Hydrogen Breath Test Prep, Procedure, Results Interpretation, Side Effects
Tests & Procedures

Hydrogen Breath Test – Preparation, Procedure, Results, Side Effects

What Is Hydrogen Breath Test?

Do you know? Your gut might become a home to various bacterial germs. And, the worst part is that you might not be aware of it until you undergo a hydrogen breathe test. It is used to identifying hydrogen levels in our breathe which cause for gastrointestinal symptoms and carbohydrate malabsorption, such as lactose, fructose, and sorbitol malabsorption. This test is uncomplicated, non-invasive, and is performed usually after an 8–12 hours of fasting.

Sugar intolerance means that your gut might face certain problems accepting or digesting a specific type of sugar. For example, some people can’t tolerate lactose, a sugar found in milk or other dairy products. And, SIBO refers to having a strange amount of bacteria in the small intestine. This may lead to symptoms, like bloating, diarrhea, and malabsorption.

Hydrogen Breathe Test Preparation

The hydrogen breathe test needs certain preparations. One must follow the instructions of the doctor conducting the test. Some of them will be

A Month Prior To Test

Evade the consumption of antibiotics and Pepto-Bismol. Also avoid having a technique played out that requires Gut prep. For example, a colonoscopy.

One To Two Weeks Before The Test

Abstain from taking acid neutralizers, intestinal medicines, and stool conditioners.

The Day Preceding The Test

Just Eat and Drink The Following

  1. Plain white bread or rice
  2. Plain white potatoes
  3. Heated or cooked plain chicken or fish
  4. Water
  5. Unflavored espresso or tea

Avoid The Following

  1. Sweet Drinks. Such as soda
  2. Foods with a high fiber content. Such as beans, cereal, or pasta
  3. Butter and Margarine

One must likewise abstain from smoking or be being around used smoke. Breathing in smoke can meddle with your test outcomes.

The Day of Your Test

Escape eating or drinking anything, including water, for 8 to 12 hours before the test. Your specialist will affirm with you when you should quit eating and drinking.

You may keep on taking any typical professionally prescribed drugs with a little measure of water. Simply ensure you enlighten your specialist concerning any physician recommended medicines you take, particularly on the off chance that you have diabetes. You may need to modify your insulin measurements before the test.

The Day of Your Test, You Ought to Likewise Maintain A Strategic Distance From

1. Smoking or Breathing in Used Smoke
2. Chewing Gum
3. Utilizing Mouthwash or Breath Mints
4. Working Out

(Read – List of Blood Tests Require Fasting)

Hydrogen Breathe Test Procedure

The procedure of the test might seem complicated. But, the process is carried out very easily if the person performing the same is well-cultivated on how to carry out every step. To execute a hydrogen breath test successfully, your lab technician will begin by having you delicately blow into a sack to get an underlying breath test.

Further, they’ll have you drink arrangement containing diverse sorts of sugar. You’ll then breath into a pack each 15 to 20 minutes as your body digests the samples. After every breath, your specialist will utilize a syringe to discharge the sack.

While hydrogen breath tests are genuinely easy to do, they can take a few hours, so you might need to carry certain items like a book or other activities to peruse between breaths.

Hydrogen Breathe Test Results and Interpretation

The elucidation of the outcomes of hydrogen breath testing relies upon the sugar that is utilized for testing, and the example of hydrogen creation after the sugar is ingested.

After ingestion of test dosages of the dietary sugars lactose, sucrose, fructose or sorbitol, any formation of hydrogen implies that there has been an issue with assimilation or retention of the test sugar and that a portion of the sugar has achieved the way to the colon.

At the point when fast intestinal travel is available, the test dosage of non-edible lactulose achieves the colon more rapidly than regularly. Thus, hydrogen is delivered by the colonic bacteria not long after the sugar is ingested.

Also, when the bacterial excess of the little en-trail is available, ingestion of lactulose brings about two separate periods amid the test in which hydrogen is created, a prior period caused by the microscopic organisms in the small digestive system and a later one caused by the microorganisms in the colon.

Measure of hydrogen in your breath is estimated in parts per million (ppm).

Your specialist will take a quick observation of how the measure of hydrogen in your breath changes after you drink the sugar arrangement. In the event that the measure of hydrogen in your breath increments by more than 20 ppm subsequent to drinking the arrangement. You may have a sugar prejudice or SIBO, contingent upon your side effects.

Read – Regular Checkup Benefits)

Side Effects of Hydrogen Breathe Test

There are a few restrictions to hydrogen breath testing. For misty reasons, testing for the bacterial excess of the little inside with lactulose can analyze just 60% of cases. (This harshness of the test might be expected to a limited extent to the strict criteria that are utilized for translating a test as strange. Less strict criteria may analyze abundance all the more frequently.)

Likewise, with bacterial excess, there might be a cover of the early and later times of hydrogen creation that can be confused as a solitary period normal for fast intestinal travel. At long last, some typical people may have moderate travel through the small digestive system making delayed testing – up to 5 hours – essential, and numerous people are unwilling to experience such drawn-out testing.

A few people don’t have microbes that deliver hydrogen, and in these people, hydrogen breath testing isn’t conceivable. The majority of these people have microorganisms that create an alternate gas, methane. (There likewise are people who deliver both hydrogen and methane.)

Methane can be estimated in the breath simply like hydrogen, and the generation of methane can be utilized for analysis similarly as hydrogen. There is significantly less involvement with methane, in any case, and the generation of methane is more perplexing than the creation of hydrogen. In this way, it isn’t clear if the example of methane creation after ingestion of sugars can be deciphered similarly as hydrogen generation, especially for the determination of bacterial excess.

Hydrogen Breathe Test is equally necessary in order to detect various gut issues. One must definitely go for the same in case they do not suffer from the sensitivities mentioned above.

Medically Reviewed By
Dr. Kaushal M. Bhavsar (MBBS, MD)Assistant Professor in Pulmonary Medicine, GMERS Medical College, Ahmedabad