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Triple sugar screen breath hydrogen test for sugar intolerance in children with functional abdominal symptoms
Journal article   Peer reviewed

Triple sugar screen breath hydrogen test for sugar intolerance in children with functional abdominal symptoms

Jonathan E Teitelbaum and Dolly Ubhrani
Indian journal of gastroenterology, v 29(5), pp 196-200
Sep 2010
PMID: 20978880

Abstract

Adolescent Breath Tests Child Female Fructose Fructose Intolerance - diagnosis Gastrointestinal Diseases - diagnosis Humans Lactose Malabsorption Syndromes - diagnosis Male Prospective Studies Sucrose
Sugar intolerance and functional gastrointestinal disorders are both common in school age children. Both may present with similar complaints such as abdominal pain, diarrhea and bloating. Lactose, fructose and sucrose hydrogen breath tests are widely used to detect sugar malabsorption. To determine the proportion of children with symptoms of functional gastrointestinal disorders (FGID) that have sugar intolerance as determined by using a breath hydrogen test. We prospectively enrolled subjects with chronic abdominal pain, bloating and/or chronic diarrhea. All subjects underwent triple sugar screen hydrogen breath test (TSST) using the combined sugar solution. Breath hydrogen concentration ≥ 20 ppm above baseline was interpreted a positive test for sugar malabsorption. A positive hydrogen breath test consistent with sugar malabsorption was found in 5 out of 31 (16%) subjects. Three of these subjects were confirmed to have lactose malabsorption based on small bowel lactase enzyme analysis or subsequent lactose hydrogen breath test. One subject with positive TSST was diagnosed with fructose malabsorption based on dietary history; he improved on a limited fructose diet, and one was diagnosed to have gastric Crohn's disease. Approximately one in six children with symptoms of FGID had sugar intolerance as determined by the TSST.

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Web of Science research areas
Gastroenterology & Hepatology
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