The woman was able to get the charges dismissed after her lawyer
presented evidence by a doctor that she had the rare syndrome, according
to the AP. The syndrome causes substances in the gut to ferment food
into ethanol, thereby causing a person's blood-alcohol level to spike.
While the story of food-turning-to-alcohol in the body may seem like a
convenient tale for the police, doctors have found the rare condition in
multiple patients.
As a person’s blood-alcohol level rises, he or she can exhibit all the
same symptoms as someone who drank too much liquor, including slurred
words and confusion. In one case, the patient said that alcohol could be
smelled on their breath.
Dr. Richard Peek, a professor of medicine and cancer biology at
Vanderbilt University Medical Center, said the cause of the symptoms is
not fully understood although there is one likely culprit.
"Yeast are normally in the GI tract and the commonality of all these
case reports is they have an increased number of candida," Peek told ABC
News. "When [yeast] ingest a meal that has a high amount of
carbohydrates, they metabolize the carbohydrates into ethanol."
Peek said the alteration of the gut's bacteria, called the microbiome,
has far-reaching effects with auto-brewery syndrome being one of the
most drastic results.
"These observations show the importance of gastric microbiota or
microbiome in altering functions," Peek said. "It really can regulate or
cause disease such as irresistible bowel syndrome and it’s been linked
to metabolic syndrome, diabetes, fatty liver."
Peek said more study was needed to pinpoint the exact cause and find a cure that works for all patients.
"You could recommend a low carbohydrate diet and in some cases that has
worked to reverse the symptoms," Peek said, stressing that these
treatments have not been proven for every patient. "You can treat the
patients with antifungal medications to reduce the load of candida in
microbiota."
While most people will not end up with a tiny "brewery" in their gut,
Peek said anyone can face an alteration of their micrombiome, due to
illness, antibiotics or other conditions.
He recommended a good diet, exercise and occasional probiotics to achieve a healthy microbiome.
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