Brain fogginess, gas and bloating: a link between SIBO, probiotics and metabolic acidosis

Background: D-lactic acidosis is characterized by brain fogginess (BF) and elevated D-lactate and occurs in short bowel syndrome. Whether it occurs in patients with an intact gut and unexplained gas and bloating is unknown. We aimed to determine if BF, gas and bloating is associated with D-lactic acidosis and small intestinal bacterial overgrowth (SIBO). Methods: Patients with gas, bloating, BF, intact gut, and negative endoscopic and...