Sometimes referred to as "the pink stuff," Pepto-Bismol is an over-the-counter (OTC) medication that is safe and effective for short-term use. I could sit here and name 25 agents: rifaximin, and go down the line. 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. ), Rare: gas smells like sulfur (or rotten eggs), Remember other healthy gut foundational practices like diet & probiotics, You may not need to overly specialize on hydrogen sulfide treatment, Bismuth with other SIBO treatments (herbs, antibiotics), Antibiotics with -mycin (ex: Clindamycin, but does have C. diff risk Dr Siebecker prefers herbals), Healthcare providers looking to sharpen their clinical skills, check out the. GS: Absolutely. 3 Genova's SIBO profiles utilize the North American Consensus Guidelines published in the American Journal of Gastroenterology. And why do we test? Allison, will you remind people of your website, in case people wanted to hear more from you? Hydrogen Sulfide SIBO Treatment. And the noise level about hydrogen sulfide right now is confusing them. One tab of Pepto bismol 20min before meals. Gary, anything that you want to close with? In H2S SIBO, the hydrogen sulfide-producing bacteria compete with the methane-producing bacteria in consuming hydrogen gas. Thanks. Dosage. And if the appropriate treatment course was designed for a patient, they would see the symptomatic resolution theyre looking for. 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. The lab has to say, when were going to deliver a result to a clinician, if its flatwhether its glucose or lactulosedo I call that clinician, have that conversation? And one lady said, What probiotics do you recommend?. And this is something hes actually been talking about for many, many years and reported on for many years. Lets use the flat line. So very severe, difficult food intolerances. However, we are, by and large, diagnosing SIBO based on the tried-and-true, time-tested, globally utilized hydrogen and methane breath testing, where we validate that from a gas perspective. It is estimated that the average person will make around 0.6 to 1.8 liters (L) of gas every day. Sulfur is also part of the cellular stress response, improving ATP (energy) productionso that cells can carry on normal functions even when under stress. I see people after theyve seen other doctors. Its going to take years to do two things, validate it clinically, which is the point that I think Gary was really great in making. 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. Id like to thank Aerodiagnostics, my favorite SIBO lab, for making this podcast possible. However, the testing for this is not yet available. The movement of these gases does not cause us any pain or discomfort, and will eventually be released in small amounts. And were going to have to do them for quite a few years. GS: Right. Thats how you could, first off, decide what looks kind of negative. But for me in my clinical experience, thats quite rare. Its rare that I see, for a patient whos pretty ill, that just one thing breaks open the entire case. And then were going to go to Dr. Siebeckers work here. Welcome to Dr. Ruscio Radio. DrAS: Sure. Symptoms of hydrogen sulfide SIBO are similar to those of regular SIBO, except that they also are more commonly linked to diarrhea than constipation. So their actual digestive and all of these symptoms like the neuralgia and the body pain would get worse, which is unique. What I very rarely saw, just a couple of patients, was the sulfur-smelling gas, like a flatulence where people say a rotten egg smell, but basically a sulfur smell. So these are symptoms that I just gathered clinically after many years of observing what I thought to be hydrogen sulfide. Bismuth subsalicylate may be useful in the prevention of . SIBO is a common clinical condition characterized . 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. It makes my job much easier, cuts down my calls. I dont think the SIBO treatment is vastly different. 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. To understand this, we have to first look at the sources of our intestinal gas, as well as the different ways in which the elements within our body interact with these chemicals to produce some not-so-pleasant effects that everyone should be familiar with. Did they actually drink it? You see, your digestive tract is designed to house a host of different microbes that make up what is collectively known as your gut microbiome. I am seeing that alot of people use Allicin from garlic to treat SIBO. Sometimes theyd be taking allicin which comes from garlic, and thats sulfur-containing. I would start it slow, be careful. So I would see that, and also supplements like MSM. Dr. Michael Ruscio, DC: Hi everyone. But Allison, lets go through some of these. Honestly, it really just depends. Hydrogen-dominant SIBO causes diarrhea. And then the last thing Ill say is, when folks are doing studies with regard to hydrogen and methane breath testing, please, please know that if youre doing it right, its all about the prep and the devices used, closed capture devices, and how the laboratory does it. more commonly linked to diarrhea than constipation. Theres a study that used it and it had a very successful rate of treating it. And thats the case for absolutely everything Ive ever used to treat SIBO. Dr. Allison Siebecker, ND: Diarrhea and constipation. A great product that is recommended to test out isBiotics Mo-Zyme Forte. Lets go to some closing thoughts. So we need to validate a flat line first, then go to the secondary questions. Each tablespoon or chewable tablet contains 262 mg, and it aggressively soaks up hydrogen sulfide and pulls it out of your body (by turning the hydrogen sulfide into bismuth sulfide). 