I think if you had 20 different experts, you’d get 20 different opinions.įor me, patients that come in with a combination of abdominal pain, bloating, flatulence and diarrhea are the ones that I’m most suspicious of having SIBO. How do you screen someone who presents you with symptoms of irritable bowel syndrome (IBS)? It’s the host and how the host reacts to those bacteria that really determines the type of disease that one expresses. How each reacts to that bacterial displacement or SIBO might be very different. There may also be a whole variety of host factors that likely play a role.įor example, your gut immune system functions differently than my gut immune system. It might be related to the type or quantity of bacteria, or the location of the bacteria in the small intestine. We really don’t know, but I think there are lots of variables that could influence how severely affected a person is. Does the variation between symptom severity have to do with the type of bacteria causing the issue or the amount of bacteria? When, for example, carbohydrates are fermented by those bacteria, it can produce gas and chemicals that can trigger a whole variety of different symptoms like abdominal pain, bloating or diarrhea.īecause those bacteria are consuming the food instead of the host, the host may actually develop a malnutrition or malabsorption syndrome. Small intestinal bacterial overgrowth or SIBO is a condition where the communities of bacteria within the GI tract are displaced into the small intestine.īecause they’re in the small intestine, they can actually compete with the host for food. Do you have any tips for finding knowledgeable gastroenterologists or doctors? What’s your opinion about the low FODMAP diet for treating SIBO and IBS? Would you recommend taking antibiotics and probiotics at the same time? ![]() Are there alternative herbal antibiotics, like iodine drops, that have been proven effective? For treatment, antibiotics are typically prescribed to go in and destroy the bad bacteria. Is there a way to determine SIBO without those breath tests? Some patients claim that there’s a difference in the timing or onset of symptoms after eating certain foods. ![]() Is there a particular breath test that they should do? How does that work?
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