Search

Home > Revolution Health Radio > RHR: Unanswered Questions About SIBO
Podcast: Revolution Health Radio
Episode:

RHR: Unanswered Questions About SIBO
Category: Health
Duration: 00:20:51
Publish Date: 2017-08-31 16:16:50
Description:

revolution health radio

In this episode we will discuss:
  • Is lactulose breath testing an accurate way to diagnose SIBO?
  • Is SIBO always pathological?
  • Are our treatments effective?
  • Is SIBO always the underlying cause?
  • Should probiotics and prebiotics be avoided during treatment?
  • Does a long-term low-FODMAP diet help prevent recurrence?
[smart_track_player url="http://traffic.libsyn.com/thehealthyskeptic/RHR_-_Unanswered_Questions_About_SIBO.mp3" title="RHR: Unanswered Questions About SIBO" artist="Chris Kresser" ] Hey, everybody, it’s Chris Kresser. Welcome to another episode of Revolution Health Radio. This week we're going to do something a little bit different. Rather than answer one specific question that was sent in, I'm going to answer a bunch of different questions that I get all the time regarding a very popular topic, which is SIBO. As a matter of fact, I have many questions about SIBO myself, and that's actually how I want to frame this podcast. I get more questions about SIBO than probably any other health topic. I've been treating it now for many years, and I've learned a lot about it in that time, and yet it seems like the more I learn, the more questions I have. Certainly, if you look on internet forums and blog comments, you look at summits and podcasts in our entire field, you can see that there's still a lot of questions about SIBO and misunderstanding and things that we really need to figure out in order to be able to appropriately diagnose and treat this condition. I think the best way to dive into this is just to say that I've started to doubt many of the standard assumptions or beliefs around SIBO that many of you are probably already aware of. I just want to go through five or six of these assumptions and tell you what my current thinking about them is, and this might be a little bit of a frustrating podcast to listen to because I'm not necessarily going to give you answers. I'm just going to tell you what the questions are, where my doubts are, and what further research or exploration or investigation I think we need to do.

Question #1: Is lactulose breath testing an accurate way to diagnose SIBO?

Let's start with assumption number one, which is that lactulose breath testing is an accurate way of diagnosing SIBO. As many of you know, the standard way of diagnosing SIBO in an outpatient setting is using lactulose breath testing. There is another way, which is an endoscopy, where they put a tube down your throat and take a sample of bacteria from your small intestine, but that's never used in outpatient settings because it's invasive and expensive. It's just not done. There are actually a lot of problems with that method as well, which leads us to probably the biggest issue of all from a 30,000-foot-view perspective with SIBO, is that in order for a test to be accurate, it needs to be validated against something that's a gold standard, and we have no gold standard way of diagn...
Total Play: 0

Some more Podcasts by Chris Kresser

20+ Episodes
Ask the RD 20+     1
200+ Episodes
Revolution H .. 2     1
9 Episodes
Kresser Inst .. 8     1