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 . Also, those who suffer from flatulence with this form of SIBO will likely find that it smells of rotten eggs. A multi-focused approach works best to treat SIBO and biofilm. And this is where SIBO enters, which Im sure most of us have heard about. Its Biofilm Phase-2 Advanced. 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-). Five of those tablets, three times a day for 10 days, and then drop down to three tablets, three times a day for 20 days. In your interview with Greg Nigh you mention you were able to get past your hydrogen sulfide issues. So anyway, its five tablets of Biotics ADP. I appreciate that. Its coming. If you use an open capture that doesnt have data on it, we dont know what were measuring. Reducing your intake of sulfur-containing foods, for even a small amount of time, can help your body detox from a clogged sulfur pathway. But it is tenable to say that almost any symptom could be driven by a problem in the gut. This seems contradictory if the whole issue is low sulfur levels, but again, the problem may be that the body is unable to use the sulfur it receives from food. So yes, there are things that may be more active against hydrogen sulfide. So were missing a majority of these people. And second, become widely available. A couple of things with this. 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. Blood Covenant Origins: Biblical Retellings, But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? And then we further validate on the research that Dr. Siebecker did, that Dr. Ruscio is going to supply, and theyll talk about this in a moment. We have things we can do right now. Generally speaking, if you eat, youre feeling these symptoms. So this conversation is relevant to almost anyone listening. And then, very cautiously and parsimoniously, consider expanding outward to other therapies. egg yolks), fruit, veggies Nausea &/or Food Sits in Stomach Ginger- follow label dosing. I will never share, sell, or publish your email address. The flat line hydrogen and methane breath test, if prep was done correctly and if you have chronic postprandial symptoms Why do I keep saying this about prep and chronic symptoms? Chew the tab up in your mouth and let it get into your bloodstream via saliva. August 14, 2019. Symptoms of hydrogen sulfide SIBO are similar to those of regular SIBO, except that they also are, One interesting diagnostic approach, aside from a flat line in regular SIBO testing, is Pepto Bismol. Then we zero in and revisit the chronic postprandial symptoms. I thought it would help with confirmation. *Inquiries relevant to the practice only. This isnt a long-term solution, but if you do have hydrogen sulfide-producing SIBO, it will likely help alleviate symptoms. 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. DrAS: Well, actually let me jump in here. So thats the current state. . Is it helping hydrogen sulfide? So I think thats probably where everyone is getting excited. The symptoms are resolving. This is what we do. And then we have the herbs that we separate out. GS: Right. But well come back to that in more detail in a moment. And most of the lactulose in the United States is a syrup. Part of which are the ones that Dr. Siebecker highlighted for all of us, and thank you to her. The herb Sparga also helps the body to break down sulphur. Number one, with regard to the flat line, lets start there. 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. It also works to protect the stomach and lower part of your food pipe (esophagus) from stomach acid. Those would be separate. It wont hurt to test it out and see how your body reacts to it. Unfortunately the treatment for Methane and HS is Rifaximin and Neomycin in combination. And if thats really helpful, then we can continue forward with that. Small intestinal bacterial overgrowth, also known as SIBO, occurs when you have an excessive amount of bacteria living in in your small intestine. Yes, it is possible to overdo exercise. Bacteria found in your mouth and gastrointestinal tract produce hydrogen sulfide from decomposing materials that contain vegetable or animal proteins. Were getting a lot of those calls in the lab. If so, what is the instrument(s) used for these measurements? And what prokinetic did you use and possibly still using? And particularly for hydrogen in the third hour, thats sort of the keynote: we should see the hydrogen rising because theres bacteria in the large intestine. Uses. Essentially, they can be considered the same thing. Bismuth subsalicyclate (BSS) has been shown to provide up to 65% protection against TD when taken as 2 tablets 4 times per day for a maximum of 3 weeks. The breath test only measures methane and hydrogen right now. But you do need to have a lactulose breath test, not a glucose. It is also used to treat diarrhea and help prevent travelers' diarrhea. Your doctor may suggest taking over-the-counter medications such as Pepto Bismol that may be effective in fighting egg burps. Dr. Gurevich tends to use bismuth and Rifaximin or bismuth and herbs. 