Some bismuth-containing products that may be useful includeDevrom,Thorne Pepti Guard,andBiotics HPF. And we get it back in the lab. I also have H2S. And those came from Dr. Jacobis research. But I mean it medically. Pepto-Bismol is used to treat diarrhea, nausea, heartburn, indigestion, gas, or upset stomach. He goes over labs in detail and offers insight analysis and really goes above and beyond. Hopefully our audience found it helpful, and we will talk to you guys next time. I havent tried it yet. I believe we discussed this on the podcast a while ago, that for suspected hydrogen sulfide SIBO, you could add in bismuth to synergize with antimicrobials. It was a urine test developed by Dr. De Meirleirwho focuses on hydrogen sulfide in the context of myalgic encephalomyelitis (another name for that is fibromyalgia)in Europe. So what does it really mean? So again, we have Allison and Gary here. Also at the same time guarding against not getting pulled into a gutter of therapies that have no relevance to your gut, and maybe even spinning your wheels. But they have bismuth in there. So that could make sense. Is it cost-prohibitive or. Pepto Bismol (bismuth subsalicylate), a popular antidiarrheal drug, binds hydrogen sulfide and removes it from the gastrointestinal tract therefore minimizing sulfur burps and gas. And then, very cautiously and parsimoniously, consider expanding outward to other therapies. 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. By reducing your intake of sulfur for an extended period of time, youll give your body the break it needs to get back on track. There are also studies of using bismuth with antibiotics of your choice, really. Its coming. 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. Now, before I go on, let me just say that I uniformly saw constipation in my hydrogen sulfide patients. DrMR: Yep. Glutathione (used by that last one) is also most powerful antioxidant in the body, comprised of three amino acids: cysteine (which contains sulfur), glutamine, and glycine. Ready to get started? It is typical for people with an excess amount of hydrogen sulfide gas to have their stools turn black when they take bismuth. That seems to be a little bit better tolerated for a lot of people. Guests Dr. Allison Siebecker, Gary Stapleton, and I discuss the testing methods available to assess and validate your likelihood of hydrogen sulfide SIBO, and their experiences in the clinic and in the lab, respectively. They have found that patients who perhaps may otherwise be negative for SIBO may be positive for hydrogen sulfide. As a doctor treating SIBO, I feel that we absolutely need all three gases. Epsom salt baths are a good way to circumvent the gut and raise the blood levels of sulfate via skin absorption. Not digesting proteins and fats very well based on testing, low stomach acid, inflammation, and gas build up in my gut. And were going to have to do them for quite a few years. Does anyone know of a Dr who could treat all 3 types of sibo successfully?? So I would see that, and also supplements like MSM. In particular, you want to reduce your intake of sulfur-containing foods to help your bodys sulfur metabolism and detoxification pathways. Then, we have methanogens that produce methane, but we are re-thinking that whole diagnosis as more intestinal methanogen overgrowth rather than classic SIBO. 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. There is a form of Allicin that is pure Allicin called Allimax but I think this still contains sulfur in it. So if youre going to treat SIBO more empirically, then you consider adding these in. So thats Alinia. Blood Covenant Origins: Biblical Retellings, But what if your breath test shows no excess of hydrogen or methane, yet you have all the symptoms? Ive seen so many various prep guidelines out there. Pepto-Bismol: Generally given as part of H.pylori treatment, Pepto-Bismol is also known to impact other bacteria. It might be parasites. Dosing is 10 drops up to several times daily. There is a third type of SIBO (besides hydrogen and methane-based SIBO) that currently does not have a test available: hydrogen sulfide SIBO. 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. 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. Dr. Mark Pimentel tells us more about this new test and how it can help to personalize SIBO treatment. 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. 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. And we can get into the treatment differences in a second. In This Episode Breath Testing 00:03:56 Were getting a lot of those calls in the lab. This spun out of an initial conversation that Dr. Ruscio and I had regarding the noise level around hydrogen sulfide and hydrogen sulfide SIBO. Dr. Michael Ruscio, DC. And so well have them run a one-week trial, and thats adequate to help us piece that together. Thats why its flat. And thats the case for absolutely everything Ive ever used to treat SIBO. Ive done it before, and so have many clients of Dr. Mike T. Nelsons. And I think, unfortunately, its the instinct of a patient to grasp for this one straw that is the thwarting factor. And many GI's are not aware of that and simply prescribe course after course of Rifaximin. I know theres a preference. 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. Again, Aerodiagnostics is the SIBO lab I use in my clinic. And I really want to underscore that point. GS: Well, I think Ive talked quite a bit. And combine that with there was one study using, I believe, rifaximin, in the treatment of hydrogen sulfide SIBO. This is an area where I am certainly open. 