02/28/2023
SIBO:
When dealing with recalcitrant cases of IBS, one of the most important things to consider is small intestine bacterial overgrowth (SIBO), a condition in which abnormally large amounts of commensal bacteria are present in the small intestine. This bacterial overgrowth results in the impairment of digestion and absorption in the small intestine and the production of large amounts of hydrogen and methane gas resulting from the fermentation of carbohydrates by the intestinal bacteria.
Commensal bacteria are not beneficial bacteria, and not pathogenic bacteria. Commensal bacteria are neither beneficial, not pathogenic.
In SIBO, the production of hydrogen and methane gas in the small intestine leads to symptoms such as bloating, gas, pain/cramps, diarrhea, constipation, heartburn, nausea, and malabsorption, with anemia and steatorrhea. Symptoms of SIBO are not limited to gastric symptoms, and often have a systemic expression with symptoms such as joint pain, malaise/fatigue, low grade fever, headache and rosacea.
If you experience significant improvement in IBS symptoms after administration of antibiotics, or experience constipation and worsening of IBS symptoms upon increasing the amount of fiber in the diet, and experiences worsening of symptoms upon taking a probiotics, or and using proton pump inhibitor medications for heartburn.
These scenarios strongly suggest that SIBO may be a contributing factor in IBS symptoms.
Remember that SIBO can also be called “candida” or simply “IBS”
The candida diet designed to reduce the presence of commensal bacteria, and herbal formulas are effective in treating SIBO.
Lab tests can be done to determine the exact bacteria present, and the extent of commensal bacteria. You can purchase these tests at walkinlab.com or your doctor can order the test for you. Some tests to detect SIBO are:
Basic Microbiology Stool Analysis
Comprehensive Stool Analysis
Intestinal Permeability
SIBO Breath Test