Mark’s paperHow to Test and Treat Small Intestinal Bacterial Overgrowth: an Evidence-Based Approach (Mark is a primary author). In my case since I’ve got methane SIBO, I’m looking for a fasted/no substrate reading of 5 ppm of methane or less.
That’s because I rarely use these diets for treatment OR prevention of SIBO. In this series I didn’t talk about the SIBO diets, which include physician’s elemental diets (for treatment, not long term), the Specific Carbohydrate Diet (SCD) and the low FODMAP diet. Folks with SIBO often have digestive dysfunction that exists with their SIBO, either as part of the cause or a side effect. The GI Map should pick up fungal overgrowth in your large intestine. A weak valve flops open, thus allowing colonic bacteria to backwash, or translocate, into your small intestine.
Low stomach ph level and SIBO
To save time, I’ve summarized the most important points at the top. Because Mark was so generous of his time with me, and because there is so much misinformation on the web about SIBO, I wanted to document the unique insights I learned from him that I didn’t find elsewhere in the hopes that it will help others with this condition. I was recently diagnosed with a severe case of methane SIBO (which I’ve had for ~10 years without realizing that it was causing me to bloat constantly) and did a lot of research on what to do about it. At DietvsDisease.org we provide research-backed guides and simple meal plans so that you can enjoy food without the stress, and live your healthiest, happiest life.
I recommend consulting with a doctor or certified health coach to get support on the best probiotic for your specific needs. I’ve been doing a ton of mediating and I keep getting the message about something with my small intestine (sounds weird I know). I’ve also gone into anaphylaxis numerous times (yet no food or environmental allergies when I was tested).
Hydrogen sulfide present: some people with SIBO will have elevated hydrogen sulfide production. This is indicative of excessive bacteria and archaea present in the small intestine. Based on the results of the breath test, there are three primary forms of SIBO.
2) Address Underlying Issues
Repeat treatment with rifaximin improves irritable bowel syndrome-related quality of life: a secondary analysis of a randomized, double-blind, placebo-controlled trial. The degree of breath methane production in IBS correlates with the severity of constipation. A link between irritable bowel syndrome and fibromyalgia may be related to findings on lactulose breath testing. Support a healthy gut microbiota: Dysbiosis in the colon can disrupt gut motility and is therefore a predisposing factor to SIBO. The MMC is responsible for moving bacteria down into the large intestine every 90 to 120 minutes during periods of fasting at night and between meals, clearing them from the small intestine.
I’m working with a functional MD in addition to a traditional GI specialist – I think the functional MD will be most helpful for the post-kill phase. It seems that the drug, supplement, and diet treatments for SIBO only partially overlap and in fact diverge quite a bit for methane/constipation and hydrogen/diarrhea dominant forms, making things even more confusing. I’ll also need to change my diet to move away from most of the healthy things I love to eat, at least for some time, and the diet advice out there is also very confusing, especially regarding fiber and pro-biotics. High levels of methane slow motility, so the SIBO seems to be a contributor to the constipation.
Remember that the small intestine only has a thin layer of mucus separating the intestinal epithelium (the gut wall) from the gut lumen (the center). Food passes first through our stomach, then the small intestine, and then finally the large intestine.