Hydrogen Sulfide SIBO Small intestinal overgrowth

Hydrogen Sulfide SIBO

Small intestinal overgrowth (SIBO) is a common gut health issue characterized by bacterial overgrowth in the small intestine. It is normally diagnosed through a breath test identifying hydrogen or methane produced by the overgrown bacteria. The problem is that this breath test is unable to detect a less talked about form of small intestinal overgrowth, hydrogen sulfide SIBO.

The good news is that working with a functional medicine practitioner, you can find out if your symptoms are due to hydrogen sulfide SIBO and if so, treat it naturally through a low-sulfate diet.

In this article, you will learn what SIBO and hydrogen SIBO are. You will learn how they are different, what are their symptoms, and how to diagnose them. I will explain why a low-sulfur diet is the best solution for hydrogen sulfide SIBO and how to follow a low-sulfur food plan.

You will also understand how working with a functional medicine doctor, like myself, can help you overcome hydrogen sulfide SIBO.

What Is SIBO

Small intestinal bacterial overgrowth (SIBO) is a gut health condition that affects the small intestine. It happens when certain bacteria, normally grown in other areas of your gut, start growing in your small intestine leading to overgrowth.

Symptoms of SIBO

If you have SIBO, there are a variety of symptoms you may experience. These SIBO symptoms may include:

  • Stomach pain
  • Indigestion
  • Gas
  • Bloating
  • Diarrhea
  • Constipation
  • Cramps
  • Feeling of fullness and quick satiety
  • Weight loss

What Is Hydrogen Sulfide SIBO

If your doctor is suspecting SIBO after going through your symptoms, health history and performing a physical exam, she or he will use a breath test that can detect hydrogen and methane in your breath. Since excess bacteria in your small intestine can lead to the release of these gases, this certainly makes sense and helps to identify most forms of SIBO. However, it doesn’t take hydrogen sulfide SIBO into account.

Hydrogen sulfide is a third form of gas that is commonly present among patients with SIBO. The problem is that hydrogen sulfide cannot be measured with a SIBO breath test. Hydrogen sulfide is produced by a very specific type of bacteria that can overgrow in your small intestine.

The interesting thing about hydrogen sulfide is that in small amounts, it can be beneficial and anti-inflammatory. However, when it occurs in high amounts due to a bacteria overgrowth in your small intestine, it becomes very problematic. High amounts of it in your large intestine can also result in health problems. Therefore to handle this overgrowth and to resolve your symptoms, we have to bring the healthy balance back to your small intestine, your whole gut, and body.

Diagnosing Hydrogen Sulfide SIBO

Since SIBO breath tests are not looking for hydrogen sulfide, you may wonder how can you know if you have hydrogen sulfide SIBO. That’s a great question. Let’s see how functional medicine doctors, such as myself, can help to diagnose hydrogen sulfide SIBO.

As you’ve already learned, breath tests only look for hydrogen and methane, not hydrogen sulfide, and can only diagnose traditional SIBO, not hydrogen sulfide SIBO. One study has found that people with traditional SIBO also have a higher risk of hydrogen sulfide SIBO.

However, another study has found that people who test negative for the SIBO breath test have a higher likelihood of having hydrogen sulfide SIBO. This is why it is important that you are working with a doctor who is familiar with hydrogen sulfide SIBO and is willing to dig deep to find the root causes of your symptoms and gut health issues. Working with a functional medicine doctor, like myself, is a great option.

First, your doctor will go through your symptoms. Symptoms of hydrogen sulfide SIBO may be different than the symptoms of SIBO. Sulfur-like, rotten egg smelly gas or belching are generally a good indication that you are dealing with hydrogen sulfide SIBO. You may also be more likely to experience diarrhea and nausea. You may also have other symptoms as well, such as rashes and pain. Once your doctor understands your symptoms, they can run some more complex GI tests other than the breath test to look for bacteria overgrowth and other gut imbalances. Lastly, if going on a low-sulfur food plan helps to relieve your symptoms, it is a good indication that hydrogen sulfide SIBO was the culprit behind them.

Low-Sulfur Food Plan for Hydrogen Sulfide SIBO

Traditionally, people with SIBO are often recommended to follow the low-FODMAP diet.

However, research has found that low-FODMAP is actually not beneficial for hydrogen sulfide overproduction. If you have hydrogen sulfide SIBO, a low-sulfur diet is a much better idea.

When you eat sulfur-containing food, they go through a process to naturally occurring sulfate in your body. While in a small amount, sulfate is good for you, too much becomes a problem. If you are dealing with hydrogen sulfide SIBO, following a low sulfur food plan can help your body regain its balance and get rid of your symptoms.

