Stool and SIBO Testing

What Is The Microbiome?

Why Microbiome Testing?

Patients need more comprehensive approaches to their gut health. It is not just one size fits all. That’s why we offer tests that go beyond the traditional to find the root cause of disease. Dr. Mitchell combines her knowledge of clinical symptoms with your test results to formulate a wellness plan tailored to you. With over 30 years of experience in gastroenterology, Dr. Mitchell is equipped to interpret your testing, identify the root cause of your symptoms, and get you on a path to microbiome wellness.

What Tests Should I Choose?

Your microbiome is a complex system composed of trillions of microorganisms like bacteria, viruses, and more that coexist with you - the host- to perform physiological functions. Evidence shoes that your microbiome composition contributes to metabolism, immunity, inflammation, and longevity. While the large intestine contains the highest microbial burden in the body (~1 trillion microorganisms per gram of intestine), the small bowel also plays an influential role. The complexity of this relationship is Gutwell’s speciality, and that is why Dr. Mitchell prioritizes teaches the microbiome, so you can understand and optimize your unique microbiome for life-long health.

While there’s no single “right” or “wrong” choice, Dr. Mitchell often recommends specific tests based on your presentation and her clinical impression. During your signature consultation, additional testing may be ordered to gain a deeper, more precise understanding of your microbiome function. These tests help identify or rule out underlying conditions and guide targeted, evidence-based interventions. Our goal is to optimize your microbiome, so you can feel better from the inside out.

SIBO Breath Test

Colorful cardboard box for TrioSmart SIBO testing against wooden wall

Small intestinal bacterial overgrowth (SIBO) is an imbalance of microorganisms in your gut. When the microorganisms are imbalanced, frustrating symptoms like gas, diarrhea, and bloating can arise. By testing yourself for SIBO, you can identify the problem and achieve relief with Gutwell Medical.

Trio-Smart is a mail-in breath test that aids in diagnosis of small intestinal bacterial overgrowth. This test is available for purchase at GutWell Medical and is considered by Dr. Mitchell to be the best test on the market for diagnosing SIBO. This test from Trio-Smart is the only test available that detects all three fermented gases in your gut: Hydrogen, Methane, and Hydrogen Sulfide. This test was developed by Dr. Mark Pimental, the gastroenterologist who pioneered SIBO diagnosis and treatment.

Trio-Smart may be covered by your insurance.

Click here for a detailed video on how to complete the Trio-Smart test.

Vibrant America Gut Zoomer

The Vibrant Wellness Gut Zoomer is a comprehensive stool test that assesses over 170 bacterial species, along with fungi, parasites, viruses, digestive function markers, and inflammatory markers. It offers a broad analysis of microbiome health, analyzing inflammatory markers like zonulin and calprotectin and can provide insight into specific diseases like C. diff, H. pylori, and Candida overgrowth.

This test helps identify microbial imbalances that can lead to digestive dysfunction and contribute to conditions like IBS, leaky gut, autoimmune issues, chronic inflammation, and fatigue.

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QDX Stool Kit

Blue and white QdETECT pathology solutions package on tiled floor with wooden wall background.

The QDX stool test is a comprehensive stool test that is often covered by insurance.

QDX testing analyzes the following:

  • Complete GI Pathogen Panel PCR testing (14 pathogens - including food poisoning bacteria, parasites, viruses)

  • Helicobacter pylori (H. pylori) Stool Antigen

  • Clostridium difficile (C. diff) antigen PCR and Toxins A and B (EIA)

  • Calprotectin (an inflammatory marker for Crohn’s and ulcerative colitis)

  • Pancreatic Elastase (a marker for pancreatic function)

  • Lactoferrin and White Blood Cells (inflammation markers)

  • Fecal fat (marker of digestion and absorption)

QDX stool testing is helpful to diagnose conditions like infectious colitis, ulcerative colitis, H. pylori, and C. diff.