How Can I Test For The Presence Of Gut Dysbiosis?


Greetings. It’s Eric Bakker, naturopath from
New Zealand and author of Candida Crusher. Thanks for checking out my video. Let’s look
at the testing for dysbiosis today. There are many different tests to determine
if you’ve got dysbiosis and also what level you’ve got dysbiosis, like how good it is,
how bad it is, how severe it is, so I like testing. Not because I test everybody, but
testing with patients if they’re chronic and particularly if I haven’t seen them before
will set a benchmark. It will give me an indication of where that patient really is, what their
starting point is. It’s a bit like if you’re coming to me for weight loss. It pays to measure
yourself and weigh yourself and then file that away and then dump your scales, get rid
of them. I don’t like people weighing themselves every five minutes. And then let’s just have
a look three or six months down the track to see what kind of changes have occurred.
And it’s the same with testing. I’m not a big fan of testing all the time, but I like
doing one good stool test upfront to give me a bit of a ballpark on where my patient
is. It’s quite clever. So what kind of tests can you do to determine
if you’ve got dysbiosis? What’s a clever thing to do? My favorite test is the stool test.
I’ve spoken about this on other videos before, but a CDSA x 3, including parasitology, comprehensive
digestive stool analysis x 3, so it’s three samples, including parasites, is the gold
standard for testing. These tests can vary between $300 and $500. They’re not cheap,
but having crappy health long term is not cheap either. It’s going to wreck your life.
You’re better off doing a really good test upfront and then getting an expert to go through
the test results with you to give you an idea on what’s going on. I’m not an expert by any
means. I’ve done stool testing now for 23 years. I think that I’ve got a reasonably
good level of proficiency, but there are people out there that are way more expert than I
am. But I’m certainly happy to interpret test results for you for a consultation fee. This
is what I’ve done for a long time now. Stool tests give me a ton of information about your
gut function, a ton. It’s like hooking up a modern car to a computer and analyzing the
gases and the compression ratios and all these things. A good technician will get a printout
and know exactly what’s happening with that car. And that’s why I like the stool test
because I’ve gotten lots of very useful information. I can put it all together and come up with
a very powerful protocol for dysbiosis or Candida or IBS or SIBO or whatever gut problem
you’ve got. Let’s have a look at dysbiosis and the stool
test. What are we going to find? We’re often going to find low levels of beneficial bacteria.
So a good stool panel will have the beneficials, the commensals, and the bad guys. Good people,
bad people or ISIS, or telebomber if you want to call them, and I call them the politicians
in the middle. Guys that will go either way depending on where the majority go. Not all
politicians are like that. I’m not into politics. But from what I gather from politics, a political
party can one day go left or one day go right depending on the majority.
I’m going to look in your stool test for three or four plus on the beneficial species. Many
patients I see have got one plus and even NG, which is no growth. That is no good. You
want to have lots of beneficial bacteria. If you’ve got lots of commensals or E.coli
that have shifted from good into maybe not so good and low levels of beneficials, you’re
going to have a likelihood of quite major SIBO on your hands and dysbiosis. The further
we go down the panel, we start looking at Candida culture. Candida we look at with microscopy
in the stool and also we culture the stool. If we can grow yeast from the stool, it’s
bad. You shouldn’t pass out live yeast from the stool.
And then we go further. We look at another marker that I look at for SIGA or circulatory
IgA. This is the body’s most abundant immunoglobulin or antibody. Your body makes up to a gram
of this stuff per day in the bowel, mainly to bind with pathogens like parasites or bad
cell fragments or all sorts of crap that wants to get out of the body. If you’ve got very
high levels or it’s upregulated and very low levels if it’s downregulated, that gives me
a lot of very important information on the kind of SIBO or dysbiosis you have.
I look at lysozyme, which is a marker for inflammation. I check mucous and red blood
cells in the markers. There is a whole lot of stuff I can look at. I look at another
panel at the back of the report we call short chain fatty acids, and these are a result
of fermentation of beneficial bacteria. So if their levels are high or low, it tells
me a lot about the colonic health. We can look at amylase or various kinds of enzymes
in the stool to see how well the pancreas and other digestive organs are functioning.
You can see, this is just giving you a snapshot of the complexity of the test and how much
information we can get to determine where you are with your gut and how bad your dysbiosis
may be. What about the hydrogen breath test? This
is another interesting test that will tell me a lot about you. They don’t do this one
so much as they used to and it’s a shame because it’s a really good test. You drink this small
amount lactulose, like a sugar, it’s not so bad for the gut. And then if you’ve got a
lot of bacteria in your gut that will ferment this, you breathe into a tube, and we can
measure a lot of hydrogen, we know you’ve got bad SIBO, small intestinal bowel overgrowth.
We can also do an organic acids test. If you’ve got bad bacteria or Candida, for example,
we’re going to find certain types of by-products of microbial metabolism, particularly things
we call tartaric acid and arabinose. If they’re showing high amounts, we know you’ve got pretty
bad Candida. Leaky gut test is another test that they don’t
do so much anymore. You drink two sugars, lactulose and mannitol, and then we can tell
by what you urinate out how leaky your gut really is. There are tons of different tests
we can do. But I think the stool test is about the best one you can do. It’s quite an interesting
test and it’s one I would do all the time with patients from all around the world. It’s
certainly the gold standard. I hope that’s given you a bit of information on testing.
Don’t expect your medical doctor to take you seriously when you talk often about SIBO or
leaky gut or dysbiosis because they may just do a tiny little stool test for parasites
and say, “Look, there’s nothing there.” Or they may even say to you something like, “If
you’re not feeling good, we’ll put you on some antibiotics,” which is crazy. Because
that’s only going to increase your amount of dysbiosis.
Functional testing to me is much more relevant if you want to determine the functional state
of your gut than pathological testing that will purely look at parasites and diseases
itself. And by then, it’s usually too late. You need to pick up stuff before then.
I hope that gives you a bit of useful information on testing for dysbiosis. Thanks for tuning
in.

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