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Doctor insights on: What Is The Best Treatment For Bacterial Overgrowth Of Small Intestine

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How long does it usually take to be cured with sibo? (small intestinal bacterial overgrowth)

How long does it usually take to be cured with sibo? (small intestinal bacterial overgrowth)

Maybe temporary fix: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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I have been diagnosed with small intestine bacterial overgrowth (sibo) for the third time. What other things should I be doing besides rimaximin?

I have been diagnosed with small intestine bacterial overgrowth (sibo) for the third time. What other things should I be doing besides rimaximin?

Consider probiotics: Why the sibo? Had surgery? Taking ppis for acid ? Got funny anatomy, like small bowel diverticula? Consider probiotics such as s. Boulardii, probiotics in food, such as yogurt, kefir, tempeh, miso. ...Read more

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Is small intestine bacteria overgrowth a cause of ibs?

Is small intestine bacteria overgrowth a cause of ibs?

In some cases...: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). Xifaxan (rifaximin) is also helpful for c.Difficile in appropriate dose ; settings. ...Read more

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Describe the features of small intestine bacterial overgrowth.?

Dysmotility: Agree with excellent answer by dr. Hoepfner. Also, some motility problems of the small intestine can lead to bacterial overgrowth (ie. Scleroderma). ...Read more

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Small intestine bacteria overgrowth. Is this serious? How is it treated

Small intestine bacteria overgrowth. Is this serious? How is it treated

Don't understand: I'm not sure what your question is referring to or how this was even diagnosed. Everyone has bacteria in their intestines--it is completely normal. Sometimes the composition and relative amounts can change after antibiotics or certain foods but there is no such thing as "bacterial overgrowth" despite many labs saying they will test you for it. ...Read more

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How to treat small intestine bacterial overgrowth?

How to treat small intestine bacterial overgrowth?

Well: Probiotics Or AvtiviA type yogurt can help.healthtap or primary care doctor visit for specific diagnosis and treatment ...Read more

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What are investigations to find small bowel bacterial overgrowth and available treatment methods?

What are investigations to find small bowel bacterial overgrowth and available treatment methods?

Get GI doc to help: Stool cultures and stool analysis, along with EGD endoscopy can pinpoint problems in the small bowel to find out if overgrowth is an issue, along with a detailed history of you eating and drooling, GI -related signs and symptoms. If you don't feel you are getting good advice from your GI, maybe you should seek s consultation on HealthTap ! ...Read more

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What is the best probiotic to use for small intestinal bacterial overgrowth?

What is the best probiotic to use for small intestinal bacterial overgrowth?

Not expired ones: There are many good brands and blends of probiotic cultures that may be recommended by your GI or primary doctor. My patients like the align brand for the gastrointestinal tract. Just don't buy expired probiotics and if they are supposed to be refrigerated, make sure they are. ...Read more

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Best antimicrobials for small intestinal bacterial overgrowth?

Best antimicrobials for small intestinal bacterial overgrowth?

Maybe temporary fix: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). ...Read more

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Could someone please list all the vitamins that may get depleted in the body by bacterial overgrowth in small intestines?

SBO: The major issue is with B-12 which is absorbed in the last part of the small bowel, and patients may then develop a megaloblastic anemia with large red blood cells. In older adults, small bowel bacterial overgrowth is associated with a higher frequency of diarrhea, a lower body mass index, and a significantly lower serum albumin concentration. Not aware of other vitamins lost thru this. ...Read more

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Can small intestine bacteria overgrowth cause headaches? What are other symptoms?

See Integrative Dr.: Sibo can cause many things. The best bet is to consult with an integrative physician, who specializes in this near you. You had an appendectomy in the past, so this also plays into your equation. Let them go over your entire medical, surgical, trauma, stress history to give you the best answer on this. This is not a simple question. However you will get many good answers from your consult with the integrative doctor. ...Read more

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Does small intestine bacterial overgrowth cause stomach rumbling, above average flatulence, foul smelling flatulence, and bloating? I Have Crohn's.

Does small intestine bacterial overgrowth cause stomach rumbling, above average flatulence, foul smelling flatulence, and bloating? I Have Crohn's.

Sure, but...: ...so could your Crohn's. Best get checked, since there are ways to distinguish & treat the two possibilities mentioned, most importantly if your symptoms represent an early Crohn's flare. ...Read more

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Does ileitis (inflamed and thickened walls) cause liquid (pus) outside the small intestine? Can the latter carry bacteria? Thanks

Does ileitis (inflamed and thickened walls) cause liquid (pus) outside the small intestine? Can the latter carry bacteria? Thanks

Yes: Ileitis also called Crohn Disease is associated with mucosal inflammation and in some cases abscess formation. You can sometimes expect rectal seepage that can contain bacteria. I hope you are under the care of a gastroenterologist as this can turn out to be more than a simple illness. ...Read more

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Is it advisable to take probiotics if you have sibo (small intestinal bacterial overgrowth)?

Is it advisable to take probiotics if you have sibo (small intestinal bacterial overgrowth)?

Yes: It can help by filling your intestine with healthy bacteria. The healthy bacteria can crowd out the bad bacteria and improve your digestive well being. ...Read more

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If a person has sibo (small intestinal bacterial overgrowth) is it okay to eat popcorn or rice?

SIBO: With small intestinal bowel overgrowth, you want nutrients that are quickly absorbed, leaving less for any bacteria to consume. A low carb, high fat and high protein diet is best in this case. Popcorn and white rice would fall outside this category -- and are best avoided while your gut is healing. http://www.siboinfo.com/diet.html. ...Read more

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What blood test would reveal small bacteria overgrowh in the intestines? What are the symptoms and causes?

What blood test would reveal small bacteria overgrowh in the intestines? What are the symptoms and causes?

Folate (folic acid): Agree with dr. Larsh. Bacterial overgrowth can also cause abnormally high serum folate (folic acid) levels in the absence of supplement use, along with low vitamin B12 levels. Bacterial fermentation increases the folate (folic acid), and they compete for the b12. Bacterial overgrowth can be confirmed with breath hydrogen testing after lactulose (poorly digestible carbohydrate) load. ...Read more

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Why are there different prep instructions before having a sibo small intestinal bacterial overgrowth test? Can I have Ensure shakes a few days before

Prep instructions.: You have heard the saying "there are different ways to skin a cat." Different doctors have found different preps that have worked for them or that they have learned in their truing programs. I would says if it says you can have Ensure then yes. Otherwise unless you call and receive permission then no. Sometimes the littlest changes in preparation can ruin the test. ...Read more

Dr. Harinder Gill
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Small Intestine (Definition)

The small intestine is the intestinal tract that lies between the stomach and the colon. It is involved in digesting and absorbing most of the nutrients we need ...Read more


Bacteria (Definition)

Are omnipresent single celled organisms which are the both the simplest form of life and the original form of life on earth. The are ...Read more