What is SIBO? Small intestinal bacterial overgrowth (SIBO) occurs when the bacteria in
the small intestine get out of balance and overgrow. This can often
happen in people who eat a diet high in sugar, alcohol and/or refined
carbohydrates. Certain bacteria will feed off of refined carbohydrates
and break them down into short-chain fatty acids, creating gas and causing
bloating. Another strain of bacteria can break down bile salts before
your body has a chance to use them. Bile salts are crucial for the breakdown of
fats; without them, the end result is fat
malabsorption or diarrhea. A
third type of bacteria can produce toxins that damage the lining of the
small intestine. This prevents the body from absorbing the required nutrients
and is similar to symptoms of a leaky gut
Those who have
MTHFR mutations are at a higher risk from issues with SIBO.
Supplements that are given to a gut that is not healed from SIBO and that has a
bacterial overgrowth will INCREASE the folic acid that these bacteria excrete
and lead to continued malabsorption and small intestinal issues, with gas, bloating,
Enzymes mainly break
down our food, the nerves, muscles and
physically move the food through our digestive tract from the stomach
to the small intestine and to the colon.
When this happens in a healthy
gut, bacteria gets passed through the digestive tract along with the food to
its final destination in the colon.
Damage to the nerves or muscles in the gut can result
in leftover bacteria in the small intestine, increasing your risk for SIBO.
For example, diabetes mellitus and scleroderma can both affect the muscles
in the gut, leaving room for SIBO to develop.
Physical obstructions in the gut, like scarring from
surgeries or Crohnís disease, can also cause an abnormal buildup of
bacteria in the small intestine.
Diverticuli which are tiny pouches that can form
in the wall of the small intestine, can also collect bacteria instead
of passing it on to the colon, where it belongs.
Therse are also
medications that influence or disrupt
the normal gut flora, such as
antibiotics, acid-blocking drugs, and steroids.
acid-blocking medications are very suppressive and completely ruin the gut
flora by drastically reducing the body's ability to even digest food.
supplements and homeopathic remedies are added to heal the body, the gut
will not heal effectively.
with SIBO will also have leaky gut, although not everyone with leaky gut
will have SIBO.
A diet high in sugar, refined carbohydrates and alcohol
also triggers SIBO.
Symptoms History: the
history and symptoms will indicate this condition.
Breath Test:this test is harder to do because you must
fast for 12 hours, breathe into a small balloon,
ingest a precise amount of sugar, and repeat breath samples every 15
minutes for 3 or more hours. Abnormal breath tests can also signify
pancreatic insufficiency and celiac disease.
This test is much easier for patients and only requires one single urine specimen.
tests the urine for by-products of yeast or bacteria in the small
intestine. If your small intestine has a yeast or bacterial overgrowth,
then byproducts will appear in your urine.
Comprehensive Stool Test: This is also
stool test looking at the flora of the large intestines.
If there are all elevated levels of good
then SIBO is suspected.
Nigra (in a 3X potency) Distention
with pain coming immediately after eating. It can be given in 30C potency
single dose and wait for results before proceeding. Pain
in stomach always comes on after eating. A powerful and long-acting remedy,
in various forms of disease, whenever the characteristic stomach symptoms
are present. Most of the symptoms are associated with the gastric
disturbances. Sensation of a lump that hurts in stomach.
Kali Bich Sticky saliva starts forming in the mouth
Lycopodium As soon as the person
eats or drinks anything within 15 minutes or so there is visible
distention in the stomach and person complains of feeling of stretching
and pulling inside the abdomen.
"Like pharmaceutical antibiotics, this approach seeks to attack
the bacterial overgrowth head on and fairly quickly with herbal antibiotics
(HAbx). It is the first choice for most naturopathic physicians and other
naturally oriented practitioners. It must be followed with
multi-center study, including John's Hopkins, found
"herbal therapies are at least as
Rifaximin" with "similar response rates and safety profiles".
previous study by Dr Logan who used enteric coated peppermint oil (ECPO),
in a single patient with moderate results. Herbal antibiotics are consistently found
to be as effective as pharmaceutical antibiotics in relieving symptoms
and reducing gas levels on breath testing.
Which ones are used?
Numerous herbs demonstrate antibiotic activity, but as with any condition
that antibiotics are used for,
finding the right match and dose is crucial. Because there have only been two studies, the best herbal antibiotics
for SIBO have not been as well defined as the pharmaceutical antibiotics.
The Multi-Center Team used:
2 herbal combination formulas together, at a dose of 2
caps 2 x day x 4 weeks, for each formula.
Biotics FC Cidal with
Biotics Dysbiocide, or
with Metagenics Candibactin-BR
My team commonly uses:
1-3 of the following herbs x 4 weeks per course, at
highest levels suggested on product labels.
Allicin from Garlic (the
highest potency formula I know of is
Berberine- found in
Goldenseal, Oregon Grape, Barberry, Coptis, Phellodendron