactulose breath test for diagnosing SIBO in IBS patients: debunked posted by Sapphire [735.9683] on June 17, 2011 at 11:59:30:

Thanks, Sapphire.

Even antibiotics for H. Pylori are only indicated for a severe overgrowth and THEN are only a bandaid.

All normal GI tracts have H. Pylori growing there, controlled by the normal GI tract ecology, and are part OF that ecology. It is only when the ecology gets imbalanced that H. Pylori can get out of control.

Anyone who uses antibiotics for ANY GI problem is ignorant of the mechanics of LGS.

Walt


Go to First Post in this Thread

Follow Ups:



Re: The lactulose breath test for diagnosing SIBO in IBS patients: debunked-archive

Posted by Sapphire [735.9683] on June 17, 2011 at 20:27:47:

In Reply to: The lactulose breath test for diagnosing SIBO in IBS patients: debunked-archive posted by Walt Stoll [93.9640] on June 17, 2011 at 16:39:19:

Dr. Stoll,

So the cause for bacterial overgrowth is the same as the cause for candida overgrowth, namely LGS. And the cure for each is the 3LS, right?

Sapphire


Go to First Post in this Thread

Follow Ups:



Re: The lactulose breath test for diagnosing SIBO in IBS patients: debunked-archive

Posted by Walt Stoll [93.9640] on June 18, 2011 at 06:56:47:

In Reply to: Re: The lactulose breath test for diagnosing SIBO in IBS patients: debunked-archive posted by Sapphire [735.9683] on June 17, 2011 at 20:27:47:

Sapphire,

The permanent cure is resolving the LGS. While doing that the short term things to do are probiotics, and maybe nystatin USP.

Hope this helps.

Walt


Go to First Post in this Thread

Follow Ups:



[ Crohn's Disease Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!