
SIBO Lactulose Breath Test
₹37,999.00 ₹24,999.00
FM Diagnostics - A NABL Approved Lab
SIBO Lactulose Breath Test
₹37,999.00 ₹24,999.00
Test Parameters:
Hydrogen and methane breath testing is a widely accepted means of identifying changes to the gut microbiome and is used to detect abnormal growth of bacteria in the small intestine, or small intestinal bacterial overgrowth (SIBO).



Product Description
Hydrogen (H2) and methane (CH4) gasses are produced in the digestive system primarily only by the bacterial fermentation of carbohydrates (sugars, starches or vegetable fibers). The generation of H2 and/or CH4 will result in the absorption of some of these gases into the bloodstream from the site of their production, and they will appear in the expired air. If either of the gases appear in the expired air, it is usually a signal that carbohydrates or carbohydrate fragments have been exposed to bacteria, permitting such fermentation to take place and that SIBO can be suspected.
Studies have indicated that potentially up to 80% of patients with IBS may in fact have SIBO which this Hydrogen /Methane breath test can easily and non-invasively help determine.
Who should do the SIBO test?
Individuals experiencing the following symptoms should consider doing a SIBO test
- Abdominal bloating
- Abdominal pain
- Asthma
- Belching
- Bloating
- Constipation
- Cramping
- Diarrhea
- Fatigue
- Food sensitivities
- Gas
- Headaches
- Joint pain
- Malabsorption
- Malnutrition
- Mood issues
- Nausea
- Skin issues
- Weight loss
Specimen : Breath
Container
- Vacuum-sealed collection tubes
Patient preparation
- Requires fasting 12 hours prior to collection
- This test will take 3 hours to complete
- Preparation for the test starts 2-4 weeks before collection ( Please check sample collection instructions)
* Please note this test will take 3 hours to complete.
Research
- Bures J, Cyrany J, Kohoutova D, et al. Small intestinal bacterial overgrowth syndrome. 2010;16(24).
- Chedid V, Dhalla S, Clarke JO, et al. Herbal therapy is equivalent to Rifaximin for the treatment of small intestinal bacterial Overgrowth. Global Advances in Health and Medicine. 2014;3(3):16–24.
- Dukowicz AC, Lacy BE, Levine GM. Small intestinal bacterial Overgrowth. 2007;3(2).
- Erdogan A, Rao SSC. Small Intestinal Fungal Overgrowth. Current Gastroenterology Reports. 2015;17(4).
- Fasano A. Leaky gut and autoimmune diseases. Clinical reviews in allergy & immunology. 2011;42(1):71–8.
- Gabbard S, Lacy B, Levine G, Crowell M. The impact of alcohol consumption and cholecystectomy on small intestinal bacterial overgrowth. Digestive diseases and sciences. 2013;59(3):638–44.
- Ghoshal UC, Srivastava D, Ghoshal U, Misra A. Breath tests in the diagnosis of small intestinal bacterial overgrowth in patients with irritable bowel syndrome in comparison with quantitative upper gut aspirate culture. European Journal of Gastroenterology & Hepatology. 2014;26(7):753-760.
- Ghoshal UC. How to Interpret Hydrogen Breath Tests. Journal of Neurogastroenterology and Motility. 2011;17(3):312-317.
- Hauge T, Persson J, Danielsson D. Mucosal bacterial growth in the upper gastrointestinal tract in alcoholics (heavy drinkers). Digestion. 2009;58(6):591–595.
- Lauritano E, Gabrielli M, Scarpellini E, et al. Small intestinal bacterial overgrowth recurrence after antibiotic therapy. The American journal of gastroenterology. 2008;103(8):2031–5.
- Levitt MD. Volume and Composition of Human Intestinal Gas Determined by Means of an Intestinal Washout Technic. New England Journal of Medicine. 1971;284(25):1394-1398.
- Lloyd-Still JD, Shwachman H. Duodenal microflora. The American Journal of Digestive Diseases. 1975;20(8):708-715.
- Methodology and Indications of H2-Breath Testing in Gastrointestinal Diseases: the Rome Consensus Conference. Alimentary Pharmacology & Therapeutics. 2009;29:1-49.
- Newberry C, Tierney A, Pickett-Blakely O. Lactulose Hydrogen Breath Test Result Is Associated with Age and Gender. BioMed Research International. 2016;2016:1-5.
- Rana S, Sharma S, Kaur J, Sinha S, Singh K. Comparison of Lactulose and Glucose Breath Test for Diagnosis of Small Intestinal Bacterial Overgrowth in Patients with Irritable Bowel Syndrome. Digestion. 2012;85(3):243-247.
- Rana SV, Bhardwaj SB. Small intestinal bacterial overgrowth. Scandinavian Journal of Gastroenterology. 2008;43(9):1030-1037.
- Roland B, Ciarleglio M, Clarke J, et al. Small intestinal transit time is delayed in small intestinal bacterial Overgrowth. Journal of clinical gastroenterology. 2014;49(7):571–6.
- Saad RJ, Chey WD. Breath Testing for Small Intestinal Bacterial Overgrowth: Maximizing Test Accuracy. Clinical Gastroenterology and Hepatology. 2014;12(12):1964-1972.
- Shah ED, Basseri RJ, Chong K, Pimentel M. Abnormal Breath Testing in IBS: A Meta-Analysis. Digestive Diseases and Sciences. 2010;55(9):2441-2449.
SIBO Lactulose Breath Test
Order an SIBO Lactulose BreathTest it is just a few simple step!
PLACE THE ORDER FOR SIBO LACTULOSE BREATH TEST
please enter the data where the SIBO Lactulose Breath set should be send
TAKE A SAMPLE
Detailed instructions and a return envelope you will find in the SIBO Lactulose Breath set
SEND BACK THE SIBO LACTULOSE BREATH TO THE LAB
After 2-4 weeks, you will receive detailed SIBO Lactulose Breath analysis.
Our Working Process Healthcare model is shifting from Sickness care to Wellness.
Sample Collection
Sample collection will be done from home

