SIBO

 If you suffer from Chronic GI Symptoms you may have SIBO

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What is SIBO ?

Small Intestine Bacterial Overgrowth – IT is a chronic bacterial infection of the small intestine. We all have bacteria in the small intestine the problem arise when it abnormally overgrows where it should not grow and creates a vicious cycle.

This overgrowth creates a vicious cycle:   The overgrow bacteria (sibo) interfere with our normal digestion and absorption of food and are associated with damage to the lining or membrane of the SI causing leaky gut. 

 

 

  •  Bacteria consumes some of our food. Over time leads to deficiencies iron and B12, causing anemia. They cause leaky gut which creates more bacterial overgrowth.
  • They also consume the food not able to be absorbed. After eating our food, they produce gas. The gas causes abdominal bloating, abdominal pain, constipation, diarrhea or both (the symptoms of IBS). 
  •  Excess gas can also cause belching and flatulence.  They deconjugating bile leading to deficiencies of vitamins A & D and fatty stools. proper fat absorption is decreased.
  • Because of the leaky gut, larger food particles not able to be fully digested, enter into the body which the immune system reacts to.  This causes food allergies/ sensitivities. 
  •  Bacteria themselves can also enter the body/bloodstream.  Immune system reaction to bacteria and their cell walls (endotoxin) causes chronic fatigue and body pain and burdens the liver.
  •  Bacteria excrete acids which in high amounts can cause neurological and cognitive symptoms.

 

Symptoms

IBS SYMPTOMS– Irritable bowel syndrome Many people with IBS they actually have SIBO, 84% tested positive.

Bloated-Stomach

  • Abdominal Bloating
  • Abdominal Pain
  • Cramps
  • Constipation/ Diarrhea/both

 

 

 

 

Leaky Gut symptoms– Damage to the lining of the membrane of the small intestine.

leakygutcure-1Leaky-Gut-Graph-dr-josh-axe2

  • Food Sensitivities
  • Headaches
  • Pain in the joins
  • Fatigue
  • Eczema or rashes
  • Depression
  • Autism
  • Malabsorption
  • Symptoms
  • fatty stool
  • Anemia
  • Weight Loss

 

Associated Conditions 

If this associated diseases are together with digestive symptoms test for SIBO.

  • Acne Roseacea Alcohol Consumption (moderate intake)
  • Anemia
  • Atrophic
  • Gastritis
  • Autism
  • Celiac Disease
  • Chronic Fatigue Syndrome
  • CLL (Chronic Lymphocytic Leukemia)
  • Cystic Fibrosis
  • Diabetes
  • Diverticulitis
  • Dyspepsia
  • Erosive Esophagitis
  • Fibromyalgia
  • Gallstones
  • Gastroparesis GERD (Gastroesophageal Reflux Disease)
  • Hepatic Encephalopathy (Minimal)
  • Hepatic Steatosis
  • H pylori Infection Hyprochlorhydria
  • Hypothyroid/ Hashimoto’s Thyroiditis
  • IBD (Inflammatory Bowel Disease)   
  •   -Crohn’s     -Ulcerative Colitis IBS (Irritable Bowel Syndrome)
  • Interstitial Cystitis Lactose Intolerance
  • Leaky Gut
  • Liver cirrhosis
  • Lyme
  • Medications:  Proton Pump Inhibitors, Opiates, NSAIDS
  • Myelomeningocele
  • Muscular Dystrophy (myotonic Type 1)
  • NASH/NAFLD (non-alcoholic: steatohepatitis/fatty liver disease)
  • Obesity
  • Pancreatitis
  • Parasites
  • Parkinson’s
  • Prostatitis (chronic)
  • Radiation Enteropathy
  • Restless Leg Syndrome
  • Rheumatoid Arthritis
  • Scleroderma Surgery:  Post-Gastrectomy 

How To Test For SIBO

Breath testing is available to measure the hydrogen and methane gas produced by bacteria in the small intestine. Both hydrogen and methane are only produced by bacteria, not humans. Abnormally high levels of these gases indicate bacterial overgrowth.

Lactulose Breath Test (LBT) Humans can’t digest or absorb lactulose.  Only bacteria have the proper enzymes to do this.  After they consume lactulose, they make gas.  If there is an overgrowth, this will be reflected in the levels of H and/or M.  ( The 3 hour lactulose test is the one with the best results, un fortunately there isn’t yet a perfect test, the small intestine is a hard place to get to.Endoscopy and Colonoscopy only reaches portion of the small intestine).