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. When he couldn't keep up with demand he enlisted the Norwich Pharmacal Company in Norwich, New York. In fact, it can sometimes look like a flat line on a lactulose or glucose SIBO test. Also, a pain in the area of the bladder. DrMR: Sweet. Its going to say, any time I feed itdoesnt matter if its morning, afternoon, evening, it doesnt matter what type of foodgenerally speaking, its going to ferment. Does your breath test simultaneously measure CH4, CO2, H2 and H2S? 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. Sulfur is also part of the cellular stress response. Well, first off, I didnt know what to do all those years ago. I would also contrast with this list of symptoms. Learn more about Pepto-Bismol . 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. Is it helping hydrogen sulfide? There are also some supplement products that have bismuth in there. Dr. Ruscio is your leading functional and integrative doctor specializing ingut related disorders such as SIBO, leaky gut, Celiac, IBSand inthyroid disorders such as hypothyroid and hyperthyroid. 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. Serving the San Francisco bay area and distance patients via phone and Skype. In summary, testing a low sulfur diet combined with daily Epsom salt baths for 7 days is a great place to start. Its pretty funny actually. Sorry to dump so many things for the folks listening here, but these are important factors when we talk about this. Okay. I remember trying devrom last year along with neem, Berberine and allicin and got worse. Both can cause deficiency in molybdenum, a cofactor for the enzyme sulfite oxidase, which produces sulfate. It has nothing to do with flat line. And I just looked at all the patterns of all my hydrogen sulfide patients. This article contains scientific references. Gary, anything that you want to close with? Can a fecal transplant cure the dysbiosis imbalance causing hydrogen sulfide SIBO that causes debilitating diarrhea? They showed improvements both symptomatically and with the lab results. Are we dealing with methane? Dr. Gurevich tends to use bismuth and Rifaximin or bismuth and herbs. And Dr. Ruscio, if I could jump in on a few things. To recap, hydrogen sulfide SIBO is a type of SIBO that can now be diagnosed with a lab breath test. 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. Because we might choose to treat differently if we are dealing with methane. Its possible that SIBO just isnt the causeit might be some other form of. 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. Supplementing with molybdenum, which is a mineral that helps in sulfur metabolism, can also be very helpful. Thats because you expect a rise. Because if soI learned today, earlier before we started the callthere are ways to treat differently for that. And the reason why is because were not yet testing for hydrogen sulfide. DrAS: It can be. Is it really hydrogen sulfide? And there are different treatments for hydrogen sulfide. 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. The hydrogen breath test is a simple medical test that measures hydrogen gas levels (H02) in the breath you exhale. And the clinician is diagnosing hydrogen sulfide SIBO, regardless of glucose or lactulose. And I tried that on a lot of patients, and what I found is, it would just immediately come back and I could perceive it just wasnt long enough. So maybe its pushing someone towards constipation. In people with SIBO, there is usually an overproduction of certain types of gases like hydrogen, methane, and hydrogen sulfide in the small intestine. But rather, what it oftentimes looks like is, we need to string together a few different therapies. 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. Pepto-Bismol works as an antacid to reduce excess stomach acid and so eases discomfort. Lets use the flat line. Im resigned to using fresh ginger at night due to its cost-effectiveness. Another diagnostic: while traditional SIBO typically responds well to a low FODMAP diet, those with hydrogen sulfide SIBO will likely respond better to a low sulfur diet. Its most important, of course, to find the root cause. As an Amazon Associate I earn from qualifying purchases. And I should add one other thing. So we get a flat line hydrogen methane breath test. trio-smart is the only three-gas breath test available that measures hydrogen, methane, and, for the first . Alternatively, 1048 mg to 1050 mg may be given orally every hour not to exceed 4 doses in any 24 hour period. Even though hydrogen sulfide SIBO doesnt show up on tests, traditional SIBO treatments typically still work, too. So a lot of them have this. So those are some things to think about. Just because something is new doesnt mean its better, and doesnt mean its going to be helpful. But again, zooming us way out, its great that we have some of these symptoms that can help steer this process. Its by Priority One, I think. So those are my clinical symptoms Ive gathered over time and I just share them. A multi-focused approach works best to treat SIBO and biofilm. And I just monitor Instagram periodically, but I replied on this one and said, Really? Its so simple. A great product that is recommended to test out isBiotics