Fructose malabsorption may be caused by deficient fructose carriers in the small intestine's enterocytes. This results in an increased concentration of fructose in the entire small intestine. Fructose is a sugar that is found in many foods, usually fruits, honey, processed foods and foods with high fructose corn syrup and even some vegetables. Fructose is also found in table sugar, comprising 50% of it, with the other component being glucose.
Some people cannot completely absorb fructose in their small intestine. The excess, undigested fructose attracts water, often leading to diarrhea. Additionally, the undigested fructose is then carried to the large intestine or colon, where normal bacteria rapidly break it down. The breakdown of fructose in the large intestine causes bloating, gas, and other symptoms.
Patients suffering from fructose malabsorption experience a variety of symptoms, including:
• Abdominal cramps
• Nausea, and sometimes, vomiting
A hydrogen and methane breath test is a reliable, non-invasive test for fructose malabsorption. Following a 12-hour fast and 12-hour dietary prep, the fructose malabsorption breath test measures the breakdown of a specific amount of fructose over the course of time by capturing breath samples at regular 40 minute intervals. In a person with fructose malabsorption, the fructose will not be completely absorbed in the small intestine, so it will reach the colon, where bacteria will break it down to hydrogen or methane that will be absorbed into the blood and will reach the lungs. Larger than normal amounts of exhaled hydrogen or methane measured during a breath test indicate that you aren't fully digesting and absorbing fructose and may suffer from fructose malabsorption. Our fructose malabsorption hydrogen and methane breath test can be administered in-office or in the comfort of the patient’s own home.
The implementation of breath testing has been a major improvement in patient care for our practice. Bloating is an extremely common and frustrating complaint from patients that we can now provide an answer for in many cases.
It can be challenging to diagnose IBS-D and malabsorption in busy clinical practice. Having an objective marker to diagnose and reassure the patient and provider is a great asset in my practice. It also help me to manage the condition by using appropriate treatment.
It can be challenging to diagnose malabsorption syndromes in clinical practice. Having an objective marker like a breath test can provide diagnostic reassurance to both the patient and provider.
Breath testing for SIBO has been hugely beneficial for my practice over the last 3 years. It allows me to help patients who have seen multiple doctors without finding the cause of their problems, and who continue to struggle with digestive dysfunction.
My preferred treatment for SIBO is changing patient's diet. I get a lot greater compliance, when I can show them the results of their breath test. Rarely have to use antibiotics, if I can get them to change what they eat.
Patients enjoy the flexibility to do the test on their own time and the instruction booklet and video are easy to follow. From a provider standpoint, we get results back in a timely manner and getting both hydrogen and methane results helps us tailor care appropriately.
Breath test is a simple and noninvasive way to diagnosed these clinical conditions. The Kits from Commonwealth Diagnostics are shipped to the patient and is very easy to use at home without going to medical office or hospital.
CDI has provided an invaluable test that I use both pre and post treatment (antibiotics and a diagnosis-specific nutrition protocol), and this has enabled my patients to find both answers and an action plan to resolve their long term symptoms.
No struggles with insurance companies to cover the cost of medications. The kits from Commonwealth Diagnostics are convenient. I don't have to delegate office staff to run the tests, and we just hand them the kits. It couldn't be easier.