START A PETITION 25,136,189 members: the world's largest community for good
START A PETITION
x

How to Avoid Small Intestinal Bacteria Overgrowth (SIBO)

How to Avoid Small Intestinal Bacteria Overgrowth (SIBO)

Small Intestinal Bacteria Overgrowth, or SIBO, occurs when the bacteria in our gut gets out of balance. Bacterial overgrowth is an often-neglected disorder that can severely impact nutritional status and quality of life. Symptoms may include nausea, bloating, vomiting, diarrhea, malnutrition, weight loss and malabsorption.

SIBO is often a secondary illness that occurs because the intestine has in some way been damaged by another disease, so it is important to keep chronic diseases properly treated and under control as best as possible. Some people with SIBO may be misdiagnosed with IBS, and may have developed other chronic diseases like fibromyalgia, chronic fatigue syndrome, diabetes, neuromuscular disorders and autoimmune diseases. SIBO overlaps with irritable bowel syndrome patients quite a bit (affecting somewhere between 30 and 85%), but it’s not known how common it is in the general population.

Food intolerances like gluten, casein, lactose, fructose and others may also indicate a case of SIBO. Illnesses and diseases that affect the body’s defense mechanism can put a person at risk for SIBO. The majority of people develop SIBO however, because of an intestinal motility (movement of food quickly along from small intestine to large intestine) problem. These may include complications from gastric bypass surgery, bowel strictures and adhesions that can lead to intermittent bowel obstructions, diverticula or outpouchings of the small intestine, and tumors. Bowel motility can be also affected by neurologic diseases like Parkinson’s, and people with diabetes with autonomic dysfunction (nerve damage) may also develop dysmotility.

SIBO is sometimes treated with an elemental diet or antibiotics, which may be given in a cyclic fashion to prevent tolerance to the antibiotics. This is  sometimes followed by prokinetic drugs to prevent recurrence if dysmotility is a suspected cause. The Elemental diet consists of foods that are essentially “predigested.” Gerard Mullin, M.D., an integrative gastroenterologist at Johns Hopkins Medical Center in Baltimore, prefers to treat the condition with oregano oil, wild garlic and berberine (the active constituent of Oregon grape root and other plants used as GI remedies), which can help reduce the excess bacterial growth. Dr. Mullin goes into more detail in his book The Inside Tract.

If you think you might have SIBO, let food be thy medicine! A diet low in carbohydrates and free of refined flours, sugars and alcohol is your best bet to keeping your gut healthy. Add in some probiotics to help build up the good bacteria too. Medium chain triglycerides like the ones found in coconut oil are often recommended for people with bacterial overgrowth or any type of malabsorption. Getting adequate nutritional, correcting nutrient deficiencies (particularly B12 and fat-soluble vitamins), and maximizing adequate digestion to avoid overfeeding the microbes are key to maintaining gut health. Three to five hours between eating to allow the body’s cleansing actions to kick in may also prove helpful.

For people that have SIBO, prevention of recurrence is generally a multi step approach, which may utilize one of a few dietary approaches. These all seek to feed the person but starve the bacteria which primarily eat carbohydrates. The only carbohydrate that bacteria do not eat much of is insoluble fiber. Some established SIBO diets are the Specific Carbohydrate Diet (SCD) which eliminates all grains, dairy products, processed sugars and canned vegetables, and the Gut and Psychology Syndrome Diet (Gaps Diet). Researchers suggest that following these diets may help protect the body against developing SIBO in the first place.

Following the GAPS Diet, which is used as part of a treatment protocol for SIBO, may be helpful. This one page sheet shows which foods are allowed and which should be avoided. Beware, the foods to avoid list contains many of your favorite foods that are considered healthy.

On any SIBO prevention diet, you’ll want to avoid “fermentable foods” which basically are foods that can begin fermenting in the gut if they’re not moved along quickly enough. These include:

  • Starch-  grains, beans, starchy vegetables
  • Resistant Starch- whole grains, seeds, legumes
  • Soluble Fiber-  some grains, beans, nuts/seeds, vegetables, fruit
  • Sugar-  some fruit, sweeteners
  • Prebiotics- inulin, FOS, MOS, GOS, arabinogalactan found in agave, some beans, vegetables, roots/herbs, supplements

One more tip-ditch the Splenda. Splenda has been shown to reduce beneficial gut bacteria in animal studies and increase fecal pH, so eliminating this sweetener from the diet may also be useful.

You can follow me on Twitter @Visionary_Guide and like me on Facebook at Visionary Lifestyle or visit my website and please consider joining my mailing list to receive more health tips and recipes.

 

Read more: Colitis, Crohn's & IBS, Conditions, Diet & Nutrition, Eating for Health, Food, General Health, Health, , , ,

have you shared this story yet?

go ahead, give it a little love

Magda Rod

Magda Freedom Rod is a yogini and health & lifestyle guide based in Los Angeles. She writes about health & wellness and offers guidance for a sustainable lifestyle. Learn more on her website Visionary-Lifestyle.com.

49 comments

+ add your own
10:44PM PDT on Jun 27, 2014

Something else to worry about

4:41PM PDT on Jun 22, 2014

Thanks

4:29AM PDT on Jun 14, 2014

Eat, get moving and rest well

9:54PM PDT on Jun 13, 2014

thanks for sharing

8:42PM PDT on Jun 13, 2014

Thank you

8:02PM PDT on Jun 13, 2014

A friend of my wife's a world class hypochondriac.

If she were to read this, I guarantee you she'd be suffering from it inside of two days.

7:50PM PDT on Jun 13, 2014

Too many people who have bypass surgery for losing weight are never told the consequences of the surgery. Losing weight is good but the malabsorption problems sometimes never go away. Supplementation becomes a way of life. Think twice before having bariatric surgery.

6:55PM PDT on Jun 13, 2014

Great article...I've read that GAPS is only supposed to be for short term therapeutic use even by the original creator. Just some food for thought as it is a very restrictive diet for the reason of starving bad bacteria but if done for too long eventually you can be starving beneficial bacteria as well.

6:47PM PDT on Jun 13, 2014

U know, Im really sick & tired of all these articles saying what we should & should not eat for 1 damned reason or another! Then some days later another article comes out saying the very OPPOSITE of what the last article says! Im not gona read anymore of these things about food!

6:13PM PDT on Jun 13, 2014

Thank you

add your comment



Disclaimer: The views expressed above are solely those of the author and may not reflect those of
Care2, Inc., its employees or advertisers.

people are talking

Another thing that is bad for us!!!!! Didn't do our parents/grandparents any harm and they drank a l…

Great recipes and beautiful pictures. Going to check out the blog!

TY

Sounds wonderful. I am wondering about the nutritional breakdowns.

Mary L. Mary L.
on Love Bars
12 minutes ago
Story idea? Want to blog? Contact the editors!



Select names from your address book   |   Help
   

We hate spam. We do not sell or share the email addresses you provide.