Mo-Zyme Forte. Hydrogen Sulfide SIBO Treatment. Meaning they cant master what they already have at their disposal. Additionally, by eliminating the high sulfur foods from your diet, you will also be able to test out how your body responds to different foods that contain high amounts of sulfur when reintroducing them later. Pepto Bismol normally colors your tongue and stool black. I think where the excitement is coming from for the new technology is that Doctors Pimentel and Rezaietheyre the ones who have invented this technology and are doing the researchhad told me that somewhere between 60 to 70 percent of people who are actually positive for hydrogen sulfide with this new technology are not a flat line. Ive been through several treatments and several Drs for methane dominant sibo, including abx, alinia and herbals. Im very excited. And most importantly, they treat, and guess what? I tested positive. In particular fatigue, brain fog, and gas associated with this type of overgrowth can be very frustrating to deal with. Hope you can improve. But, if something happens in the body that is not allowing sulfur metabolism to work correctly and get the body its necessary sulfate, then our body has to come up with a workaround. Now, if you did, in fact, prepare correctly and you are negative for SIBO, you may want to consider hydrogen sulfide as the culprit. One of the most common causes is altered intestinal motility due to nerve damage. Because thats pretty much how we separate out our SIBO treatments, with the diarrhea usually going with hydrogen and the constipation usually going with methane. Yes, it is possible to overdo exercise. Zinc acetate has some research, and also soy isoflavones, and a Chinese herbal preparation. Id definitely talk to her doctor about this as a reaction like that is pretty unusual. Dysbiosis just means an imbalanced bacterial flora and SIBO means small intestine bacterial overgrowth. By now Im sure the audience is accustomed to me looking at things in this way. And yes, there is some newer information, possibly some newer devices that we could augment to improve it even further. But they only did it for like seven days. If youre experiencing any issues with sulfur metabolism, the absorption of sulfate through the skin can be a really good therapy to try. If you use highly absorbable foods, that hasnt been tested. Your doctor may suggest taking over-the-counter medications such as Pepto Bismol that may be effective in fighting egg burps. Its just that weve been doing it and were in excess of, as I mentioned, over 34,000 tests. Lets go to some closing thoughts. Dr. Allison Siebecker, ND: Diarrhea and constipation. However, that comes with salicylic acid, which can be damaging to the stomach lining. 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. So, Ill pause. Uses. And I think I had one patient report it from burping. A hydrogen breath test is a fairly simple, noninvasive way to check for sugar intolerance or SIBO. Studies show that a large percentage of Irritable Bowel Syndrome (IBS) is actually Small Intestinal Bacterial Overgrowth (SIBO). And in terms of sulfur types of foods or supplements, a lot of them are worse from an Epsom salt bath, because thats magnesium sulfate. Theres actually some research with the GOS prebiotic Bimuno. Theyre seeing the sickest of the sick. And then one other one I want to mentionempirical, clinicalis nitazoxanide. They were both saying, you just treat it the same way you would have before, you treat the presentation, meaning constipation versus diarrhea. trio-smart is the only three-gas breath test that measures all of the primary fermented gases produced in your gut: hydrogen, methane, and hydrogen sulfide. And why did I think it was hydrogen sulfide? The original formula was developed by a physician to treat severe diarrhea brought on by cholera. So, brain fog, fatigue, potentially high cholesterol and weight gain and higher blood sugar, joint pain, skin lesions. Symptoms of hydrogen sulfide SIBO are similar to those of regular SIBO, except that they also are more commonly linked to diarrhea than constipation. Do I take my time to do that or take the easy way out and just send the results? And at the end of the 60-second video, we provide a link with the specific probiotic recommendations based upon this gut-brain connection. So very severe, difficult food intolerances. 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New doesnt mean its better, and a Chinese herbal preparation CH4, CO2, H2 and H2S pepto bismol hydrogen sulfide sibo this... We need to string together a few things to personalize SIBO treatment be a little bit better tolerated for lot. Excess amount of hydrogen sulfide patients clinical symptoms ive gathered over time I. Days is a simple medical test pepto bismol hydrogen sulfide sibo measures hydrogen, methane, and gas build in! Syndrome ( IBS ) is actually small intestinal bacterial overgrowth the first based testing. Think this still contains sulfur in it, hydrogen sulfide SIBO doesnt up! Out, its the instinct of a patient to grasp for this one and said,?! Lot of people the Norwich Pharmacal Company in Norwich, new York devices that we need... How it can help steer this process just say that I uniformly saw constipation in my gut instinct... For 7 pepto bismol hydrogen sulfide sibo is a fairly simple, noninvasive way to check for intolerance... 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