Sibo Test


Aumakua is a Naturopathic Clinic that has a keen focus on digestive health. Our Practitioners specialize on getting to the origin of your health concerns. It is tempting for practitioners to chase and treat superficial symptoms.  We have found that this does not heal patients in the long term. We are a unique clinic because we have a proven method that starts with identifying the underlying obstacles and implementing a carefully tailored treatment plan that resolves symptoms by correcting a weak foundation.

Your digestive health is critically important for every aspect of your health because it determines whether or not you absorb your nutrients. A huge obstacle to patients absorbing nutrients is Small Intestinal Bacterial Overgrowth (SIBO). Your small intestine is supposed to house only 2% of your intestinal bacteria while the rest is in your large intestine, however you become vulnerable to excess bacteria in the small intestine if you have any of the following:

  1. A history of food poisoning or traveler’s diarrhea (gastroenteritis)
  2. Substantial antibiotic use
  3. Previous abdominal surgery
  4. Impaired digestive enzymes
  5. Hypothyroid or Hashimoto’s
  6. Extensive Stress

In the case of SIBO, we use a 3-hour lactulose breath test as a foundational tool to assess the precise bacterial group and quantity of these bacteria before prescribing the full treatment protocol. As you will learn in the following text, there are two different gases that are tested for and these gases indicate the bacterial group that is present, each requiring a unique treatment approach. We have designed a treatment plan that includes a SIBO nutritional protocol and professional grade supplements that are perfectly formulated to eradicate bacteria and heal the intestinal tract.

SIBO is so common, that up to 84% of patients who are currently suffering from IBS have SIBO but have not received a proper diagnosis. There any many advantages to treating SIBO beyond starting to absorb the food you are eating, removal of gas, bloating and cramping. Patients with allergies, skin disorders, and even mood disorders have improved when we have investigated and focused on digestive health. We are confident that many people who are currently experiencing these or similar conditions have some level of SIBO to address. Considering these statistics and the hundreds of patients pouring into our clinic with digestive disorders, we are hyper-focused on bringing innovation and effective solutions for digestive health.

What is SIBO?

Let’s start with the definition of small intestinal bacterial overgrowth (SIBO). It is defined as excessive bacteria in the small intestine, which is the longest section of the digestive tract and is designed to have relatively low levels of bacteria. This is where your food mixes with digestive juices, and the bacteria actually helps digest foods and absorb nutrients into the bloodstream.

When you have SIBO, the bacteria take over the small intestine and completely interrupts the digestive process. The bacteria can actually consume the nutrients from your food, leaving you depleted from essential fat-soluble vitamins and iron. As the bacteria digest the nutrients, they produce gases that build up in your intestines and lead to bloating and other symptoms commonly associated with IBS.

Bacterial overgrowth produces excess quantities of Hydrogen and/or Methane gas that is diffused into the blood and then through to the lungs for expiration. Because these gases are not produced by humans but are the metabolic byproducts of carbohydrates produced by intestinal bacteria, we can use a SIBO breath test to determine which gases are present.

Our Approach

We never offer tests without consultations. Our experience has taught us that providing just the testing has not solved our patient’s concerns. Healing occurs when we walk each patient through our method and monitor their progress, making calculated adjustments as needed. All new patients can expect to be booked as an Initial Intake and at this point, we can discuss their current condition and list of symptoms to determine if moving forward with testing is the best choice. Once test results have come back, we get busy implementing our treatment protocol that combines nutritional interventions and professional grade supplements. You can expect to stay on a treatment plan for at least   3-6 months, depending on the severity of your SIBO.

What are the symptoms of SIBO? (notice the similarities to IBS)

Acid Reflux
Leaky Gut
Weight loss
Joint pain

How do you test for SIBO?
We use a breath test that specifies the presence of Hydrogen and Methane gases. This breath test is essential to diagnosing SIBO as it will show our Doctors which gases are present and how severe the overgrowth is.

What is the SIBO Breath Test?
The test is simple and performed at home with a take-home kit. It takes 3 hours in the morning after a 12 hour fast the night before and a special diet the day before.

What is the treatment for SIBO?
Your treatment plan will include a healing dietary protocol, professional grade supplementation, and tinctures that work synergistically to restore proper gut flora. Everything is timed for full eradication and rebalancing.

What foods should be avoided for SIBO?
Foods to be avoided are dependant on whether you are hydrogen or methane dominant. You will be guided through these foods within the duration of your treatment.


SIBO testing is an effective tool to assess your digestive health, which is at the core of your overall physical state. If you are experiencing any of these symptoms, or those of IBS, being tested for SIBO is the best approach to healing the root cause. It is possible to restore proper digestive health and live without the symptoms of SIBO or IBS.

If you are tired of chasing your signs and symptoms and want treat the root cause, please reach out to us. Our passionate, committed team of Naturopathic Doctors are experts at providing proven solutions for anyone currently suffering from digestive disorders.