– A healthy and diverse gut bacteria, is important for health, however, an overgrowth of this bacteria, in the small intestine, known as SIBO, can cause serious problems. This video takes a look at SIBO, and with the dietary changes, can help. Small intestinal bacterial
overgrowth, or SIBO, is a digestive disorder characterized by excessive bacterial growth
in the small intestine. Now, unlike the large
intestine, also known as the gut or colon, which
contains your gut bacteria, the small intestine should not contain a high concentration of bacteria. Many SIBO patients experience
different symptoms. The most common ones are
fatigue, nausea and vomiting, bloating and diarrhea, and it can even lead to malnutrition, and severe weight loss. Left unmanaged for several months, SIBO usually causes several vitamin and mineral deficiencies. Vitamin B12 deficiency is
one of the most common, alongside the fat-soluble vitamins and mineral deficiencies, such as Iron, Calcium and Magnesium. It reportedly takes
between two to five years for SIBO to be completely corrected. This is why diet is one of
the most important aspects for sustainable SIBO treatment. Unfortunately, this is overlooked by the majority of Medical Professionals. An appropriate diet not
only treats SIBO-related nutrient deficiencies,
but can also help prevent recurrence of SIBO after initial symptoms are treated with Antibiotics. Priority should go to nutrient-dense foods rich in vitamins and minerals. Foods like leafy greens, potatoes, eggs, salmon and tuna, and shellfish should be a regular feature in your diet. With regards to preventing a recurrence, there’s some interesting research around intentionally
altering our gut bacteria. SIBO shares almost all
the same symptoms as IBS, or Irritable Bowel Syndrome. In fact studies show,
that between 30 to 85% of patients with IBS, also have SIBO. Due to this strong overlap,
researchers suspect a low FODMAP diet may be beneficial for SIBO patients too, as it would starve the problem bacteria
in the small intestine. FODMAPs are a type of fermentable carb, that feed gut bacteria and cause digestive issues in a lot of people. So a low FODMAP diet may help initially, by starving the bacteria in the gut but, it’s so restrictive that it’s not a valid long-term solution. Now, there’s also been
some interesting research on Probiotics in SIBO. So Probiotics are bacteria
we intentionally eat for health benefits. They are the opposite of Antibiotics. It’s seems counterintuitive to treat SIBO, a bacterial overgrowth,
with additional bacteria, but recent research has seen success, using Probiotics instead of Antibiotics. One study found that 82% of patients receiving Probiotics for five days, reported improvements, compared to only a 52% improvement in those receiving the Antibiotic, metronidazol. However, to be fair, some research found no significant benefits, and it’s really unclear what
Probiotic strains are best, so until we know more,
Antibiotics may still be required, especially for more advanced cases. Unfortunately, there is no single diet, guaranteed to treat SIBO 100% effectively, therefore, it’s important
to explore all the different options and alternatives, and find what works for you. From the weight of
evidence, it seems that, a one-week course of
Antibiotics is warranted first, followed by a temporary low FODMAP Diet, but ensuring that you don’t
starve all the bacteria. And then you could also supplement with some Probiotics, to
see how that works for you, and of course, you must be
eating nutrient-dense foods every day, to ensure
that you’re not at risk, for nutritional deficiencies. And of course, this all needs to be done, under the supervision of
your Doctor, or Dietitian. Thanks for watching. If you found this video informative, please give it a thumbs up, and you can also leave a comment, if you have any questions, and be sure to click the
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