Small Intestinal Bacterial Overgrowth (SIBO) is very common and is defined as an increased number and/or abnormal type of bacteria in the small intestine. While bacteria are normally found in huge numbers in the large intestine, what is unique about SIBO is that these bacteria move from the colon and colonise the small intestine, a region that should contain very limited numbers of bacteria.
Because these bacteria are supposed to be in the colon, they are mostly species that ferment carbohydrates into hydrogen gas or archaea (not technically bacteria) that produce methane gas. While both types will usually result in abdominal bloating and distention, SIBO sufferers are usually divided into one of three different categories; diarrhoea-dominant (D), constipation-dominant (C) or alternating variations of both. SIBO is becoming increasingly resistant to antibacterial drugs as a result of over-usage and recent studies show them as being only 50% effective and relapses of SIBO infection is also at 50%. Herbal anti-microbials seem to offer a curve-ball to the infections by their shear potency and wide variety of complex molecules devised by nature over millions of years, which can outwit SIBO just when you need it to.
SIBO Symptoms and The IBS Connection
When unwanted bacteria begin feasting on your intestinal lining in the small intestines, the result is often leaky gut disease, an increased permeability of said lining. The byproduct of leaky gut disease, where larger food particles (instead of just essential nutrients) seep into the bloodstream, is often food sensitivities and autoimmunity.
Though you can have leaky gut, food sensitivities, and an autoimmune disease without SIBO, it is not unusual for it to be a root cause. For example, according to one study published in the American Journal of Gastroenterology , 66 percent of patients with celiac disease who maintained a gluten-free diet, and still had unfortunate symptoms, tested positive for small intestine bacterial overgrowth.
Some of these unfortunate symptoms that point specifically to SIBO include: bloating, gas, burping, reflux and other discomfort after meals. Constipation and diarrhea are common, though usually you only go down one of those lanes.
The reason for the distended belly is because of all the gases the bacteria release when they eat. Your small intestine was not designed to withstand the build-up, and the gases tend to get trapped, or released anyway they can through reflux and burping, or out the other end. You can also experience nausea from slowed stomach emptying due to the traffic jam.
If the miscellaneous gastro symptoms just described sound like the usual description for IBS, you’re right. The problem with diagnoses of IBS—the most common gastro “syndrome” in the world—is that they are usually BS. It’s meant to be a diagnosis of exclusion, only reached when all other possibilities are ruled out. A collection of symptoms, not a root cause.
These nutraceuticals are merciless on SIBO whilst being gentle on your gut. There are 3 types of SIBO presentments , there is also a higher prevalence ratio of women to men 2:1.
The 2nd type is SIBO-D which is characterised by IBS , Diarrhoea and is a Hydrogen dominant gas which tends to result in poor nutrition, weight loss and low iron and B12 vitamin. For this type we have SIBOHIB-D™ which comprises just 5 herbs.
The 3rd type is SIBO H2S
We have developed gentle nutraceuticals SIBOHIB-D™, SIBOHIB-C™ . Use SIBOHIB-C™ for SIBO H2S, this map shows… Click Image to enlarge.
The migrating motor complex is critically important for enabling peristalsis, the smooth muscle contractions of the intestines that propel its contents along, and avoiding stagnancy within the small intestine. A disruption to the migrating motor complex, or fatty liver encourages bacterial overgrowth and prevents excess bacteria from being cleared out of the small intestine. This is the reason why SIBO protocols often include motility agents, or advice to space meals 4-5 hours apart.
What Causes SIBO?
So if SIBO is an underlying cause of IBS, leaky gut, and autoimmune disease, what is the underlying cause of this bacterial overgrowth? Diet certainly affects the balance of bacteria in our bodies. But one of our internal functions must go haywire in order for our bacteria to enter the small intestines and become trapped there.
Contrary to what some may think, the migration of bacteria from the colon doesn’t just happen. The small intestine is its own organ with a front and back door–completely separate chambers from the large intestine by a valve called the illeocecal valve.
Which means the problem must occur earlier on in the digestive process. On the front end, the main culprit to explore is low stomach acid, usually a result of popping one too many Heartburn drugs such as Prilosec, Prevacid , Zegerid or other Proton Pump Inhibitors in one’s lifetime.
Your stomach acid is very necessary for maintaining gut health, preventing food poisoning, and generally, making sure that outside bacteria get killed before making their way into the small intestine, it’s essential that stomach acid is maintained high. This can be done with Lemon water, Salt water or using Apple Cider Vinegar or Digestive Bitters before meals
But even if some unwanted bacteria get through that initial hurdle, our migrating motor complex (MMC) should ensure that it gets pushed down and out. This internal function also protects against back flow from the large intestine. Which is why Dr. Allison Siebecker, who’s arguably one of the world’s leading experts on SIBO, believes that the root cause of SIBO centers around the malfunction of the MMC. The question, as she puts it, is why aren’t the bacteria being removed, not why are they there.