Sample Processing
Sample is processed at Central Lab of our Trusted Partners.

Online Reporting
Reports are accessible online.
Sample Collection
Sample collection will be done from home

Sample Processing
Sample is processed at Central Lab of our Trusted Partners.

Online Reporting
Reports are accessible online.
Autism Test FAQ's Functional Medicine Diagnostic FAQ's
- Difficulty with communication which could be inability to speak or delayed speech
- Inappropriate use of gestures, eye contact, facial expressions, tone of voice
- Difficulty recognizing, expressing and responding to emotions
- Feeling uncomfortable in social situations
- Extreme interest or non-interest in specific topics
- Repetitive body movements (rocking, flapping hands or spinning)
- Resistance to change
- Specific food preferences or aversions
- Sensory Processing differences
- Immune system abnormalities
- Gastrointestinal symptoms (constipation, loose stools, frequent stomach aches)
- Lining up objects
- Labile mood, increased tantrums or emotional outbursts
- Gut dysbiosis: Children who have gastrointestinal issues have been seen to have a less diverse gut microbiome. The imbalance between the good and bad bacteria in the gut creates toxins that directly affect the brain.
- Toxins: Autistic children are more likely to accumulate harmful environmental toxins like lead, mercury, aluminium etc in their bodies, which can in turn cause their mitochondria to be less efficient in producing energy.
- Nutritional Deficiencies: Tendency of kids to have a narrow range of food leads them to nutrient deficient states. Deficiencies in nutrients needed for brain health like B vitamins, Omega 3 fats, zinc, magnesium and selenium are common.
- Food Sensitivities: Food sensitivities are often caused by the digestive lining becoming too leaky, allowing toxins, bacteria and incompletely digested particles of food into the bloodstream. A leaky gut also encourages autoimmune issues. It’s believed an attack by the immune system on brain cells, causing inflammation, could be a factor in some cases of autism.
- Oxidative Stress: Mitochondria is the powerhouse of energy. Brain requires a lot of energy for proper function. Mitochondrial dysfunction is commonly seen in autistic children.
- Diet: Parents should implement an autism diet, autism-specific nutrition, and specialized supplementation. Most parents begin with the GF/CF diet as children on the spectrum are usually highly allergic (or sensitive) to gluten and casein, the protein found in wheat, flour, and milk.
- Grounding: The simplest way of grounding involves walking or running barefoot outside on grass, sand or soil. Moist ground or grass is the perfect electrical conductor. Sitting Down Barefoot with your feet on grass or soil and avoid shoes with plastic and other soles are other ways of staying connected with earth.
- Monitoring screen time: Research shows that excess screen time results in over stimulation of the frontal lobe and an antagonist under development of the language centre in the brain. Limiting screen time also decreases exposure to toxic blue light which has an impact on gut microbiome.
There are historical differences between the term “Asperger’s” and what’s considered “autism.” Asperger’s was first introduced into the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1994, and was considered as a “mild” or “high-functioning” form of autism.
This happened because English psychiatrist Lorna Wing translated the works of Austrian physician Hans Asperger and realized his research found distinct characteristics in autistic children from those with “milder” symptoms. However, as of 2013, Asperger’s is now considered part of the autism spectrum and is no longer diagnosed as a separate condition. The only real “difference” between the two diagnoses is that people with Asperger’s may be considered as having an easier time “passing” as neurotypical with only “mild” signs and symptoms that may resemble those of autism.
Conventional diagnosis involves finding out whether the child’s behaviour meets a set of criteria for autism or ADHD, based on a set of questionnaires.
Functional Medicine approach is to individualize each and every autistic child and find the root cause of the imbalance. Tests commonly advised are to assess gut microbiome. Functional testing can also look at toxic load, nutritional status, food sensitivities, mitochondrial function and genetic susceptibility to poor detoxification.
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