Many people have called and asked if there isn’t a shorter method of diagnosing Auto-Brewery Syndrome than a 24 hour hospitalization. So I’ve been searching and found an older article from 1990 by Hunnisett and Howard titled “Gut Fermentation (or the ‘Auto-Brewery’) Syndrome: A new Clinical test with initial observations and discussion of clinical and biochemical implications”. They describe a simple blood test. I have tried contacting the authors to get permission to post the article here but have not been able to get them (it has been 26 years after all!)
Having said that, I hope they will not mind my quoting part of the article since I have cited it above:
“With a tourniquet, a fasting 2 ml blood sample was taken in fluoride/oxalate anticoagulant and the patient given 1 g glucose in hardened gelatin capsules (Farillon Pharmaceuticals Ltd, Ashton Rd, Romford, Essex RM3 8UE, UK) (2 x 500 mg capsules) along with 100 ml of 4% glucose (a total of 5 g glucose). A further fluoride/oxalate blood sample was taken after 60 min. Blood glucose and EtOH levels were measured in each sample.
For children the test can be abbreviated by omitting the venipuncture for fasting blood alcohol and glucose measurement, taking a sample only at 1 h post oral glucose load.
An increase in blood EtOH over the test period is regarded as a positive result, indicating fermentation in the stomach and/or small bowel”
I will send a copy of the article to our doctors and see what they think of the test! Let me hear from you folks following this blog, Barbara
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