The Root Cause of the Root Cause: Why the MMC Goes Haywire
The Migrating Motor Complex (MMC) only activates during a fasting state, between meals and overnight, and relies on your immune cells to kick it into gear. The most common cause of low MMC function is food poisoning, also known as post-infectious IBS. When harmful bacteria enter the small intestine (often as a result of low stomach acid) they release a toxin that kills the immune cells that trigger your MMC.
Often times you’ll feel better from food poisoning a day or two later. The deeper symptoms related to the MMC may take months to arise, which is why doctors don’t always link it to SIBO. The second cause is structural—a kinking of the intestines (blind loop syndrome), an impasse or strictures from abdominal surgeries (hernia, C-section, appendectomy, endometriosis, etc.), or other organs pressing on it.
Finally, another important cause: hypothyroidism can slow the migrating motor complex. There’s still a little ambiguity regarding the connection, but several studies have chronicled the link between sibo and hypothyroidism. And the most common GI complaint among low functioning thyroid sufferers is constipation, a result of slowed motility.
It’s worth noting that most people experience constipation when the MMC is not functioning properly, but you can have poor motility in the small intestine and still experience diarrhea if there’s fast motility in the large intestine.
STEPS TO ERADICATE SIBO
1. Remove SIBO Food (Grain-carbs, Fruit, Sugars, Legumes)
Go Healthy Fat & Protein, Low FODMAP diet may be helpful.
2. Remove SIBO Overgrowth (PATHOGEST™ + SIBOHIB-C™ or SIBOHIB-D™)
Taken in between meals, 30 mins between each.
5. Repair Root Causes (Heal MMC, Fatty Liver, Insulin Resistance, Low Bile)
MMC must restart to prevent re-ocurrance (avoid snacking). Use Digestive Bitters, low carb/no sugar keto diet, GALL AID™ to improve stomach acid & bile.
6. Relapse Prevention (Avoid snacking between meals, banish grains, sugar)
Go Healthy Fats, Protein & Leafy Greens, use ACV or Bitters before meals.
IF SIBO-H2S: AVOID: Garlic, Eggs, Kale, Broccoli, Onions, Asparagus, INCLUDE: Low Sulfur Foods: Rice, Potatoes, Fish, Carrots, Celery, Mushrooms, Squash, Ginger, Small portions of fruit, Lots of other foods that are lower in sulfur. Supplement Molybdenum.
Most carbs in your diet are best avoided if you have SIBO.
Starch – grains, beans, high starch vegetables, Resistant starch – whole grains, seeds, legumes, Soluble fibre – grains, beans, nuts, seeds, vegetables, fruit, Sugar – fruit, dairy, sweeteners, Prebiotics – beans, vegetables, roots, herbs, prebiotic supplements. Proteins and fats are your friend at this point and make up the majority of the diet designed to limit SIBO symptoms.
Please always consult with your health professional for the most appropriate to your situation.
You can download the Digestive Help Info Pack containing the 4 x Recipe PDF’s Here: (Low FODMAP, Anti-Histamine, GAPS & Ketogenic Diet Recipes PDF)
Proprietory formula containing:
Neem Leaves (Azadirachta Indica)
Horse Chestnut Extract (seed) 20% Aescin
Quebracho Bark Extract (Schinopsis lorentzii)
Garlic , Peppermint Leaf 5:1 Extract & Calendula (flower)
Proprietory formula containing:
Neem Leaves (Azadirachta Indica)
Coptis Chinensis (Berberine)
Rheum Palmitum (Indian Rhubarb)
Artemesia Annua Extract, Peppermint Leaf 5:1 Extract
Take 2 capsules per day up to 3 x per day with food, but start with 1 capsule per meal first to determine any sensitivities, then build up over a few days. If nausea occurs, back off for a day or so, this will be die-off symptoms. For occasional sufferers take SIBOHIB™ just before eating known trigger foods which cause bloating. For maintenance dosage, take 3 capsules daily until relief from symptoms is realised. After a few days of usage, it would be beneficial to take some charcoal to clear up the die-off bacteria. Best Used after taking PATHOGEST™ to dissolve the protective biofilms which are hiding SIBO, you will then need to use either SIBOHIB-C™ if you have regular symptoms of Constipation, or SIBOHIB-D™ if you have symptoms of Diarrhoea. This is normally a 30 day course, but sometimes can take 60 days.
Eliminating SIBO’s preferred foods and following the relapse advice in our Summer Catalogue (page 26) is essential for long-term success.
Quality Assurance Declaration
Werone.co endeavors to use the most potent source materials within our formulas. Our herbal extracts are sourced and tested by the only Government-certified large scale producer of crude herb (powder-free) TCM concentrates in Asia who manufacture to GMP / ISO 9001/2000 pharmaceutical grade and also operate an ISO17025/TAF-certified laboratory where they subject all plant extracts to strict quality inspections free from heavy metals, pesticides or microbes before release to the clinics all over the world. The formulas and tinctures are assembled without fillers in small batches by a BHMA member herbal dispensary.
Nutraceutical DisclaimerThese statements have not been evaluated by the Food and Drug Administration or MHRA and the items are not intended to diagnose, treat, cure, or prevent any disease nor are they associated, endorsed, affiliated or sponsored by Anthony William or Medical Medium® or Joe Tippens.