The Gut - Our Second Brain

Over a lifetime, a person consumes between 30 and 60 tonnes of food - a remarkable workload for the gut. The GI tract is a complex and finely tuned system, but it can malfunction. Eurofins provide targeted tests for each area of the gut. 

  • Digestion and Absorption Health Issues
  • Protection from harmful external Organisms & Toxins
  • Food Allergies and Intolerances
  • Gut Inflammation
  • The Gut Microbiome
  • Genetics and Hereditary GI Disorders
  • Health Screens to detect early stage bowel cancer 

Digestion & Absorption Health Issues

Stomach acid not only helps to breakdown protein into amino acids but protects against pathogenic organisms and food antigens. Hypochlorhydria is associated with increased risk of Helicobacter pylori, Small Intestinal Bowel Overgrowth (SIBO), an increase in proximal small intestinal pH and decreased secretion of Intrinsic Factor, needed to absorb B12.

Helicobacter pylori is a public health issue affecting 25-30% of people in Ireland. It is associated with significant disease and is a cause of stomach ulcers and stomach cancer. We test for Helicobacter pylori.

Adequate amounts of specific digestive enzymes are required to digest food.

Pancreatic secretions can decrease with age and are adversely affected by Pancreatitis, Cystic Fibrosis, Diabetes, Gallstones and Inflammation.

Normal levels of pancreatic elastase in the stool indicate an optimally working pancreas. However, abnormal values of elastase point towards a pancreatic abnormality. Eurofins tests for Pancreatic Elastase Sufficiency.

 

gut-diagram

Gut dysbiosis has been identified as an important factor in the pathogenesis of liver disease.

Eurofins provide a range of Liver Function Tests. Adequate bile secretion is essential, we can measure conjugated (direct) bilirubin levels, which can indicate liver or bile duct problems. 

DigestCheck

The gut is sometimes referred to as the body’s 2nd brain and plays a major part in maintaining our health. The balance between gut mucosa, flora and our immune system helps to compensate for the physiological or pathological variations caused by infection, inflammation or hyperpermeability.

This balance also plays a role in a variety of other chronic inflammatory or auto-immune diseases, regardless of whether or not there are digestive symptoms. DigestCheck will guide the specialist in selecting any additional examinations. Visit a local lab for price and ordering.

Physical/chemical examination Faecal secretory IgA
Faecal beta-2 definsin Faecal zonulin
Calprotectin Faecal alpha-1 antitrypsin
Blood in Stool  

Results within 3 weeks

VeggieCheck

Vegetarian and vegan diets are more and more popular among an increasingly environment and health conscious public. Associated dietary deficiencies can generally be easily managed if they are prevented by the appropriate supplements.

Regular monitoring of (micro)nutritional status, as provided by VeggieCheck, means that people on such diets can enjoy them safely and healthily.  Visit a local lab for price and ordering.

Albumin Vitamin B9 (erythrocyte)
Ferritin  Vitamin B12
Zinc Homocysteine
Vitamin A Erythrocyte fatty acids
Vitamin D Iodine

 

Results within 4 weeks

Diagnostic Solutions to test Digestion, Absorption & Sufficiency

The Test More Information
Helicobacter Pylori in Stool Learn More
Helicobacter Pylori antibodies in serum Learn More
Faecal Pancreatic Elastase  Learn More
Small Intestinal Bowel Overgrowth (SIBO) test In-Clinic Test
Lactose Intolerance test (Self-test kit Genetic) Contact local lab
Vitamin B12 Learn More
Anti-Intrinsic Factor Antibodies Learn More
Anti-Parietal Cell Antibodies Learn More
Liver Function Profile

Bilirubin, ALT, ALP, AST, GGT, Total Protein,

Albumin, Globulin (contact local lab)

Intestinal Permeability

Mannitol:Lactulose In-Clinic test

gastro-banner-norovirus-rotavirus

Protection from harmful external Organisms

The Gastrointestinal Tract (GI) is a major potential point of entry for pathogens, via the air we breathe, the water we drink and the food we eat, with antimicrobial resistance (AMR), the greatest and most rapidly growing threat to human health.

