How to reduce small intestinal bacterial overgrowth (SIBO)

Reducing Small Intestinal Bacterial Overgrowth (SIBO) involves a combination of dietary changes, medication, and sometimes natural remedies, along with working closely with a healthcare practitioner.

1. Dietary Changes: A low-FODMAP diet is often recommended to help reduce the symptoms of SIBO by limiting fermentable carbohydrates that feed bacteria. Incorporating intermittent fasting can also help by reducing stress on the gut and assisting in recalibrating gut microbiota 1 2 3.

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     1

     Restoring Gut Balance

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     2

     Gut Health Strategies

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     SIBO Treatment Insights

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     Optimism in Medicine

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     Preventing Bacterial Overgrowth

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     Rebuilding Digestion

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     Gut Health and Microbiome

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2. Medications: Non-absorbable antibiotics like Rifaximin can be effective in treating SIBO as they target bacteria in the small intestine without affecting the entire gut microbiome significantly. These should be used under a doctor's guidance 3 4.

3. Natural Remedies: Herbal treatments, such as berberine-containing herbs, can be an alternative or complement to antibiotics, particularly for targeting specific bacteria involved in SIBO 1.

4. Addressing Gut Motility: Ensuring proper gastrointestinal motility is key, as it helps prevent the stagnation that allows bacteria to overgrow. This may involve medications or natural supplements to enhance motility, alongside lifestyle changes that support digestive health 5.

5. Restoring Gut Flora: After reducing bacterial overgrowth, replenishing healthy gut bacteria with probiotics or fermented foods helps maintain a balanced gut environment and prevents recurrence 3 6.

6. Avoiding Triggers: Medications such as PPIs (proton pump inhibitors) that decrease stomach acidity can exacerbate SIBO by allowing bacterial overgrowth. Reducing their use or using them under strict guidance can help manage SIBO better 7.

Always consult with a healthcare professional to tailor the treatment approach to your specific situation and to monitor your progress carefully.