How do you get rid of auto-brewery syndrome?

Answered by Matthew Yawn

Auto-brewery syndrome can be a challenging condition to treat, but there are several approaches that can be taken to help manage and potentially eliminate the symptoms. The main focus of treatment is to target the overgrowth of in the digestive system, which is responsible for the fermentation of carbohydrates into .

1. Antifungal Medications: One of the most common treatment options for auto-brewery syndrome is the use of antifungal medications. These medications work to eliminate the yeast overgrowth in the gut and reduce the production of alcohol. Some commonly used antifungals include fluconazole, nystatin, micafungin, trichomycin B, and voriconazole. These medications can be taken orally or administered intravenously, depending on the severity of the condition.

2. Dietary Changes: Making dietary modifications can also play a significant role in managing auto-brewery syndrome. Since yeast feeds on sugar, it is important to reduce the intake of carbohydrates and sugars in the diet. This means avoiding foods that are high in refined sugars, such as sweets, sugary beverages, and processed foods. Instead, focus on consuming a diet rich in whole grains, lean proteins, fruits, and vegetables. Probiotic-rich foods, such as yogurt and fermented vegetables, can also be beneficial in promoting a healthy balance of gut bacteria.

3. Gut Health Support: Supporting the overall health of the gut can help in managing auto-brewery syndrome. This includes maintaining a healthy balance of bacteria in the gut by taking probiotics or consuming fermented foods. Additionally, incorporating prebiotic-rich foods, such as garlic, onions, and bananas, can help nourish the beneficial bacteria in the gut. It is also important to avoid factors that can disrupt the gut microbiome, such as excessive alcohol consumption, stress, and certain medications like antibiotics.

4. Changes: Making certain lifestyle changes can also be helpful in managing auto-brewery syndrome. Stress reduction techniques, such as meditation, yoga, or regular exercise, can help support overall gut health and reduce symptoms. It is also important to avoid excessive alcohol consumption, as it can further contribute to the overgrowth of yeast in the gut. Maintaining a healthy weight and getting enough sleep are also important factors in supporting a healthy gut and overall well-being.

5. Individualized Approach: It is crucial to note that the treatment approach for auto-brewery syndrome may vary from person to person. It is advisable to work closely with a healthcare professional who is experienced in treating this condition. They can help determine the underlying cause, tailor the treatment plan to individual needs, and monitor progress over time.

In my personal experience as a brewer, I have come across cases where individuals have successfully managed auto-brewery syndrome through a combination of antifungal medications, dietary changes, and lifestyle modifications. It is important to be patient during the treatment process, as it may take time for the body to rebalance its gut microbiome and for symptoms to improve. Regular follow-ups with healthcare professionals and adherence to the prescribed treatment plan are crucial for long-term management of this condition.