Axe content is medically reviewed or fact checked to ensure factually accurate information. With strict editorial sourcing guidelines, we only link to academic research institutions, reputable media sites and, when research is available, medically peer-reviewed studies. The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. This article is based on scientific evidence, written by experts and fact checked by our trained editorial staff.
Our team includes licensed nutritionists and dietitians, certified health education specialists, as well as certified strength and conditioning specialists, personal trainers and corrective exercise specialists. Our team aims to be not only thorough with its research, but also objective and unbiased. Here Is ALL You Need to Know! Millions of Americans suffer from gastrointestinal symptoms and distress each year. Recently, researchers have started to acknowledge there’s another digestive disorder lurking: small intestinal bacterial overgrowth, or SIBO. It’s more prevalent than previously believed, and it occurs in many people suffering from IBS and certain other underlying conditions. The small intestine is the longest section of the digestive tract. This is where the food intermingles with digestive juices, and the nutrients are absorbed into the bloodstream. When in proper balance, the bacteria in the colon helps digest foods and the body absorb essential nutrients.
However, when bacteria invades and takes over the small intestine, it can lead to poor nutrient absorption, symptoms commonly associated with IBS, and may even lead to damage of the stomach lining. When you have SIBO, as food passes through the small intestine, the bacterial overgrowth interferes with the healthy digestive and absorption process. The bacterium associated with SIBO actually consumes some of the foods and nutrients, leading to unpleasant SIBO symptoms, including gas, bloating and pain. Even when treating small intestinal bacterial overgrowth with antibiotics, relapse rate is high. This is a chronic condition that can be cured, but it takes patience, perseverance and a change in diet. In fact, SIBO treatment includes a healing diet, and some foods should be avoided until the gut flora is back in balance. According to a study published in the World Journal of Gastroenterology, there’s good reason for the similar symptoms — there’s a definite association between IBS and SIBO. Researchers suggest that physicians give consideration of excluding SIBO before giving a definitive diagnosis of IBS. Causes and Risk Factors of SIBO There are a number of underlying conditions believed to contribute to small intestine bacterial overgrowth.
The use of certain medications, including immunosuppressant medications, proton pump inhibitors, immune system disorders, recent abdominal surgery and celiac disease are also associated with an increased risk for developing SIBO. Celiac disease can be of particular concern as it disturbs gut motility leading to improper small intestine functioning. In this study, patients were treated individually with a combination of antibiotics, prescription medications for worms and parasites, and a change in diet. All patients reported their symptoms were abated after SIBO treatment. Another underlying cause of SIBO symptoms is blind loop syndrome. This occurs when the small intestine actually forms a loop, causing food to bypass parts of the digestive tract. This causes food to move more slowly through the system, and the result is a breeding ground for bacteria.
Metabolic disorders, including type 2 diabetes that’s not properly controlled, are believed to lead or contribute to certain gastrointestinal disorders. Aging is another risk factor for developing small intestine bacterial overgrowth. As we age, the digestive tract slows down. It’s generally accepted that non-hospitalized adults over the age of 61 have a 15 percent prevalence rate of SIBO, in contrast with just under 6 percent in individuals 24 to 59 years old. A study published in the Journal of the American Geriatric Society also found that over 30 percent of disabled older adults have SIBO. Researchers from the Department of Internal Medicine at the University of Genoa in Italy found that rosacea patients have a significantly higher prevalence rate of SIBO.
As you can see, small intestinal bacterial overgrowth is linked, caused or associated with a wide array of conditions. Even those not thought to be related to the gastrointestinal tract seem to correlate with SIBO symptoms. Breath Testing for SIBO In order to diagnose SIBO, doctors use a hydrogen breath test to measure the amount of gas produced by the bacteria in the small intestine. The test measures the amount of hydrogen and methane in your body. This works because the only way the human body produces these gases is through the output of bacteria. First the patient participates in a special diet for two days prior to the test. Then the patient drinks a solution containing one of the sugars listed above, which feeds the bacteria. The breath test measures how much hydrogen and methane has been produced by the bacteria as a result. These results allow your health care professional to determine if you are experiencing SIBO.
