Sucrose malabsorption is a disorder characterized by the deficiency or absence of the enzymes sucrase and isomaltase. Lacking this enzyme complex affects a person's ability to digest certain sugars including sucrose and maltose. Sucrose (a sugar found in fruits, and also known as table sugar) and maltose (the sugar found in grains) are called disaccharides because they are composed of two simple sugars. These disaccharides are normally broken down into simple sugars during digestion. Sucrose is broken down into glucose and another simple sugar called fructose, and maltose is broken down into two glucose molecules. People with congenital sucrase-isomaltase deficiency (CSID) cannot break down the sugars sucrose and maltose, and other compounds made from these sugar molecules (carbohydrates).
CSID usually, but not always, becomes apparent at an early age when a child starts to consume fruits, juices, and grains. After ingestion of sucrose or maltose, an affected individual will typically experience stomach cramps, bloating, excess gas production, and diarrhea. These digestive problems can lead to failure to gain weight and grow at the expected rate (failure to thrive) and malnutrition. Most affected individuals are better able to tolerate sucrose and maltose as they get older, but the condition still affects many adults. The prevalence of congenital sucrase-isomaltase deficiency is estimated to be 1 in 5,000 people of European descent.
Patients suffering from Genetic Sucrase-Isomaltase Deficiency or Congenital Sucrase-Isomaltase Deficiency experience a variety of symptoms, including:
• Mild to severe chronic, watery, acidic diarrhea
• Abdominal pain
CDI’s hydrogen and methane breath test for sucrose malabsorption is the most useful non-invasive test for determining sucrose malabsorption. The test is well validated and widely used. Following a 12-hour fast and 12-hour dietary preparation period, patients ingest a sucrose rich substrate solution. The sucrose malabsorption breath test then measures the breakdown of that specific amount of sucrose over the course of time by capturing breath samples at regular 40 minute intervals. People with a sucrose malabsorption will not breakdown the sugar properly and will exhibit elevated levels of hydrogen or methane gasses in their breath samples.
A malabsorption is diagnosed based on exhibited symptoms and following a test with elevated gas concentrations in the collected breath samples. Expert dietary advice may be helpful for the identification of trigger foods and drinks containing sucrose. Our sucrose 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.