Digestive & Gut Health

SIBO (Small Intestinal Bacterial Overgrowth)

SIBO occurs when bacteria that normally live in the large intestine migrate and overgrow in the small intestine, causing fermentation of food, gas production, and malabsorption. SIBO is a common underlying cause of IBS and can lead to nutrient deficiencies and systemic symptoms. Functional medicine identifies why SIBO developed and implements protocols to eradicate the overgrowth and prevent recurrence.

SIBO (Small Intestinal Bacterial Overgrowth)

Common Symptoms

Recognizing the signs and symptoms of SIBO (Small Intestinal Bacterial Overgrowth)

Severe bloating, especially after meals
Abdominal pain and cramping
Diarrhea and/or constipation
Excessive gas and belching
Food intolerances (especially carbohydrates)
Malabsorption and nutrient deficiencies
Fatigue and brain fog
Nausea and acid reflux
Weight loss or difficulty gaining weight

Root Causes

Understanding what drives SIBO (Small Intestinal Bacterial Overgrowth)

Impaired migrating motor complex (MMC) - reduced gut motility
Low stomach acid (hypochlorhydria)
Structural abnormalities (adhesions, strictures)
Chronic stress affecting gut motility
History of food poisoning or gastroenteritis
Medications (PPIs, opioids, antibiotics)
Diabetes and blood sugar dysregulation
Hypothyroidism

SIBO Breath Testing & Root Cause Analysis

We use breath testing to diagnose SIBO and investigate why it developed to prevent recurrence.

SIBO breath test (hydrogen and methane)
Comprehensive stool analysis
Stomach acid assessment
Thyroid function testing
Blood sugar and insulin testing
Nutrient deficiency testing (B12, iron, fat-soluble vitamins)
Motility assessment
Structural imaging if indicated

SIBO Eradication & Prevention Protocol

Our three-phase approach eradicates bacterial overgrowth, restores gut function, and prevents recurrence.

Phase 1: Bacterial eradication (herbal antimicrobials or rifaximin)
Phase 2: Gut healing and microbiome restoration
Phase 3: Prokinetic therapy to restore MMC function
Low-fermentation diet during treatment
Stomach acid optimization
Digestive enzyme support
Address underlying motility issues
Stress management and vagal tone support

Expected Outcomes

Elimination of bloating and gas
Normalized bowel movements
Improved nutrient absorption
Resolution of food intolerances
Increased energy and mental clarity
Prevention of SIBO recurrence
Restored digestive comfort

Related Conditions

IBS

Leaky Gut Syndrome

Chronic Fatigue

Ready to Address Your SIBO (Small Intestinal Bacterial Overgrowth)?

Schedule a comprehensive consultation to discover the root causes and create your personalized treatment plan.