If there are any vitamin or mineral deficiencies, those should be corrected as well. Supplementing with digestive enzymes, bitters, bile acids, or hydrochloric acid may be appropriate. Replacing enzymes and acids is important for SIBO treatment and to prevent recurrence. Your gut may be lacking in digestive enzymes and acids, key components in digestion and absorption of nutrients as well as natural defenses against bacterial overgrowth. See this link to read a previous blog post discussing the effects of diet on gut health. 3,4 It’s also advised to remove inflammatory foods to aid in healing the gut lining. Diets that have shown to be helpful in SIBO include the Specific Carbohydrate Diet (SCD), Elemental Diet, Low FODMAP Diet, or a combination of the aforementioned diets. 2 Your functional medicine practitioner can work with you to determine what course of antibiotic therapy and/or herbal supplements may be appropriate for you.Īs part of the remove step, certain dietary changes to remove potentially problematic foods from the diet can help with symptoms. Although there are no FDA-approved medications specifically for SIBO, there are prescription and nonprescription options that have been studied in individuals with SIBO and shown to be effective, including antibiotics, 1 herbal supplements, and nutraceuticals. Since SIBO is caused by an overgrowth of bacteria in the small intestine, treatment aims to reduce bacteria to a normal level. It is crucial to identify and remove anything that could be contributing to or causing dysfunction in the digestive system. The goal of SIBO treatment is to identify and treat any underlying causes, eradicate the overgrowth of bacteria, and provide nutritional support. The five R’s stand for: Remove, Replace, Reinoculate, Repair, and Rebalance. The 5R framework, a comprehensive approach to gut-healing, is the protocol used by functional medicine practitioners to treat gut imbalance and dysfunction, including SIBO.
In part one of our small intestinal bacterial overgrowth (SIBO) blog post, we defined SIBO and discussed risk factors and diagnostic testing. Small Intestinal Bacterial Overgrowth: Part 2
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