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What is SIBO – Causes, Symptoms and Diagnosis gi-cognition london uk

What is SIBO – Causes, Symptoms & Diagnosis

Small Intestinal Bacterial Overgrowth (SIBO) is a condition that can wreak havoc on digestive health, often causing discomfort and distress. In this comprehensive guide, we’ll take a deep dive into what SIBO is, explore its potential causes, common symptoms, and shed light on how it’s diagnosed. What is SIBO? SIBO is characterized by an abnormal […]

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Case Study 7: Uncovering the Secret Message Hidden in a Normal Reflux Test Result

A 23 year old lady presented with stomach pain, heartburn, regurgitation, nausea/vomiting and dysphagia.  High resolution manometry and  24-hour pH-impedance investigations were carried out. High Resolution Manometry HRM results showed the following: Based on Chicago classification, the patient was deemed to have ineffective oesophageal motility (IOM). 24-hour pH-Impedance Reflux Monitoring Off PPI The pH-impedance reflux

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Case Study 6: High Resolution Manometry

A 66-year-old lady presented with epigastric pain, heartburn, regurgitation, belching, high dysphagia and odynophagia.  Her OGD showed a hiatus hernia and barium swallows – tertiary contraction and reflux. Initially high resolution manometry was carried out with a further 24-hour pH-impedance test due to HRM results. High Resolution Manometry HRM results showed the following: These results

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Case study 5: 24-hour pH-Impedance Reflux Monitoring On PPI

The patient was a 53-year-old lady presenting with a cough, LUQ pain and occasional dysphagia.  She had previously undergone high-resolution manometry which showed ‘normal oesophageal motility’ based on Chicago Classification.  Her previous 24-hour pH-impedance showed mainly pathological postprandial reflux.  A 24-hour pH-impedance reflux monitoring test on PPIs was carried out.  The patient was taking 80

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Lessons Learned from a Hydrogen and Methane Breath Test – Case Study

A 16-year-old boy presented with IBS-like symptoms of chronic abdominal pain and diarrhoea.  A clinical diagnosis of small intestinal bacterial overgrowth (SIBO) was made. Hydrogen Breath Test A hydrogen breath test was carried out using 75g of glucose, the patient had followed a restricted diet the previous day and fasted overnight.  Methane levels in the

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Case Study 4: Chest Pain, Heartburn, Regurgitation, Mid/Low Dysphagia and Mild Gastritis

A 61-year-old patient presented with chest pain, heartburn, regurgitation and mid/low dysphagia.  AN OGD showed mild gastritis and there was no hiatus hernia visible. High resolution manometry and 24-hour pH/impedance reflux monitoring was carried out. High Resolution Manometry HRM results showed the following: These results based on the Chicago Classification indicated Type II Achalasia (with

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Case study 3: Stomach Pain, Heartburn, Regurgitation, Belching and Dysphagia

A 44-year-old lady presented with stomach pain, heartburn, regurgitation, belching and mid/low dysphagia.  She had previously undergone a gastric sleeve procedure in 2015 which was followed by a gastric bypass in 2018. High resolution manometry and 24-hour pH/impedance reflux monitoring was carried out. High Resolution Manometry HRM results were as follows: These results based on

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Case study 2: Stationary High-resolution Manometry (HRM) Impedance

This 27-year-old patient presented with postprandial epigastric/stomach pain and a high level of dysphagia.  Her OGD was normal with MBI = 14 and Lupus A.  Stationary high- resolution manometry with impedance was carried out. High-Resolution Manometry HRM results were as follows: These results based on the Chicago Classification showed that the patient exhibited normal oesophageal

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Case study 1: Mix of Real Gastric and Supragastric Belching

A 20-year-old lady presented with heartburn, belching and persistent hiccups.  High resolution manometry and 24-hour pH/impedance reflux monitoring were carried out. High Resolution Manometry HRM results were as follows: These results based on the Chicago Classification showed that the patient exhibited normal oesophageal motility. 24-hour pH-Impedance Reflux Monitoring Off PPI The pH-impedance reflux monitoring gave

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