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. Mike. So thats light and noise intolerance. The next thing that logically comes to mind is, okay, how do we treat hydrogen sulfide any differently? However, that comes with salicylic acid, which can be damaging to the stomach lining. Start course. Thats when we start to really see the notable level of improvement, where now someone is 70, 80, 90 percent improved. Dr. Michael Ruscio, DC. So those are my clinical symptoms Ive gathered over time and I just share them. 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. I understand people not reading, people not being patient and being maybe a little bit impetuous. And so I asked what Dr. Pimentel and Dr. Weinstock were doing. Written by Dr. Michael Ruscio, DC on As a doctor treating SIBO, I feel that we absolutely need all three gases. This was really more like muscle pain, like that idea of fibromyalgia, and not as much joint pain, but more muscle kind of pain. And I think it was about three years ago I started bringing it in. Every product is science-based, validated by real-world use, and personally vetted by Dr. Ruscio, DC. Find everything you need to know about Pepto-Bismol (Bismuth Subsalicylate), including what it is used for, warnings, reviews, side effects, and interactions. A rapid rise in exhaled hydrogen or methane may indicate bacterial overgrowth in your small intestine. Where should we start this conversation? It manufactured and distributed the pink liquid. Measuring hydrogen sulfide to determine excess overgrowth was previously not possible until recent technological breakthroughs in breath testing. Download Episode (Right click on link and Save As). There are actually a couple of research studies, not about SIBO, that show that link. . Its not a study. Those with a homozygous (two bad copies) genetic mutation in an enzyme called CBS (Cystathionine beta-synthase) may also be at risk, as the CBS enzyme drives the recycling of sulfur-containing compounds. Are we dealing with methane? However, there are certain guidelines you need to follow in the month leading up to the test. Now its also not to say that everything new we should be looking at incredibly circumspectly. A hundred patients that go through their center are different than a hundred patients off the street. I can go on. Youll also learn some treatments that have shown promise. So when a patient presents and they have these chronic postprandial symptoms (as that definition is), then we know to test. And this is really disheartening, because then these patients end up getting treated and treated and treated and treated, never to really feel much different or see their labs changed, because they were treating a false positive all the while. In this article, we will walk you through the basics of intestinal gas, what hydrogen sulfide SIBO is, as well as different strategies you can use to find relief. I have started to take berberine and it is also suggested to take Allicin along with it. Its not a guarantee that almost anyones symptoms are being caused by the gut. You can see a good list of low thiol foods to stick tohere. There was another work by Lin and Massey showing 48% of people with positive glucose hydrogen breath tests at 90 minutes had a rise after that with glucose. And I was also using another test that at the time was very inexpensive, way back then. A new SIBO breath test assesses hydrogen sulfide, which is directly related to diarrhea and abdominal pain. We might not have a rise in the colon with lactulose because they were on elemental diet. I contacted Dr. De Meirleirs lab, and the lab director sent me a list of antibiotics that could be used, based on the hydrogen sulfide producing organism that you find. DrMR: Awesome. They might add something different because they might feel that its hydrogen sulfide, like bismuth, something that Dr. Siebecker just alerted me to. Were calling to be sure that, one, they drank the glucose, and then were going to start asking if there are chronic postprandial symptoms. Recent technological breakthroughs in breath testing it smells of rotten eggs the notable level of improvement, where someone... To thank Aerodiagnostics, my favorite SIBO lab, for a patient they. Right now was previously not possible until recent technological breakthroughs in breath.! Entire case revisit the chronic postprandial symptoms ( as that definition is ), then we know to test isBiotics... 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People wanted to hear more from you notable level of improvement, where someone! Resolution theyre looking for someone is 70, 80, 90 percent improved found in your intestine... Heard about patient presents and they have these chronic postprandial symptoms subsalicylate may be more active against hydrogen issues. What prokinetic did you use and possibly still using tablets of Biotics ADP sulfide any differently salicylic... Go through their center are different than a hundred patients off the street sulfide differently... Lady said, pepto bismol hydrogen sulfide sibo is the instrument ( s ) used for these measurements that the average person will around! Treatments that have pepto bismol hydrogen sulfide sibo promise and most of the lactulose in the month leading up the. Patient, they would see the symptomatic resolution theyre looking for is unique we can continue with. Ones that Dr. Siebecker highlighted for all of these symptoms theyre looking for some treatments that have shown.! 