The advantage to this test is that it can diagnose overgrowth in the distal end of the SI, thought to be more common.  The disadvantage is that it cannot diagnose bacterial overgrowth as well as the Glucose Breath Test (GBT).

Glucose Breath Test (GBT) Both humans and bacteria absorb glucose.  Glucose is absorbed within the first three feet of the SI, therefore if the bacterial gases of H and/or M are produced during this test, it reflects an overgrowth in the proximal/upper end of the SI (within the first two feet). The advantage to this test is that it successfully and accurately diagnoses proximal overgrowth.  The disadvantage is that it cannot diagnose distal overgrowth, occurring in the latter 17 feet of the SI, which is thought to be more common.

How is the test performed?

The test is performed at home with a take home kit .  It takes 1-3 hours in the morning after a 12 hour fast the night before and a special diet the day before.  At home kits may be obtained from numerous breath testing laboratories or Naturopath  Physician. 

You can get your test recommended by you  Doctor or Naturopath at :

Red Cedar Health  – Dr Speltzer (Sibo Doctor), Abbotsford

Boucher Institute, Lab services, New Westminster

Treatment

The main goal to treat SIBO is to reduce the number of bacteria, repair the damaged gut, and prevent relapse.  

Strategies for this usually include antibiotics, herbal antibiotics, and dietary modification.  The damaged small intestine lining heals on it’s own when the bacteria population is reduced, and is enhanced by diet and additional nutritional supplements.  

Some keys to preventing SIBO are having good food hygiene (eating when calm, chewing well, etc.), having adequate stomach acid, removing proton pump inhibitors and antacids (which reduce stomach acid and promote SIBO), and enhance the parasympathetic “rest and digest” nervous system.

Schedule an appointment with your Naturopathic Physician to identify if overgrowth of normal bacteria in your gut is the cause of your gastrointestinal distress.

 SIBO Diet

The intention of the diet is to starve the bacteria and fead the person. Diet is very important to good and bad bacteria population.

SIBO Elemental Diet

An elemental diet is a different approach to treating SIBO, it  has been tested on patients with SIBO and others with Irritable Bowel Disease (particularly Crohn’s patients). … An elemental diet replaces all food with a liquid formula made up of nutrients in their simplest form for a period of 15 days. this diet  starves the bacteria, but feed the person with powdered nutrients in pre-digested, easily absorbed form.  (ex: Vivonex plus)

 

Gaps Diet

Bacteria loves carbs except insoluble fiber. Gaps diet is the most recommended for SIBO treatment in association with treatment and time to heal the leaky gut. GAPS stands for Gut and Psychology Syndrome Diet. It is recommended that you start with Gaps introduction diet. Don’t step to the full diet.

 

 

 

 

 

Low FODMAPS Diet

Low FODMAPS diet  focuses on removing carbohydrates that are high in fermentable oligosaccharides, disaccharides, monosaccharides and polyols. This diet is used for SIBO because high FODMAP carbohydrate foods can ferment in the gut and feed a bacterial overgrowth.

 

 

 

 

Sibo summer cookbook

Sibo CookBooks  – With delicious SIBO  friendly recipes

The SIBO Summer Cookbook contains over 50 recipes, perfect for the warm summer months, for people treating Small Intestinal Bacterial Overgrowth.

Based on the SIBO Diet protocol by Dr. Nirala Jacobi ND, this cookbook is the first of its kind for people with SIBO.

 

 

 

 

 

SCD Diet  – Specific Carbohydrate Diet

“The allowed carbohydrates are monosaccharides and have a single molecule structure that allow them to be easily absorbed by the intestine wall. Complex carbohydrates which are disaccharides (double molecules) and polysaccharides (chain molecules) are not allowed. Complex carbohydrates that are not easily digested feed harmful bacteria in our intestines causing them to overgrow producing by products and inflaming the intestine wall. The diet works by starving out these bacteria and restoring the balance of bacteria in our gut.”

 

 

 

 

 

The traditional bone broth is not great for  SIBO sufferers.

Here is a SIBO friendly broth recipe from Dr. Melanie Keller

 

 

 

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