What to Eat and What Not to Eat on a Low Sulfur Food Plan

Vegetables to avoid:

  • Arugula
  • Asparagus
  • Bok choy
  • Brussels sprouts
  • Broccoli
  • Cauliflower
  • Cabbage
  • Daikon radish
  • Collard greens
  • Garlic
  • Kale
  • Horseradish
  • Onion
  • Leek
  • Radish
  • Peas
  • Scallion
  • Swiss chard
  • Sauerkaut
  • Spinach
  • Split peas
  • Turnip
  • Soybeans
  • Watercress

Fruits to avoid:

  • Dried fruits
  • Dried coconut
  • Grapes
  • Papaya
  • Pineapple

Dairy and dairy alternatives to avoid:

  • Cow, sheep, and goat milk
  • All cheese
  • Cottage cheese
  • Yogurt
  • Whey
  • Eggs
  • Coconut milk from a carton
  • Soy products
  • Animal protein to avoid:
  • Red meat
  • Fish
  • Poultry white meat

Legumes to avoid:

  • All legumes, including beans, lentils, bean sprouts, soy, etc.

Herbs to avoid:

  • Chives
  • Curry
  • Ginger
  • Horseradish
  • Turmeric

Other things to avoid:

  • Amaranth
  • Buckwheat
  • Lemon and lime juice
  • Frozen potatoes and french fries
  • Peanuts
  • Quinoa
  • Tamarind
  • Vinegar
  • Wine
  • Tamarind
  • Wheat germ

Supplements to avoid:

  • ALA
  • Bromelain and papain
  • Chlorella
  • NAC
  • MSM
  • Milk thistle
  • Turmeric
  • DMSO
  • Dairy source acidophilus
  • Cysteine

Vegetables allowed:

  • All squash
  • Artichokes
  • Avocado
  • Beets
  • Bell pepper
  • Carrot
  • Celery
  • Cucumber
  • Corn
  • Eggplant
  • Lettuce
  • Mushrooms
  • Olives
  • Potatoes
  • Pumpkin
  • Tomato
  • Water chestnut

Fruits allowed (up to ½ cup a day):

  • Bananas
  • Berries
  • Cantaloupes
  • Dates
  • Figs
  • Grapefruit
  • Melons
  • Kiwi
  • Lemon
  • Lime
  • Mango
  • Pear
  • Pomegranate

Herbs allowed:

  • Anise
  • Bay leaves
  • Basil
  • Caraway
  • Cilantro
  • Cinnamon
  • Cumin
  • Dill
  • Lemongrass
  • Lavender
  • Nutmeg
  • Oregano
  • Parsley
  • Pepper
  • Thyme
  • Rosemary
  • Thyme

Other foods allowed:

  • Almond, rice, and hemp milk
  • Nuts, including almonds, cashews, and macadamia
  • Seeds, including pumpkin seeds, sesame seeds
  • Gluten-free bread
  • Beet, corn, or parsnip chips
  • Basmati and jasmine vinegar

Final Thoughts

Hydrogen sulfide is the third most common gas in those with SIBO, yet, there is less research on it making diagnosis and treatment more difficult. If you have hydrogen sulfide SIBO, I recommend that you try a low-sulfur food plan, and notice a reduction in symptoms within a couple of weeks.

If you suspect that you have SIBO or hydrogen sulfide SIBO, I recommend that you contact a functional medicine doctor, like myself, for diagnosis and treatment. I can help you to address the underlying causes of your hydrogen sulfide and other types of SIBO, as well as other gut health issues using a system-oriented approach and engaging both patient and practitioner in a therapeutic partnership. As an experienced functional medicine doctor with integrated expertise of both Western medicine and traditional Eastern practice, I can assess all the factors, including diet, lifestyle, stress, toxicity, allergies, sleep habits, and medication, that may affect your gut health. Then I will prescribe a personalized and effective plan to improve your gut health condition, repair your body, and regain your health and well-being.

If you would like to get more information about hydrogen sulfide SIBO and gut health treatment or to schedule a functional medicine consultation, please call my office at 212-696-4325.

Sources:

https://www.ncbi.nlm.nih.gov/pubmed/15747080

https://www.ncbi.nlm.nih.gov/pubmed/9448181

https://www.ncbi.nlm.nih.gov/pubmed/19709217

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023273/

https://onlinelibrary.wiley.com/doi/pdf/10.1016/S0378-1097%2803%2900748-1

https://www.fasebj.org/doi/abs/10.1096/fasebj.29.1_supplement.598.10

https://www.ncbi.nlm.nih.gov/pubmed/23898195

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023273/https://www.ncbi.nlm.nih.gov/pubmed/23898195

Acne

Acne

How Functional Medicine can help treat acne.

For most people, acne occurs during their teen years due to hormonal changes, but disappears soon after this stage. Some people, however, may struggle with acne for most of their adult life. Conventional medicine provides little more than face creams that hardly ever seem to work. Is there no solution for acne?