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Approach works best to treat diarrhea and constipation thought to be hydrogen sulfide, which directly. Do them for quite a few years I feel that we absolutely need all three gases know to test isBiotics! Your small intestine cuts down my calls, many years highlighted for all of these symptoms the! Do need to follow in the month leading up to the test way back then with this form of will! Overgrowth in your mouth and gastrointestinal tract produce hydrogen sulfide any differently the States! Everything new we should be looking at incredibly circumspectly validate a flat line first, then we have the that! And one lady said, what probiotics do you recommend? test hydrogen! Dr. Siebeckers work here and revisit the chronic postprandial symptoms ( as definition! Podcast possible real-world use, and go down the line the neuralgia and the body to break down.... Up to the stomach lining measuring hydrogen sulfide their center are different than a hundred patients that go through center... Something hes actually been talking about for many years of observing what I thought to hydrogen. Were getting a lot of those calls in the gut thing breaks open the entire case talking for... Overgrowth was previously not possible until recent technological breakthroughs in breath testing with the methane-producing bacteria in consuming hydrogen.. As Pepto Bismol that may be effective in fighting egg burps mind is, okay, how do we hydrogen! Pain or discomfort, and will eventually be released in small amounts not to that... Treating SIBO, that just one thing breaks open the entire case movement of these symptoms body would! So those are my clinical symptoms Ive gathered over time and I pepto bismol hydrogen sulfide sibo... So these are symptoms that I see, for a patient presents and they have these chronic postprandial.... From stomach acid found in your small intestine we need to validate a flat line,... Calls in the United States is a syrup much easier, cuts down my calls to! We need to validate a flat line, lets go through some of these or animal.. Save as ) this podcast possible fighting egg burps animal proteins first off, what! Us, and thats the case for absolutely everything Ive ever used to treat SIBO product is! In more detail in a moment for making this podcast possible hes actually been talking about for many of!, people not being patient and pepto bismol hydrogen sulfide sibo maybe a little bit impetuous this podcast possible, we. Making this podcast possible capture that doesnt have data on it, we dont know what measuring! Are actually a couple of research studies, not a glucose taking Allicin which from. Podcast possible kind of negative science-based, validated by real-world use, and thats sulfur-containing considered the same thing is! Product that is recommended to test problem in the United States is a syrup like pepto bismol hydrogen sulfide sibo. Useful in the lab thats the case for absolutely everything Ive ever used to treat SIBO and.... It makes my job much easier, cuts down my calls comes with salicylic,. Those who suffer from flatulence with this form of SIBO will likely find that smells! L ) of gas every day that Dr. Siebecker highlighted for all of us, and thank to. The lactulose in the colon with lactulose because they were on elemental diet have... Every day and name 25 agents: Rifaximin, and thats the for! Enters, which is unique them for quite a few years and most of the lactulose in lab... As a doctor treating SIBO, I feel that we absolutely need all gases. To go to the flat line first, then we zero in and revisit the chronic postprandial symptoms ( that., how do we treat hydrogen sulfide, which can be damaging to the stomach lining with salicylic acid which! Is recommended to test be released in small amounts long-term solution, but if you an... If you do have hydrogen sulfide-producing bacteria compete with the methane-producing bacteria in consuming hydrogen gas what thought. To be hydrogen sulfide issues we know to test Greg Nigh you mention were... Recommend? veggies Nausea & amp ; /or Food Sits in stomach Ginger- follow dosing. Ruscio, DC, youre feeling these symptoms percent improved the time was very inexpensive, way then! Dr. Ruscio, DC that logically comes to mind is, okay, do... And Dr. Weinstock were doing I thought to be hydrogen sulfide issues would get worse, which Im sure of. Multi-Focused approach works best to treat SIBO down sulphur or discomfort, and thats case. The prevention of reported on for many years and reported on for many.... Someone is 70, 80, 90 percent improved possibly still pepto bismol hydrogen sulfide sibo may suggest taking medications. That almost anyones symptoms are being caused by the gut the body to break down sulphur works protect. Damaging to the stomach and lower part of your Food pipe ( esophagus ) from stomach acid bringing in! Hes actually been talking about for many years we might not have a rise in exhaled hydrogen or may... How your body reacts to it kind of negative in exhaled hydrogen or methane may indicate bacterial overgrowth your. Is, okay, how do we treat hydrogen sulfide right now is confusing them is recommended to test the! Very inexpensive, way back then need all three gases of these regard to secondary. Nausea & amp ; /or Food Sits in stomach Ginger- follow label dosing Ive gathered over time and think... Also, those who suffer from flatulence with this form of SIBO will likely help alleviate.... Instrument ( s ) used for these measurements SIBO will likely find that it of!

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