The 6 Step SIBO Treatment Plan
Step 1: Get Tested for SIBOThe results from your SIBO test tell so much more than just the positive or negative result and this is what helps me come up with an individualised treatment plan. As the breath test is conducted over a 3 hour period (see my previous article for more details on SIBO Testing) at intervals of 20 minutes, the results are fairly specific to where in the small intestines the SIBO is present.
Step 2: Clean Up Your DietThe first step of SIBO Treatment is the diet. If I suspect someone has SIBO I'll refer them for the lactulose breath test and we'll start work cleaning up the diet before we get the results. I use various elimination diets, depending on the symptoms the client has, to identify their food triggers. This usually results in a reduction in symptoms before we even get the results.
- Low FODMAPs
- Specific Carbohydrate Diet
- GAPs Diet
- The Fast Tract Diet
Step 3: Implement SIBO Supplement Plan
Step 4: Address Leaky Gut and Reintroduction of Foods
Step 5: Rebalancing Gut MicrofloraStep four of SIBO treatment is rebalancing the gut's microflora. Keeping some of the processed and refined sugar from the diet and introducing some fermented foods (only once SIBO has been treated) can help create digestive balance and keep digestive symptoms away for the long term. It's also important to assess the quality of your digestion and address the need for digestive enzymes and the stimulation of stomach acid if relevant.
Step 6: Support the Migrating Motor Complex (MMC)
The final step in dealing with SIBO is to support the migrating motor complex (MMC). Sometimes treating the SIBO and rebalancing the microflora may be enough, but for others it's vital to make sure you have a healthy MMC using prokinetic supplements, allowing sufficient time between eating for the MMC to work properly and a combination of probiotics that help with motility.
Addressing Other Issues
For lots of SIBO sufferers SIBO isn't their only complication. Sometimes we have to look for potential issues in the large intestine as well and rebalance the good bugs and bad bugs through diet and supplements. Doing a CDSA (Complete Digestive Stool analysis) gives us this part of the equation. It isn't necessary for all SIBO clients but for those with long standing and more serious symptoms it helps identify what else may be going on. They may also have:
- Parasites: blastocystis hominis, giardia, cryptosporidium
- Chronic GI infections - clostridium difficile, h. pylori
- Fungal or yeast overgrowth - candida
It is important to address the diet, the herbal antibiotics, balancing the microflora and the healing of the leaky gut to help prevent recurrence. If you choose to treat SIBO with antibiotics it is recommended you still address dietary changes, healing a leaky gut and rebalancing the microflora or the rate or recurrence can be high. Most people see dramatic improvement within the first few weeks, however some do take longer and we need to keep digging for other contributing factors. The MTHFR gene variant can be relevant in more complex cases that don't respond as we'd expect to standard treatment, however we can test for this as well.
Where To From Here...
If you’d like to find out more about testing and treatment options for SIBO and IBS or digestive symptoms then please book in for a free nutrition
strategy session so I can go over your options.
Or simply call me on my mobile - 0423 761 247 and I'll call you back as soon as I'm free.