For SIBO we focus on six main aspects of treatment.
- Relieving the symptoms of SIBO,
- Killing the bacteria that causes it
- Helping inhibit the return of unwelcome bacteria
- Reviewing and modifying diet
- Restoring gut function
- Reviewing and modifying lifestyle such as reducing stress, looking at other aspects of your health that may have lead to SIBO and throwing away harmful house hold products that disrupt your microbiome leaving you more vulnerable to SIBO.
Some information about Small Intestinal Bowel Overgrowth (SIBO)
Here are the top 6 symptoms of SIBO:
- Abdominal bloating and distension
- Abdominal pain or discomfort
- Acid reflux or heartburn
- Excessive gas or belching
Is SIBO a Chronic Infection?
SIBO recurrence is a common event in the case of persistence of predisposing conditions, being often chronic and difficult or impossible to definitively removed. Recurrence was observed in about 40% of successfully treated SIBO subjects that had IBS as predisposing condition at 9 Months follow up (Lauritano et al, 2013).
SIBO takes time to treat because long term treatment / interventions is required to restore functions that prevent reinfection of pathogenic bacteria.
What causes SIBO?
There are several physiologic mechanisms in place to prevent bacterial overgrowth in the small intestine. These include: –
- gastric acid,
- Motility – The migrating motor complex (MMC, a brush-like wave that washes the small bowel during fasting),
- the intestinal mucosa,
- the gut-immune system,
- commensal bacteria
- The physical barrier of the ileocecal valve.
Anything disrupting these mechanisms can cause SIBO.
E.g. defective ICV cecal distension reflex which either allows gas from the colon to distend the small intestine or lead to reflux of colonic contents into the small intestine, the colonization of the small intestine with fecal flora and the development of SIBO (Miller et al, 2012).