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Hydrogen Breath Testing in Adults
VOLUME 32 | NUMBER 1 | JANUARY/FEBRUARY 2009 19
Hydrogen Breath Testing in Adults
What Is It and Why Is It Performed?
Deborah A. Lindberg, MBA, BSN, RN-BC
Received January 28, 2008; accepted March 25, 2008.
About the author: Deborah A. Lindberg, MBA, BSN, RN-BC, is Nurse
Manager, Gastroenterology Hepatology Clinic, Dartmouth-Hitchcock
Medical Center, Lebanon, New Hampshire.
Correspondence to: Deborah A. Lindberg, MBA, BSN, RN-BC,
Gastroenterology Hepatology Clinic, Dartmouth-Hitchcock Medical
Center, Lebanon, NH 03756 (deborah.a.lindberg@).
A31-year-old Caucasian woman has had symp-toms of abdominal bloating, diarrhea, andflatulence for the past 18 months. She reducedthe amount of gas-producing vegetables in her
diet 2 months ago, but this has not been effective in
relieving her symptoms, according to her report. Her
medical history is notable for hypothyroidism and
recently diagnosed irritable bowel syndrome (IBS). Her
surgical history is notable for appendectomy. Her
medications include levothyroxine, a daily multivitamin,
a calcium supplement, and occasional cyclobenzaprine
for migraine-type headaches.
Abdominal distension and bloating, diarrhea, and
excess flatulence are common, nonspecific symptoms
associated with multiple medical conditions. It is esti-
mated that nearly 12% of general practitioner office
visits and almost 30% of referrals to a gastroenterology
specialist in the Western world are centered on
addressing these symptoms (Rosemore Lacy, 2002).
A careful history, a thorough physical examination,
and diagnostic testing are frequently required to accu-
rately diagnose the disorder and initiate an appropriate
treatment plan.
The patient’s primary care physician orders a hydro-
gen breath test. This patient calls your office and asks
you for more information about the test and what
types of disorders it might identify. How prepared are
you, as a nurse, to explain this test to her?
What Is a Hydrogen Breath Test?
Hydrogen breath testing is a simple,
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