Many different viruses can cause infection of the GI. In Ireland Norovirus and Rotavirus are the most common causes. Other viruses that can cause gastroenteritis include Adenovirus, Astrovirus and Sapovirus. The most common bacterial gastroenteritis in Ireland is campylobacteriosis, primarily spread through contaminated food or water.

Diagnostic Solutions - Bacteriology-Parasitology-Mycology

Eurofins Microbiology Laboratories  provide diagnostic tests in Bacteriology, Mycology and Parasitology. Stool cultures assess the relative balance of Beneficial vs. Harmful microbes. Routine screening of faecal samples includes screening for Salmonella species, Shigella species, E.coli 0157 and Campylobacter species. Vibrio cholera can be requested if there is suspicion that the patient has ingested contaminated water or seafood or travelled to endemic areas.

Protection from Toxicity

Eurofins test for both essential and non-essential metals. Non-essential heavy metals like arsenic, mercury and lead can displace metals that are co-factors for enzymes such as zinc in carbonic anhydrase or iron in haemoglobin. Displacement can inhibit these enzymes in the vital role they play in redox reactions, biosynthesis, transport, and other metabolic activities. Both essential and non-essential heavy metals can become toxic if their concentrations exceed certain thresholds.

Food Allergies and Intolerances

Food Allergies and Intolerances irritate the GI, cause inflammation and account for a diverse range of symptoms from migraines to skin problems to cardiovascular disease and gastrointestinal disorders.

food-allergy-testing

Find a local laboratory

Three Rock Road, Sandyford Industrial Estate, Dublin,D18 A4C0, Ireland

gut-inflamation-testing

Gut Inflammation

Inflammation can be triggered by infections, trauma, autoimmunity or allergy.

A faecal calprotectin test measures a protein in the stool that indicates intestinal inflammation, helping to distinguish between inflammatory bowel diseases (IBD) like Crohn's and ulcerative colitis and functional disorders like irritable bowel syndrome (IBS). Test results will help clinicians to prescribe and to monitor disease.

Dietary Fat intake affects the Inflammatory Response. The Mediterranean Diet, rich in omega 9 and plant foods, is recommended globally by clinicians. We offer a fatty-acid analysis test to assess omega 3:6, omega 3 and trans-fats status.

Diagnostic Solutions for Inflammation

 

The Test More Information

Calprotectin

Learn More

Fatty-Acid Analysis

Download Sample Report

Inflammation Profile

Download Sample Report



bowel-cancer-screening-tests-for-home-use

Bowel Cancer Screening in Ireland

Bowel cancer is one of the most common types of cancer diagnosed in Ireland affecting around 2,800 people every year. Incidence is rising in younger people. When detected early, bowel cancer is very treatable.

Stage 1: 90%-95% survival at 5 yrs

Stage 4: 8%-16% survival at 5 yrs

Initial Screening Test

Eurofins is proud to be the HSE laboratory partner for BowelScreen – The National Bowel Screening Programme, a public health initiative to combat colorectal cancer (CRC). Irish residents aged 57 to 71 years, after registration, are mailed a free home screening test.

People outside this age range, can request a FIT test privately from a clinic or GP.

Advanced Screening Test

ColoSafe® is a next-generation stool DNA test that detects the methylated SDC2 gene, a biomarker that is always elevated in bowel cancer.

A retrospective study was completed by St Vincent's Hospital, Dublin,(2026) a prospective study is underway. An inter-laboratory comparison study between Eurofins molecular lab in Dublin and DHS – Diagnostic HealthCare Solutions GmbH, Germany was completed (2026).