Complications Associated with SIBO SIBO, left untreated, can cause potentially serious health complications. It’s vital to get rid of the bacterial overgrowth as soon as possible. Bacteria overgrowth in the small intestine can lead to malnutrition, one of the biggest concerns with SIBO. These deficiencies can lead to symptoms, including weakness, fatigue, confusion and damage to the central nervous symptom. Vitamin B12 deficiency is more common than most people believe. There are a number of factors that can lead to deficiency, besides SIBO. As noted above, these commonly prescribed medications are linked to SIBO. According to Harvard Medical School, the symptoms of vitamin B12 deficiency can appear gradually — or very rapidly.
Symptoms may include numbness or tingling in extremities, anemia, jaundice, decline in cognitive function, memory loss, fatigue, weakness, and even paranoia or hallucinations. In a report in the British Journal of Haematology, researchers indicate that megaloblastic anemia, a blood disorder that causes the loss of red blood cells, is directly related to bacterial overgrowth in the small intestine. SIBO symptoms mentioned above, take charge of your health, and get started ridding your body of small intestinal bacteria. Even with antibiotics, SIBO is difficult to treat. In fact, a study published in the American Journal of Gastroenterology, researchers concluded SIBO patients treated with antibiotics have a high recurrence rate and that gastrointestinal symptoms increased during the recurrences. The good news is that researchers have found that herbal remedies are as effective as three courses of antibiotic therapy in patients who don’t respond well to rifaximin. This study mentions a variety of herbal remedies but doesn’t include dosing or further details. Indian barberry root extract are all mentioned in the study. So how do you treat SIBO and SIBO symptoms?
First, it’s important to identify if there’s an underlying cause. The next step is to start reversing the nutritional deficiencies. A healthy diet, nutritional supplements and lifestyle changes are necessary to get the body back in balance. My first recommendation to overcome SIBO is to consume smaller amounts of food during meals. 6 smaller portions per day rather than 3 larger meals. Eating smaller meals allows you to digest foods more quickly, which is crucial to overcoming SIBO.
Overeating is one of the worst things for SIBO because it causes food to sit longer in the stomach and can also damage gastric juice production. A pilot study from researchers at the Center for Medical Education and Clinical Research in Buenos Aires, Argentina, found probiotics have a higher efficacy rate than metronidazole for individuals with SIBO. In this study, Lactobacillus casei, Lactobacillus plantarum, Streptococcus faecalis and Bifidobacterium brevis were administered for five days to half of the study group, while the other half of the study group received antibiotics for five days. An astounding 82 percent of the group receiving probiotics reported clinical improvement, while only 52 percent of the group receiving antibiotics reported clinical improvement. In addition to probiotics and combatting nutrient deficiencies, it’s important to change your diet. They’re foods that aren’t fully absorbed in the body and end up fermenting in the digestive tract. The fermentation actually feeds the bacteria, making it more difficult to fight SIBO and SIBO symptoms. Reading the list, it may seem like there’s little left to eat — however, there are plenty of great-tasting and healthy foods on the SIBO diet. The goal of the SIBO diet is to repair the intestinal lining, ease inflammation, get rid of the bacterial overgrowth and eat a diet rich in the essential nutrients that your body hasn’t been absorbing.
FODMAPS, it’s suggested to start the two-week period again. High-quality clean proteins, including wild-caught tuna and salmon, grass-fed beef and lamb, and free-rage poultry and eggs are easy to digest — and will give your body essential nutrients and energy. While somewhat limited during the FODMAPS elimination, you can still enjoy some fruits, including tomatoes, bananas, grapes, blueberries, strawberries, cantaloupe, honeydew melons and pineapple. Bromelain has unbelievable health benefits, particularly for those with digestive disorders, allergies, asthma and joint pain. Carrots, cucumbers, leafy greens, squash, quinoa and sprouted nut butters are also on the enjoy list. There are a number of foods that you need to continue to avoid on this plan. All grains, processed sugars, high-starch foods, processed foods, and non-organic meats and dairy should still be avoided.
- Photos of thrombosed external hemorrhoids
- Is it ok to use hemorrhoid cream while pregnant
- How long for an external hemorrhoid lump to go away
- External hemorrhoid banding rubber band ligation
- How to relieve thrombosed hemorrhoid while pregnant
- Hemorrhoid suppository won t stay in
- Make external hemorrhoids go away