DIAGNOSIS IRRITABLE BOWEL SYNDROME

Do you often encounter patients in your practice who suffer from the following complaints?

• chronic bowel-related complaints lasting longer than three months (e.g. abdominal pain , flatulence), which are usually accompanied by changes in bowel movements

• due to the symptoms a relevant impairment of the quality of life

• no changes characteristic of other clinical pictures that could explain the symptoms

If the above 3 points are met, you most likely diagnose irritable bowel syndrome according to the S-3 guideline.

FREQUENCY

Irritable bowel syndrome is the most common gastrointestinal diagnosis worldwide. In Western industrialized countries, the prevalence of the population is approximately 15%. Approximately 50% of patients with gastrointestinal complaints suffer from irritable bowel syndrome . Women are significantly more frequently affected than men.

SIBO AS A CAUSE

In approximately 70% of patients with irritable bowel syndrome, the underlying cause is SIBO (small intestine bacterial overgrowth), a bacterial overgrowth of the small intestine. This causes bacteria that normally colonize the large intestine to invade the small intestine.

HOW DOES SIBO DEVELOP?

In contrast to the large intestine, the small intestine contains only a fraction of the intestinal bacterial flora. If these bacteria increasingly enter areas of the small intestine and carry out their regular functions there, this can cause a number of problems.

Because important food components are digested too early by the bacteria in cases of SIBO, this can result not only in a deficiency of calories, vitamins, and minerals, but also in an increased buildup of "gas in the stomach . " The bacteria produce gases such as hydrogen and methane as a byproduct.

Due to the enormous increase in the amount of "food," the gas volume also increases accordingly. This is the flatulence that plagues so many people with irritable bowel syndrome.

SIBO - COMMON CAUSE, RARELY DIAGNOSED

Bacterial overgrowth of the small intestine should always be considered if...

… common tests (blood and stool analyses as well as other exclusion diagnostics) do not provide any clarity about the cause of irritable bowel symptoms.

… you have had little to no success with therapy recommendations such as psychotherapeutic measures, the administration of pre- or probiotics, intestinal cures or intestinal cleansing, more or less fiber, whole foods, etc.

CLARITY THROUGH THE SIBOLAB BREATH TEST

A number of scientific studies have confirmed that in most cases, incorrectly colonized bacteria in the small intestine trigger irritable bowel symptoms.

The simplest and most effective method to diagnose SIBO is a breath test. Since the bacteria that cause the problem produce gases that are exhaled through the lungs, an overgrowth of these microorganisms can be measured through the breath.

DIAGNOSIS OF IRRITABLE BOWEL SYNDROME USING BREATHING VALUES

A number of scientific studies have confirmed that in most cases, incorrectly colonized bacteria in the small intestine trigger irritable bowel symptoms.

The simplest and most effective method to date for diagnosing such bacterial overgrowth is a breath test. Since the problematic bacteria produce gases that are exhaled through the lungs, the overgrowth of these microorganisms can be measured through the breath.

Lactulose is used as the test substance. Under normal circumstances, this cannot be digested and absorbed by the small intestine. However, in cases of small intestinal bacterial overgrowth, the lactulose is fermented by bacteria. This results in the release of gases such as hydrogen and/or methane. These gases can be detected using the Sibolab breath test because they are transported to the lungs via the bloodstream.

DETERMINE SIBO LOCATION

The Sibolab breath test also allows you to determine the location of the bacterial overgrowth in patients with SIBO. This allows you to better assess the severity of the disease. It also allows you to develop a tailored treatment plan for your patients and provide them with a selection of foods that are compatible with their current situation.

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