Understanding Small Intestinal Bowel Overgrowth (SIBO)

Small Intestinal Bowel Overgrowth, commonly known as SIBO, occurs when there is an abnormal increase in the number of bacteria in the small intestine. While bacteria are essential for a healthy gut, their overgrowth in the small intestine can lead to various digestive problems. Normally, the small intestine has fewer bacteria compared to the large intestine. However, when these microorganisms proliferate excessively in the small intestine, they interfere with normal digestion and absorption of nutrients.

Causes of SIBO

Several factors can contribute to the development of SIBO, including:

1. Motility Disorders: Conditions like irritable bowel syndrome (IBS) and diabetes can slow down gut motility, allowing bacteria to accumulate.
2. Structural Abnormalities: Surgery, diverticula, or strictures can create pockets where bacteria can grow.
3. Low Stomach Acid: Adequate stomach acid is crucial for controlling bacterial populations. Reduced stomach acid can increase the risk of SIBO.
4. Immune System Disorders: A weakened immune system can impair the body's ability to control bacterial growth.

Symptoms of SIBO

SIBO can manifest through a range of gastrointestinal and systemic symptoms, including:

• Bloating and Gas: Excessive bacterial fermentation produces gas, leading to bloating.
• Abdominal Pain: Persistent discomfort or pain in the abdomen.
• Diarrhea or Constipation: Disruption of normal bowel movements.
• Nutrient Deficiencies: Poor absorption of nutrients, leading to deficiencies, especially of fat-soluble vitamins and vitamin B12.
• Fatigue: Systemic fatigue due to nutrient malabsorption and inflammation.

Integrative Approaches to Treating SIBO

Functional medicine offers a holistic approach to managing SIBO, focusing on the root causes and overall well-being.

1. Dietary Modifications: Specific diets, such as the low FODMAP diet, can help reduce symptoms by limiting fermentable carbohydrates that bacteria feed on.
2. Probiotics and Prebiotics: Carefully selected probiotics can help restore a healthy balance of gut bacteria, while prebiotics nourish beneficial bacteria.
3. Nutritional Support: Addressing nutrient deficiencies through supplements and diet is crucial for overall health.
4. Lifestyle Changes: Stress management, regular exercise, and adequate sleep support overall digestive health and immune function.

Diagnosis and Treatment 

SIBO is a complex condition that requires a nuanced approach for effective management. If you suspect you have SIBO or are struggling with persistent digestive issues, make an an appointment for an evaluation. Taking a proactive approach can help manage symptoms, improve quality of life, and restore balance to your digestive system.

To schedule an appointment call 732-280-2727 or fill out the New Patient Packet.