Fortunately, functional medicine provides another option. The underlying philosophy of functional medicine states that the way to relieve symptoms is by focusing on combating the root cause of the issue, not the symptoms. In this case, acne may just be recurring symptom of a bigger issue.

When one system of the body is out of balance, it may throw other seemingly unrelated systems out of balance as well. This is why it is important to find a practitioner that will explore possible imbalances in your whole body, to achieve long-lasting results. There are many possible causes for acne, beyond what conventional medicine tends to believe. These include hormonal imbalances, liver toxicity, gastro-intestinal issues like dysbiosis, small intestine bacterial overgrowth (SIBO) or food sensitivity.

Certified Functional Medicine practitioner Dr. Elena Klimenko, will work with you to discover the underlying cause of your particular condition and restore the balance to your body systems. She uses safe, natural approaches such as homeopathy, nutrition, light therapy and excellent skin care treatments to help you on the road to a healthier and beautiful you.

Find out what Dr. Klimenko can do for you by calling 212-696-4325

The Butterfly Inside You: The Tiny, Mighty Thyroid Gland

The Butterfly Inside You: The Tiny, Mighty Thyroid Gland

A busy butterfly lives just below your Adam’s apple that is responsible for the regulation of your inner state of balance, or homeostasis. Like a butterfly, the thyroid quietly goes about its business without getting much attention until your doctor checks it with her hands during a routine exam. Unless something unusual is found at that time (e.g., swelling) or symptoms manifest that indicate a problem, there won’t be much further ado about your thyroid.

Let’s take a moment to find out what the thyroid does, how to know if there’s a problem, and how to keep your thyroid healthy.

The thyroid is part of the endocrine system, which includes the pituitary gland, hypothalamus, thymus, pineal gland, testes, ovaries, adrenal glands, parathyroid, and pancreas. It makes hormones (e.g., T3, T4) that travel through your bloodstream and regulate your metabolism, brain and heart function, and reproductive and menstrual cycles.

When the thyroid is not functioning properly, a chain reaction of hormonal events takes place that involves many other glands/hormones of the endocrine system and the bodily systems they regulate. The end result is one of two primary types of health conditions: hyperthyroidism or hypothyroidism.

Hyperthyroidism results when the thyroid is overactive. Think of hyperthyroidism like a butterfly that can’t stop fluttering its wings. Everything is on overdrive, including metabolism, frequency of bowels, emotions (anxiousness), increased sweating, and–for lady butterflies only–very light menstruation or cessation of the menstrual cycle. This butterfly often feels hot and can’t maintain a healthy weight. There are also bouts of exhaustion from trying to maintain this intense state of arousal.

Hypothyroidism results when the thyroid is underactive. This butterfly just can’t get its wings to go. It’s gained weight, feels sluggish, and has brittle hair and nails. It feels cold and tired, is kind of depressed, and suffers from constipation. The lady butterflies usually have irregular, heavy menstruation.

5 Ways to Keep Your Thyroid Healthy

  1. Eat from the sea. The sea provides many natural sources of iodine, a building block of the thyroid hormone. Salt has a high concentration of iodine, but it can raise blood pressure. Instead, opt for saltwater fish, or try seaweed in a salad. Cod and halibut are high in selenium, which protects the thyroid gland during periods of stress and helps regulate hormone synthesis. Fish oil provides essential fatty acids that reduce inflammation, which plays a role in causing autoimmune diseases.
  2. Eat from the earth. Eat foods high in B vitamins, which are precursors to thyroid hormones and influence cell energy. Balance your diet with poultry, nuts and seeds, legumes, and whole grains. Red meat provides iron, zinc, magnesium, and other minerals essential for thyroid hormone function, and the health of other bodily systems affected by thyroid disorders (skin, hair, metabolism).
  3. Relax. A daily relaxation practice, such as just 10 minutes a day of silence and deep breathing, can make a difference in the state of mind and body.
  4. Move it! Exercise at least 30 minutes a day. Yoga is particularly good for thyroid health, including poses such as butterfly, fish pose, shoulder stand, and child’s pose.
  5. Get supplemental insurance. Our diets aren’t perfect, so supplementing with a vitamin/mineral or botanical (herb) regimen can provide extra insurance against exposure to stress, toxins, and perhaps your own family history. Be sure to consult with your wellness practitioner about the best nutraceutical products for you.

Resources

Small Intestinal Bacterial Overgrowth SIBO

Small Intestinal Bacterial Overgrowth SIBO

Have you been bloated and gassy lately? No matter what you eat you feel like your stomach swells like a balloon few hours after you have eaten?

Pay attention: you might suffer from condition called SIBO – small intestine bacterial overgrowth.

