SIBO

SIBO (Small Intestinal Bacterial Overgrowth)




What is SIBO?
The gastrointestinal tract normally contains many different species of bacteria and other microorganisms. The largest numbers of bacteria are found in the colon while small amounts are present in the small intestine. Small intestinal bacterial overgrowth (SIBO) occurs when large numbers of bacteria colonize the small intestine. It's when bacteria from the large intestine leaks into the small intestine that might contain undigested food and start fermentation.

Signs & Symptoms of SIBO
  • Bloating
  • Diarrhea
  • Constipation
  • Fatigue
  • Abdominal pain
  • Insomnia
  • Joint pain
  • Brain Fog
  • Unintentional Weight Loss




Risk Factors of SIBO
  • Hypothyroidism
  • Diabetes
  • Gluten Intolerance
  • Short bowel syndrome
  • Celiac Disease
  • IBS
  • Crohn's Disease
  • Systemic Sclerosis
  • Sleeve Surgery
Complications of SIBO
If left untreated, SIBO would cause to malabsorption of proteins, carbs, fats, and vitamins. This would lead to weight loss, osteoporosis, and anemia.

Diagnosis of SIBO
In order to diagnose SIBO, a Hydrogen Breath Test is ordered.
It is a simple test that measures hydrogen gas levels (H2) in the breath you exhale after intake of sugar.

How to Prepare for the Hydrogen Breath Test
  • One month before: You’ll be asked to stop taking antibiotics, both of which can alter the normal balance of bacteria in your gut.
  • One week before: You’ll be asked to stop smoking. Also stop taking any laxatives or fiber supplements, antacids, probiotics, and prokinetics, which affect your motility.
  • One day before: You’ll be asked to limit your diet to only low-fiber, easily digested foods. Specific recommendations may vary, but the diet often excludes oils and fats, sweeteners and seasonings, dairy products and grains, except for white bread and white rice. Baked or boiled fish or poultry with salt and pepper are safe bets.
  • On the day of the test: You’ll be asked to fast for 12 hours. That means no food or water. You’ll also be asked to avoid exercising or sleeping within a few hours of the test.