Hydrogen Sulfide SIBO

Video course: 1.0 credit hours (general) from NANCEAC 

NANCEAC is ND certification for all US States and Canadian Provinces. Learn more about this certification here.

The surprising results from the largest case registry to-date

This course is a review and critique of recent research on, as well as clinical evaluation and management of, H2S SIBO. 

There is growing interest in small intestinal bacterial overgrowth (SIBO). In late 2020, a new diagnostic device for SIBO was released which added testing for hydrogen sulfide (H2S) gas. While this has spawned a burgeoning interest in H2S SIBO clinically, research is lacking. Basic questions including how clinicians are making the diagnosis, what symptoms are present, and what clinicians are using for treatment, remain unanswered. In this presentation we review the results of our case registry of over 100 H2S SIBO cases which represents the largest collection of H2S SIBO cases to-date, providing important early descriptive information on this emerging diagnosis and some clinically actionable findings in terms of diagnosis and treatment from our secondary and exploratory analyses. We also go through case study examples of H2S SIBO evaluation and management. 

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Learning Objectives

  • Recall the most common symptoms which H2S patients present with
  • Identify which H2S treatment interventions led to a statistically significant rate of adequate patient response
  • Evaluate an H2S SIBO case with a focus on severity and treatment history  
  • Determine reasonable treatment options for an H2S SIBO case

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