small intestinal bacterial overgrowth diet

Grace, E., Shaw, C., Whelan, K., & Andreyev, H. Is the cyclic nature of migrating motor complex dependent on the sleep cycle? Retrieved from Irritable bowel syndrome and small intestinal bacterial overgrowth: Meaningful association or unnecessary hype. Alimentary Pharmacology & Therapeutics, 45(5), 604–616. Systematic review with meta‐analysis: rifaximin is effective and safe for the treatment of small intestine bacterial overgrowth. W., Lombardo, L., Pimentel, M., D’Incà, R., … Cerda, E. Global Advances in Health and Medicine, 3(3), 16–24. Herbal Therapy Is Equivalent to Rifaximin for the Treatment of Small Intestinal Bacterial Overgrowth. Small intestinal bacterial overgrowth syndrome. Nutritional support is required in those with nutrient deficiencies, malnutrition and weight loss.īures, J., Cyrany, J., Kohoutova, D., Förstl, M., Rejchrt, S., Kvetina, J., … Kopacova, M. This may be an appropriate approach for those allergic to antibiotics or for those who don’t respond to them for treatment. It has been shown to normalize breath tests. The Elemental Diet is a physician-monitored liquid diet. Rifaximin is the most studied antibiotic for SIBO and may be the preferred option because it stays local to the small intestine and doesn’t disrupt the good bacteria in the colon. Multiple rounds of treatment may be necessary. There are numerous protocols a doctor may employ based on the outcome of the breath test, medical studies or clinical results in their own client population. The best results involve treating the root causes, if possible.ĭoctors may prescribe antibiotics and/or herbal antimicrobials along with other supplements such as fiber or probiotics. SIBO can be a relapsing condition because it’s a secondary condition. There are three main principles in treating SIBO: The root cause must be resolved or there is a high chance for reoccurrence. It’s important to note that SIBO is a result of one of the above conditions. It prevents retrograde movement of bacteria from the colon to the small intestine.

Ileocecal Valve Malfunction – This is the valve between the small intestine and the colon.

Conditions such as Parkinson’s, diabetes, pancreatitis and hypothyroidism.

The MMC is crucial to maintaining balanced gut bacteria populations. These are the muscles in the digestive tract that move food, bacteria and toxins down and out.

Poor Motility – Not to be confused with constipation, poor motility refers to the slow function of the migrating motor complex (MMC).

The overgrowth of bacteria that leads to SIBO can also cause digestive enzyme deficiency resulting in a never-ending cycle of poor digestive function. Also, damage to the small intestine caused by inflammation from food sensitivities, medications, toxins and chronic stress (via stress hormones) can cause lower production of digestive enzymes.

Digestive enzymes need stomach acid to activate, so once again, we see the need for stomach acid.

Bile deficiency can be caused by dysfunction of the gallbladder and/or liver.

Bile & Enzyme Deficiencies – They limit growth of bacteria in the small intestine.

Aging – As we grow older, we can produce lower levels of stomach acid.

Medications such as narcotic pain medications and proton pump inhibitors taken for conditions such as acid reflux, heartburn, GERD, LPR, ulcers, gastritis and for H.

Low stomach acid levels can raise gastric pH leading to an overgrowth of bacteria. Low Stomach Acid – Gastric acid in the stomach kills many bacteria before exiting the stomach.Anatomical Abnormalities – resulting from abdominal surgery such as adhesions or diverticula.It can occur when there is breakdown in one or more of your body’s innate mechanisms designed to keep bacteria from colonizing in the small intestine such as:

Small intestinal bacterial overgrowth diet