Bacterial overgrowth of the small intestine, otherwise known as small intestine bacterial overgrowth (SIBO), is a digestive disorder that causes chronic bowel problems and intolerance to carbohydrates. Its main symptoms include excess gas, abdominal bloating, diarrhea and/or constipation, and abdominal pain shortly after meal.

Both the small intestines and colon naturally house bacteria, creating a balance within your digestive system. The types and amount of bacteria that reside in the small intestine and colon are very different. The colon contains roughly 100,000 times more bacteria than the small intestines. SIBO occurs when the bacteria from colon migrate to small intestine and because there is a lot of not fully digested food in small intestine, the bacteria multiply and overgrow uncontrollably.

Since the main purpose of the small intestine is to digest and absorb food, any disruption in its role affects the absorption and utilization of nutrients into the body. Thus, if SIBO is left untreated for too long – various nutritional deficiencies may occur. It can manifest as anemia, various vitamins deficiencies (vitamin D and B), calcium malabsorbtion causing weakening of the bones, etc.

SIBO is often overlooked as a cause of these digestive symptoms, because it so closely resembles other disorders. In fact, SIBO is theorized to be the underlying cause of IBS (irritable bowel syndrome), since up to 84% of IBS patients have tested positive for SIBO. SIBO is associated with many other disorders as well, either as an underlying cause or as an aftereffect of the pre-existing condition. This includes parasites, pancreatic problems, and Crohn’s.

The two major factors contributing to development of SIBO include insufficient gastric acid secretion and lack of intestinal motility (movement of intestinal content through the lumen). Since both of these mechanisms naturally decline with age, those over 70 years old are especially susceptible. Anything that slows down motility can contribute to overgrowth of bacteria in the small intestine, because there is no outlet for the waste.

Gastric acids (hydrochloric acid of the stomach) is another important factor. It helps to break down food and activate digestive enzymes. Without the production of hydrochloric acid or pancreatic enzymes, we can’t digest and sterilize food sufficiently. To help with gastric acid secretion, supplementation with betaine hydrochloride during meals is recommended. People who chronically taking gastric acid suppressing medications are at higher risk to develop SIBO.

If you think you may be suffering from SIBO, please call our office for evaluation. Together we can determine if your condition warrants further assessment. Depending on your particular condition there are several options for treatment: specific diet, probiotics and natural or pharmaceutical antimicrobials. The longer SIBO is left untreated, the more damage can be done to your body. Although a serious condition, it is treatable once properly diagnosed.

Holistic Treatment For Your Digestive Issues With The '4R Protocol'

Holistic Treatment For Your Digestive Issues With The ‘4R Protocol’

Maintaining a healthy digestive system is a key component of one’s overall health. The digestive system directly breaks down and absorbs nutrients, and when disrupted, can have serious effects on all other systems of the body. An imbalance in your digestive performance leads to nausea, bloating, diarrhea, malnutrition, and significant weight loss. Due to the sensitivity and volatile reactions that can occur with gastrointestinal issues, many turn to functional medicine doctor for a soothing and effective homeopathic solution.

A functional medicine specialist can offers alternative medical solutions to those suffering with serious digestive issues. Through a comprehensive approach and holistic treatments, patients can be accurately diagnosed with common bacterial imbalances, like dysbiosis (an imbalance of beneficial and harmful microorganisms in the gut), and receive natural and effective solutions.

One of the most effective functional medicine treatment options for patients suffering with dysbiosis is the “4R Protocol,” which formulates a solution with four main components:

  • Remove what is harmful: By eliminating harmful foods or foods causing allergic reactions or intolerance, medication, poor quality fats, refined carbohydrates and sugars, so your body may be able to naturally reorient its digestive tribulations. It also include removing harmful microorganisms from the gut, like yeast, parasites and other non-beneficial bacteria.
  • Replace what is lacking: Substitute what is needed for normal digestion and absorption, such as supplement of hydrochloric acid and pancreatic enzymes, with natural and soothing herbal sources.
  • Reinnoculate what is missing: Introduce favorable microbes back into your digestive system to enhance the growth of the beneficial bacteria. Additional supplements like prebiotics, insulin, and fiber, can also be effective at promoting positive bacteria.
  • Repair what is damaged: After serious digestive issues, stomach and intestinal lining may be damaged. Support healing the intestinal lining with beneficial foods and nutrients like amino acids, healthy fatty acids, zinc, pantothenic acid, and vitamin C, all from natural sources.

Don’t suffer with painful digestive turmoil like irritable bowel syndrome or inflammatory bowel disease.

Elena Klimenko, MD is New York City’s leading integrative medicine physician, providing treatment for dysbiosis and other serious gastrointestinal syndromes with an effective approach through functional medicine. Click here to fill out a new patient evaluation form and set up an appointment today!