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118 Krišjāņa Valdemāra Street, Riga, LV-1013

Hydrogen breath test with glucose for intestinal dysbiosis (SIBO)

The hydrogen glucose breath test is a safe and non-invasive method used to assess the function of the gut microbiota and detect potential changes in the small and large intestines.

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How to prepare

The hydrogen breath test is a safe and non-invasive method used to assess the activity of the gut microbiota and detect potential changes in the small and large intestines. During the test, the patient drinks a glucose solution, and the amount of hydrogen in the breath is measured at specific intervals over several hours. This gas is produced when bacteria in the intestines ferment glucose, and elevated levels of it indicate a possible overgrowth of bacteria in the small intestine (SIBO).

The test helps detect imbalances in the intestinal bacterial flora, which can cause symptoms such as bloating, increased gas production, abdominal pain, or diarrhea. It can also be used to monitor the effectiveness of treatment, for example, after a course of antibiotics, and to assess the restoration of the intestinal microbiota.

The test usually takes 2–3 hours.

How should I prepare for the exam?

Four weeks before the test:

  • Do not take antibiotics.

Two weeks before the test:

  • Do not take probiotics, magnesium, or omeprazole.
  • Do not take laxatives, stool softeners, or stool bulking agents. You should also avoid any tests that require bowel preparation, such as a colonoscopy or barium enema.

Two to three days before the test:

  • It is recommended to consume only the following foods and beverages: white bread, white rice, white potatoes, baked or grilled chicken or fish, water, and black coffee or tea without flavoring.
  • Do not eat or drink anything else—this may lead to inaccurate test results.
  • In particular, avoid beans, pasta, fiber-rich grains, and foods high in fiber.

The day before the test:

  • Have an early dinner (at least 14 hours before the test) consisting of rice and grilled or baked chicken or fish.
  • You should fast for 12 hours before the breath test begins. This means you must not eat or drink anything other than water.
  • You may continue taking your usual prescription medications with water. Please bring a list of all your prescription medications with you.

On the day of the test:

  • You must not eat or drink anything in the morning.
  • You may take your medications with a small amount of water. If you have diabetes that requires insulin or diabetes pills, ask your doctor if you should adjust your morning dose.
  • Brush your teeth before the test.
  • Before or during the test, do not eat, drink, chew gum or tobacco, smoke cigarettes, or use breath fresheners or candy.

Why choose us

We offer comprehensive digestive health care in one place and in a peaceful environment—from diagnosis to treatment and prevention.

The Best Experts in Digestive Health

We specialize specifically in the care of gastroenterology patients, combining our expertise in the stomach, liver, pancreas, intestines, and the microbiome.

Everything you need for gut health, all in one place

We provide a full range of diagnostic and treatment services under one roof—everything you need for your digestive health is available in one place.

A multidisciplinary team of specialists

We have gastroenterologists, hepatologists, endocrinologists, psychologists, nutritionists, neurologists, and other specialists who work together to provide a holistic approach to health.

A personalized approach for each patient

We will develop a personalized treatment plan that includes both medication and dietary and lifestyle changes.

We use state-of-the-art technology

You will receive accurate diagnosis and treatment based on the latest international guidelines and research, using state-of-the-art technology.

A calming and pleasant environment

The clinic offers a comfortable, peaceful, and welcoming environment that helps ease any anxiety you may feel before your examination. The thoughtfully designed interior, the professional attitude of our staff, and our compassionate communication will help you feel safe and supported.

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