With long waiting lists for colonoscopies, ColoSafe® will help to prioritise higher-risk cases.

gut-microbiome

The Gut Microbiome

The beneficial symbiotic microflora residing primarily in the large intestine, have a direct impact on promoting a healthy GI tract. They work with the immune system to protect health.

The challenge facing microbiome diagnostics is that there is no definition of a ‘Healthy’ microbiome. Microbiomes vary among healthy people, change with age and are affected by dietary changes, medications, ethnicity, geography and lifestyle.

Note: Faecal microbial transplantation (FMT) is a very interesting area to monitor for news updates.

Diagnostic Solutions

The Microbiome Test (coming soon)

Genetics and Hereditary GI Disorders

Haemochromatosis is an inherited condition leading to excessive iron absorption from food and is more common in Ireland than anywhere else in the world. One in 83 Irish people carry two copies of the HFE gene (i.e. a faulty gene from each parent) and are predisposed to develop iron overload. One in five carry one copy of the gene and are said to be carriers.

Iron is a free radical in excess and iron overload causes serious health complications. Men are more at risk of later diagnosis as menstruation reduces iron load for women until menopause.

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Diagnostic Solution

Haemochromatosis Test. Requires Whole blood EDTA. Requires genetic consent from the patient.

Coeliac Disease (HLA-DQ2 and HLA-DQ8)

Celiac disease is an auto-immune, life-long condition, more common in the Irish and those of Irish descent, affecting c. 1 in 100 people with 2-3 times higher incidence in women and typically occurs in children aged 8-12 months or adults aged 40-60 years. Milder cases may go un-diagnosed or mis-diagnosed as other digestive conditions, such as irritable bowel syndrome (IBS).

Gluten, a protein found in wheat, rye, barley and oats, causes an inflammatory response in the gut, damaging the villi in the small intestine which overtime affects the breakdown and absorption of essential nutrients resulting in a range of symptoms. Symptoms can range from mild to severe and can come and go, complicating a quick diagnosis.

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Diagnostic Solutions

A blood sample tests for Tissue transglutaminase (tTG) and IgA antibodies against tTG. Both are highly sensitive markers for Celiac Disease and Dermatitis Herpetiformis.

 IgG antibodies against tTG are less specific but helpful in people with IgA deficiency.

Digestive Cancer Panel

5 to 10% of cancers are linked to inherited genetic mutations which can be transmitted to descendants. If there is a strong family history of GI cancers, especially at an early age and multiple cancers in one patient, genetic testing can help enormously.

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The Digestive Tube Panel  includes genes associated with hereditary predisposition to digestive tract cancers. These genes were selected based on reliable estimates of associated tumour risks, which support safe and effective genetic counselling for patients with suspected hereditary digestive cancers, either with or without polyposis.

All panels are updated as new genetic data and research emerge. The 14 genes included in the Digestive Tube Panel are: 

  • APC (Adenomatous Polyposis Coli)
  • BMPR1A (Bone Morphogenetic Protein Receptor Type 1A)
  • CDH1 (Cadherin 1)
  • EPCAM (Epithelial Cell Adhesion Molecule)
  • MLH1 (MutL Homolog 1)
  • MSH2 (MutS Homolog 2)
  • MSH6 (MutS Homolog 6)
  • MUTYH (O-methylguanine-DNA methyltransferase)
  • PMS2 (Postmeiotic Segregation 2)
  • POLD1 (Polymerase Delta 1)
  • POLE (Polymerase Epsilon)
  • PTEN (Phosphatase and Tensin Homolog)
  • SMAD4 (SMAD family member 4)
  • STK11 (Serine/Threonine Kinase 11)

The Digestive Tract Panel helps clinicians to:

  1. Identify individuals at high risk for hereditary digestive cancers.
  2. Provide appropriate genetic counselling and personalised management strategies for patients and their families. 

Contact sales at your local lab

Find a local laboratory

Three Rock Road, Sandyford Industrial Estate, Dublin,D18 A4C0, Ireland