SIBO: Small Intestine Bacterial Overgrowth Diagnosis and Treatment Overview

Small Intestine Bacterial Overgrowth (SIBO) is a common cause of frequent burping, abdominal distention, pain and IBS symptoms. The good news is that it is something that can be diagnosed and resolved with treatment. This video covers the basics of symptoms, risk factors, diagnosis and treatment.

SIBO - What is it?
SMALL INTESTINE BACTERIAL OVERGROWTH – abnormal overgrowth of bacteria in the upper intestine.

COMMON SYMPTOMS:
Abdominal distention, pain, bloating, gas, flatulence
Changes in transit time
Diarrhea
Constipation
Symptoms tend to be worse as the day progresses

SOME CAUSES/RISK FACTORS:
A history of food poisoning
Exposure to GI infection while traveling
Reduced hydrochloric acid production and proton pump inhibitors
Chronic stress
Neurologic changes that affect SI motility
Decreased motility of the small intestine due to structural issues like adhesions

HOW TO DIAGNOSE + TYPES OF SIBO
3 hour lactulose breath test will help determine the type of bacteria you have
TYPES:
o methane gas producing bacteria
o hydrogen gas producing bacteria
o hydrogen sulfide gas producing bacteria

HOW TO TREAT
Factors to consider:
Severity of overgrowth – how many treatment rounds will be needed
Depends on the type of bacterial overgrowth
What will work best for you with your other health goals and lifestyle
OPTIONS
- Physician elemental diet powder – special liquid diet fast for a couple weeks (available in the dispensary below)
- Antibiotics like xifaxan x a couple weeks
- Herbal antibiotic products 4-6 weeks: berberine, neem, oregano, quebracho, allicin (available in the dispensary below)
Combo products like Atrantil, SIBO Biotic (Priority one) - (available in the dispensary below)
- Low FodMap or Fusion lowfodmap/Specific carbohydrate diet x several months
Goal is to decrease fermentable substrate for the bacteria

https://www.siboinfo.com/diet.html

https://www.siboinfo.com/uploads/5/4/8/4/5484269/sibo_specific_diet_food_guide_sept_2014.pdf

https://www.gastroconsa.com/wp-content/uploads/2019/09/Low-FODMAP-Diet.pdf

ALSO HELPFUL
- Digestive enzymes – SIBOzymes (Priority One), digestive enzymes ultra, PanPlex2 (ITI) - (available in the dispensary below)
- Migrating motor complex support = AKA prokinetics – to sweep bacteria out of the upper intestine - ie formulas like SIBO MMC (Priority one) - (available in the dispensary below)

RESOURCES:
Dr. Allison Siebecker’s website is a wonderful resource with a wealth of information on SIBO
https://www.siboinfo.com/

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*This content is strictly for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Angela Agrios, Dr. Patti Kim nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.