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Play, download and edit the free video Ep 20 | Pitfalls Of Testing For SIBO with Dr Pucci on The Root Cause Solution Radio Show.

September 4, 2021 - Get Well Now with Dr Doug Pucci - getwell-now.com/ - Become a subscriber on YouTube and follow Dr Pucci for all episodes of The Root Cause Solution Radio Show -https://bit.ly/DrPucciYouTube - @drdougpucci on social media. LIVE on Facebook getwell-now.com/groups/rootcausehealing

Register for The Truth Behind the Science: https://bit.ly/SeptemberDeepDive webinar on Thurs September 23 at 7:00 - In today's episode of The Root Cause Solution Radio Show Dr PuccI answers the question: What is SIBO and When Are Gastric Pains Being Misdiagnosed?

All month long we will be discussing one of the most frequent complaints i get in office: gastric distress. With so many suffering with bloat, distention, stomach pains, diarrhea, increasing reactions to food, and so forth, there’s an increase in doctor’s visits to the gastroenterologist. Patients are scoped for pathology like ulcers, cancer and polyps, and often walk out a diagnosis of SIBO. What is SIBO and how accurate is that?

Discover the differences between IBS, gastritis, dysbiosis, and SIBO. Learn about some of the tests used, and why.

Titles
- Why do I feel pregnant when I’m not?
- What, whuuh? Those fermented foods could be causing further harm
- What these two medical tests get wrong about SIBO
- Another problem with antibiotics that doctors and patients rarely consider
- Probiotics not the hoped-for miracle cure that so many have hoped for
- Gastric distress a “north to south” dysfunction with surprising connections to brain
- Why good immunological “hygiene” is a must for these back-to-school households

Dr Pucci begins today’s episode answering there listener questions:
1 - Regarding the vaccine, and with so much good, bad and misinformed news sources out there, How do I know who to trust?
2 - My parents haven’t gotten the vaccine because we’re worried about them getting it since they also suffer with high blood pressure, take blood thinners like coumadin and other medications. Plus, they’re just not healthy.
3 - I’m worried about my young kids who aren’t vaccinated yet returning to school and, even if they aren’t sick, spreading the virus. What should we be doing?

Check for Immune 101 and the Covid19 “Pandemic” guidelines that we’ll be re-publishing soon.

The GI tract is a “architecturally” complex and contains many anatomically distinct regions. Structurally, there is the mouth and esophagus, stomach, small and large intestines. There are microbial colonies and delicate “mucosal” linings. In short, the GI tract contains different “oxygen gradients”. For instance, in the small intestine, which is higher up in the GI tract, it is a more oxygen rich environment that sustains a smaller amount of bacterial growth. In the lower intestine and colon, where 75% of our microbiome lives, this is a more “anaerobic” or suffer-loving environment.

This “dynamic regionalization” is often overlooked in the effort to obtain answers. In other words, gut problems are often oversimplified, particularly when patients come seeking a solution hoping for a “probiotic” or other swift aid to decades of discomfort. The acronym “SIBO”, or small intestine bacterial overgrowth, implies an overabundance of bacteria in the upper GI Tract —the small intestine— that have migrated up from the bowel region (from low oxygen to higher oxygen availability), and in this more oxygen-rich environment the bacteria ferment, turn gassy, and cause pain.

The question is: What is causing these bacteria to migrate up? What is allowing for this imbalance to occur, and how do we correct that? What is at the root of a dysbiotic gut terrain?

In medicine, the gold standard test has been to biopsy, or “aspirate”. The problem of this is 4-fold: it’s invasive, expensive, it’s one sample of a lengthy intestinal tract, and it’s only a snapshot in time. The result is a lot of false readings, or “false negatives”. A second test that is gaining popularity, in part because of the relative ease and at-home comfort of taking it, is the breath test. Because of the different kinds of gasses (hydrogen, hydrogen sulfate, and methane) in the GI tract, and the inability to consider “transit time” of food in the intestine or timing of meals relative to gassiness, this test also has its flaws.

Even among proponents the breath test has it’s problems: Is the breath test actually testing the oxygen environment of the gut or is it testing the mouth and lungs? Either way, in medicine, the only approach has been to provide a course of antibiotics which provides temporary relief, a complete wipeout of commensal bacteria (the good guys) and a recurrence of pain in a short while. Within a couple months, the patient is back to square one.

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