Usually antibiotic treatment for SIBO is a short course for 1-2 weeks. Most patients with SIBO require treatment with antibiotics to reduce the amount of extra bacteria. If a patient with severe SIBO is losing weight or has nutrient deficiency, vitamin supplementation is important. It is not recommended to follow this diet long-term, however. A high fat, low carbohydrate, low fiber diet can help decrease SIBO, as carbohydrates and fiber take longer to absorb, which creates a nutrient-rich environment for the bacteria to thrive. If there is an associated disease that may be contributing to the SIBO, treatment of the underlying disease can help. SIBO treatment often uses antibiotic therapy with Rifaximin, or a combination of Rifaximin and another antibiotic (often Flagyl or Neomycin), which reduces. If you have SIBO, you may notice a number of symptoms including:īloating (a feeling of uncomfortable fullness or visible distension of your abdomen) A lactulose breath test can help identify SIBO. Other conditions that are associated with SIBO are short bowel syndrome, chronic pancreatitis, intestinal fistula, immunodeficiency, obesity, and liver disease. Gut flora is influenced by external factors such as genetics, diet, medications, geography, stress, lifestyle, and alcohol use. Nerve or muscle damage, scarring, abnormalities in the intestinal lining, and certain medications can all affect the small bowel in this way. Bacteria can accumulate in the small intestine if there is damage from inflammation or any obstruction that prevents food from being moved through the intestine with ease.
Unlike the colon, which should contain a lot of highly active bacteria, a healthy small intestine is not heavily colonized. Small intestine bacterial overgrowth (SIBO) is a dysfunction of the small bowel that allows bacteria to proliferate above normal levels.
What is Small Bowel Bacterial Overgrowth?
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