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SIBO: Small Intestinal Bacterial Overgrowth

SIBO is a condition in which colonic-type bacteria (resembling bacteria normally found in the colon) proliferate in large numbers in the small intestine.

Symptoms can include:

Abdominal pains - Cramps - Bloating - Gas - Nausea - Vomiting - Diarrhea - Constipation - Heartburn - Acne - Psoriasis - Eczema - Rosacea - Rashes

If you are experiencing any of the above symptoms, OR have been diagnosed with IBS, you need to know about SIBO.

Causes and risk factors:

Food poisoning (especially during foreign travel) - Exposure to contaminated water - Pathogens - Previous surgery involving the small intestine - Medications including antibiotics and pain relievers - Conditions that reduce gut mobility - Other health conditions such as Celiac Disease.

Associated Conditions:

SIBO has been associated with, but is not limited to, conditions such as:

Malnutrition - Vitamin B12 Deficiency - Liver Disease - Pancreatic Insufficiency - Anemia - Diabetes - Crohn's Disease - Poor absorption of fat - Osteoporosis - Rheumatoid Arthritis - Fibromyalgia - Hypothyroidism - Rosacea - Kidney Stones - Damage to Intestinal Lining

How is SIBO Diagnosed and Treated:

The best method of diagnosis, based on clinical trials, is a fasted Lactulose breath test done over a 3 hour period. The test requires a 1-2 day preparatory diet to remove much of the food that feeds the bacteria, allowing for a clear reaction to the sugar solution (lactulose).

Treatment can include antibiotics, supplements and diet modification.

If you are concerned about SIBO or if you are experiencing any of the symptoms, book your Naturopathic appointment today.


Performance Integrated Health - serving South Surrey, BC White Rock, BC and surrounding areas is an integrated healthcare clinic, emphasizing preventative medicine and individualized care. We first opened our doors in 2006, and moved into our current location in July 2014. Our team includes three Chiropractors, three Physiotherapists, fifteen Registered Massage Therapists, two Naturopathic Physicians, and a Registered Acupuncturist.

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