Since then, she has been a vocal advocate for the digestive health community and has dedicated her own nutrition practice to serving those with digestive conditions.Editor-In-Chief: C. Katelyn’s personal experience with a digestive condition first sparked her passion for nutrition and health. Katelyn Collins, RD is a registered dietitian and health writer specializing in digestive health. You should also discuss what you need to do to prepare for the test to make sure you will get accurate results.ĪCG Clinical Guideline: Small Intestinal Bacterial Overgrowth If your doctor has recommended a breath test, you may want to ask them for more information so you can understand what they are looking for. Your doctor will then review the results to determine if you may have SIBO and will advise on a treatment plan. If there are bacteria present in the small intestine, those bacteria will produce gas during the test. SIBO can lead to digestive symptoms such as bloating, diarrhea, constipation, nausea, and abdominal pain.Ī breath test using glucose or lactulose (not be confused with lactose ) as the test sugar that you drink can help diagnose SIBO. We have a diverse population of microbes living in our large intestine, but we don’t want to have high levels of microorganisms in our small intestine.

Small intestinal bacterial overgrowth (SIBO) occurs when there is an excess of bacteria in the small intestine. While breath testing is one way to evaluate someone for lactose and fructose intolerance, doing an elimination diet with a registered dietitian can be an alternative way to help you determine your intolerances. Your doctor will look for a large increase in hydrogen gas in order to determine if you are poorly absorbing the sugar that was tested. The levels of hydrogen gas will then be compared to your baseline level of hydrogen. As mentioned above, you will breathe into a collection bag at set intervals and the hydrogen gas will be measured. The increased gas production is thought to contribute to digestive symptoms by causing a bloating sensation, drawing water into the intestines, and slowing down the movement of food through the gut.Ī breath test can be used to find out if you are able to properly absorb fructose and lactose.

Sugars such as lactose and fructose are poorly absorbed by some people and when they reach the large intestine, they are fermented to produce a larger amount of gas than normal. Breath tests for fructose and lactose malabsorption The results will then be analyzed by your doctor. Only one sugar can be tested at a time and each test must be separated by at least a few days.ĭuring the test, you will breath into a test bag every 15-30 minutes over a period of 2-3 hours. The sugar you drink depends upon the type of test your doctor has ordered. Next, you will drink a liquid containing a test sugar. It’s important that you follow your doctor’s instruction in preparation for the test.Īt the beginning of the test, a baseline reading is taken by breathing into a collection bag. To prepare for the breath test, your doctor may instruct you to stop certain supplements (like probiotics) and may ask you to eat a simple diet leading up to the test. Breath testing can also be used to look for SIBO (small intestinal bacterial overgrowth). The concentration of gas is then measured and used to diagnose malabsorption of sugars such as lactose or fructose. Your doctor may order a breath test for hydrogen gas, methane gas, or both. This gas can actually be collected by breathing into a bag. When certain types of carbohydrates reach your colon (AKA large intestine), they are fermented (broken down) by your intestinal bacteria and gas is produced. Or your doctor may order a breath test to check for small intestinal bacterial overgrowth (SIBO). Your doctor may use breath testing to find out if your body has trouble breaking down and absorbing certain types of sugars. Has your doctor recommended breath testing in order to get to the root of your digestive symptoms?īefore we dive into the specifics of breath tests, it’s important to understand that there are several different types of breath tests.

Breath test for bacterial overgrowth