Small Intestinal Bacterial Overgrowth (SIBO) is a condition where an abnormal number of bacteria grow in the small intestine. Under normal circumstances, the small intestine has a low concentration of bacteria, primarily maintained by stomach acid and the natural movement of the gut, known as peristalsis. However, when these mechanisms are disrupted, bacterial overgrowth can occur, leading to digestive disturbances and a range of symptoms. If left untreated, SIBO can cause malabsorption of vital nutrients, potentially leading to deficiencies and other gastrointestinal complications.

Identifying SIBO: Key Steps to Follow

Step 1: Recognising the Symptoms

To effectively manage SIBO, it’s crucial to recognize the common symptoms that may indicate its presence:

• Bloating, gas, or abdominal discomfort
• Diarrhea or constipation
• Nausea after eating
• Unexplained weight loss or fatigue
• Food intolerances (e.g., lactose, gluten)
• Nutritional deficiencies due to impaired nutrient absorption

In addition to these symptoms, your medical history can provide important clues. A recent diagnosis of IBS, gastrointestinal infections (e.g., food poisoning), or prolonged antibiotic use may increase the risk of developing SIBO. Other factors such as chronic stress or autoimmune conditions can also contribute, as well as the frequent use of proton pump inhibitors (PPIs), which reduce stomach acid and can promote bacterial growth in the small intestine.

Step 2: Assessing Risk Factors

Certain lifestyle factors can increase the risk of SIBO. These include:

• Diet high in sugars and processed foods
• Chronic stress, poor sleep, and sedentary behaviour
• Excessive alcohol consumption, smoking, and frequent use of medications (e.g., PPIs)

If you identify any of these risk factors, it’s important to take proactive steps to reduce their impact on your digestive health.

Step 3: Recommendations for Managing SIBO

Once you’ve identified symptoms and assessed your risk, there are several strategies you can implement to manage SIBO:

• Eliminate refined carbohydrates, sugars, and alcohol from your diet, as they can fuel bacterial overgrowth.
• Prioritise stress management and ensure you’re getting enough quality sleep.
• Probiotics: Choose probiotic supplements carefully, as some strains may worsen SIBO symptoms. For example, Activated Probiotics Biome Advanced contains strains like L. rhamnosus GG (which supports peristalsis) and L. plantarum 6595 (which works higher up in the GI tract).
• Meal Timing: Follow a structured meal schedule to help regulate digestion.
• SI Complex: A course of SI Complex may help restore balance in the gut.
• Glutamine: This supplement can help repair and heal the intestinal lining, improving gut health.
• Soluble fibre: Incorporating foods like avocado, chia seeds, flaxseeds, psyllium husk, and berries can support digestion without exacerbating SIBO symptoms.

Always consult with a healthcare professional before introducing new supplements or making significant changes to your diet.

By identifying SIBO early and addressing both the symptoms and risk factors, you can significantly improve your digestive health and overall well-being.

For more information on SIBO management and effective supplements, email support@astonrx.com or request assistance via your program forum.