Hydrogen Breath Test - Sorbitol Intolerance in Wrocław

Professional Hydrogen Breath Test – Sorbitol Intolerance in Wrocław.
We will conduct a hydrogen breath test for sorbitol intolerance remotely or in-person in Wrocław. 
Before conducting the sorbitol intolerance test, it is necessary to exclude SIBO and IMO by performing a hydrogen-methane breath test with lactulose challenge. The breath test with sorbitol challenge is an easy and non-invasive examination thatallows for the detection of hydrogen concentration in exhaled air. In physiological conditions, the presence of this gas in the small intestine is minimal. An increase in its levels allows for the detection of sorbitol intolerance..

Hydrogen Breath Test - Sorbitol Intolerance in Wrocław

How are tests performed at our facility in Wrocław?

The patient inhales air and exhales into a special bag, which is then handed over to the staff for analysis using the QuinTron Breathtracker SC machine. Then, the patient consumes 12.5g of sorbitol dissolved in 250ml of water. Sorbitol is passively absorbed in the small intestine in smaller amounts than other sugars. If the intake exceeds the absorption capacity, sorbitol moves down the digestive system, where bacteria in the large intestine break it down into short-chain fatty acids, hydrogen, and carbon dioxide. Hydrogen dissolves in the blood and is transported to the lungs, where its presence in exhaled air can be examined. The patient repeats the exhaling procedure every 20 minutes for 120-180 minutes. The hydrogen concentration in the first sample should not exceed 10 ppm. An increase above 20 ppm compared to the baseline sample indicates sorbitol intolerance.

What are the indications for conducting breath tests?

Indications for the examination may include excessive bloating, gas, abdominal pain, diarrhea, loose stools, a feeling of fullness, and nausea. Symptoms may worsen especially after consuming products such as apples, pears, cherries, plums, or dried apricots. Sorbitol is often added to sweets, chocolate, chewing gum, ice cream, jams, syrups, medications, and diabetic foods.

What are the contraindications for performing hydrogen tests?

An absolute contraindication is postprandial or reactive hypoglycemia.

The test is not performed on children.

Is a referral for the test required?

The examination does not require a doctor’s referral.

What is the preparation for the examination like?

Carefully read the preparation procedure for the examination. This is very important, as incorrect preparation can affect the result and may need to be repeated at a different time!

On the day of the examination:

– Wake up about an hour before the test,
– Be on an empty stomach,
– You can drink a glass of warm plain non-carbonated water, which supports
intestinal peristalsis,
– Brush your teeth with toothpaste without xylitol or just water,
– You can use an antiseptic mouthwash,
– If you wear dentures, do not use denture adhesive,
– Do not perform any physical exercises,
– Sit in one place, do not lie down, do not sleep,
– Do not chew gum, do not eat any food,
– Do not take any medication, you can take medicine after the examination.

14 hours before the examination:

-Do not consume any food, except for plain non-carbonated water,
– Do not smoke cigarettes,
– Do not chew gum.

1-2 days before the examination:

– If you have diarrhea or normal stools, follow a 1-1.5 day diet,
– If you have constipation, follow a 2-3 day diet,
– You can only consume non-fermentable foods such as:

1. meat, fish, seafood, eggs,
2. still water,
3. rice in small amounts,
4. fats (olive oil, oil, lactose-free butter),
5. spices only pepper, salt,


– Do not consume fermentable products such as:

1. grain products (bread, rolls, pasta, groats),
2. dairy products and milk with lactose, plant-based milk,
3. vegetables,
4. fruits,
5. juices and fruit preserves,
6. nuts, seeds,
7. legume seeds.

3 days before the examination:

– Do not consume stomach drops, betaine HCl, apple cider vinegar,
– Do not take laxatives, such as lactulose,
– Do not take digestive enzymes,
– Do not take supplements with fructose.

1 week before the examination:

– Do not take probiotics and prebiotics,
– Bactericidal herbs (e.g. oregano oil),
– Avoid using proton pump inhibitors (PPIs) and H2 receptor antagonists (e.g. pantoprazole, omeprazole) in consultation with your doctor,
– Do not take prokinetic agents (Prokit, Tribux),
– Do not take high doses of magnesium and vitamin C.

One month before the examination:

– do not use antibiotics (furazolidone, nifuroxazide, bismuth preparations, ciprofloxacin),
– do not undergo colonoscopy, fluoroscopy.

What could be an example menu for 1-2 days before the examination?

Breakfast: scrambled eggs with ham only in butter without vegetables and bread; hard-boiled eggs, soft-boiled eggs or fried eggs

Lunch: grilled chicken or fish, fried in olive oil, baked, stewed

Dinner: chicken or fish, etc .; eggs in any form

During the day, you can drink plain non-carbonated water, weak tea and coffee without sugar and milk.

You can perform the SIBO hydrogen test at our headquarters in Wrocław or remotely.

Test wodorowo metanowy Wrocław

Do the test at home

Purchase a shipping test from our online store, send the samples back to us and we will test them within 1-2 business days.