IBAB (SIBO): What is excessive bacterial proliferation in the small intestine?
If you experience frequent gas, bloating, abdominal pain, nausea, diarrhea or constipation, you are blamed for anything you eat.
However, if these symptoms persist, you should consider whether you have a more serious health condition.
When dealing with gastrointestinal symptoms, people often consider irritable bowel syndrome (IBS), or candida yeast growth. However, researchers have discovered another insidious condition that may cause gastrointestinal (GI) discomfort: excessive bacterial proliferation in the small intestine, SABO, shortened from IBAB or English.
Experts say the number of people diagnosed with SIBO is increasing. Since SIBO is not yet fully understood, it is often not diagnosed or misdiagnosed. [12]
SIBO: A Quick Look
Some information about bacterial overgrowth in the small intestine (SIBO):
Bacteria are required for digestion, but when things are unstable, they can cause overgrowth.
SIBO is an increase in number or a change in the type of bacteria in the upper GI channel.
Common symptoms include gas, bloating, and abdominal swelling.
SIBO is often misdiagnosed as other conditions.
The most common test for SIBO is the breath test.
How Does a Healthy Intestine Work?
In order to fully understand SIBO, it is important to understand the intestinal environment, which contains most of your body's microbiome. Microbiome is a collection of microorganisms. The idea of living bacteria may not be attractive, but it has a symbiotic relationship with many types of probiotic bacteria that strengthen your body's immune system and keep you healthy.
If everything goes well, your body digests food that passes through the gastrointestinal (GI) or digestive tract. As food moves from the mouth to the esophagus and into the stomach, muscles, nerves and neurotransmitters, such as serotonin, help digestion progress at various stages.
The nutrient mass, called bolus, passes through the GI channel, and digestive juices and digestive enzymes can be absorbed into the bloodstream by breaking down macro nutrients. Probiotic bacteria and digestive enzymes in the digestive system help digestion. Intestinal flora helps our body to absorb vitamins and minerals, produces beneficial digestive enzymes and fights harmful bacteria, sometimes things become unstable, causing bacteria to multiply in the small intestine or SIBO.
What is SIBO?
Excessive bacterial growth in the SIBO or small intestine is a change in the type or number of bacteria in the upper gastrointestinal tract. While the large intestine normally contains many bacteria, the small intestine usually does not have large colonies of bacteria. A problem with digestion may cause imbalance and lead to SIBO. Since small bowel aspiration contains more than 100,000 colony forming units (CFU) bacteria per mL, a collection of digestive material is considered to be the diagnosis of SIBO. [2nd]
Under healthy conditions, various processes control bacterial levels in the small intestine: gastric acid secretions, normal muscle movement in the GI tract of food, the bactericidal properties of bile produced by the liver and pancreas, and a robust ileocecal valve (separating the small and large intestine) [2].
In some people, SIBO is asymptomatic (asymptomatic) and in other cases there are symptoms and is caused by conditions that cause bacterial overgrowth - for example a faulty ileocecal valve. Since SIBO often occurs with other conditions, it may not be diagnosed if a doctor or health care provider does not perform tests.
Symptoms of SIBO
Symptoms of SIBO may include some or all of the following: [2]
Indigestion
Swelling
Gas
Gas in the stomach
Abdominal pain
Abdominal swelling
Constipation
Diarrhea or loose stools
Nausea
Weakness and fatigue
Bad breath (bad breath)
Weight loss
Vitamin B-12, iron or fat soluble vitamin deficiencies (A, D, E, K)
The situation may be very similar to IBS, as SIBO can cause nutritional deficiencies and absorption problems, especially with proteins and fats.
Which Conditions Does SIBO Occur?
Because SIBO is often misdiagnosed as other conditions, medical professionals are still not sure how many people have SIBO. One study showed that 2.5-22 percent of people were affected. Some studies have found that SIBO occurs more frequently in women, while other studies have found that it occurs equally in women and men. [3, 4]
SIBO is more common in people with other symptoms. One study found that among people without any symptoms, 17 percent of morbidly obese individuals had SIBO compared with 2.5 percent of non-obese individuals. [2nd]
SIBO frequency increases with age. SIBO was present in 90 percent of elderly people aged 70 to 94 years, and especially those who could not absorb lactose.
SIBO occurs with other GI conditions. One study found that 30 to 85 percent of people with IBS and 50 percent of people with celiac disease had SIBO in 50 percent of those who did not respond to a gluten-free diet. [2nd]
People with connective tissue disease or scleroderma who have received radiotherapy may have increased the chance of SIBO. SIBO is also more common among alcoholics than the general population. One study found that 50 percent of people with cirrhosis of the liver had SIBO.
Patients with type-2 diabetes increase the risk of taking SIBO because diabetes affects bowel mobility, the activity through which food passes through the digestive tract. [one]
Some vitamin deficiencies are associated with SIBO, including B-12, iron and fat-soluble vitamins (A, D, E, K). Experts think that SIBO leads to a B-12 deficiency. In one study, people with gastritis and SIBO absorbed B-12 less because bacteria were absorbing B-12, which reduced human absorption.
What Causes SIBO?
Experts believe that several factors contribute to bacterial overgrowth in the small intestine. SIBO is not only caused by bad bacteria; good bacteria can disrupt the intestines and grow beyond normal levels.
Controlling bacteria in the small intestine depends on the healthy functioning of various digestive processes, including gastric acid secretions, normal muscle movements in the GI tract of food, and the bactericidal properties of saffron produced by the liver and pancreas, and a robust ileocecal valve (separating the small and large intestine). . Anything that affects these processes can disrupt the intestines and lead to SIBO.
Conditions affecting the GI pathway, such as diabetes, immunodeficiency and autoimmune conditions, celiac disease, or Crohn's disease, can trigger a bacterial overgrowth in the small intestine. [2nd]
Physical damage to the GI duct caused by surgery or by-products of other conditions can cause SIBO. A damaged ileocecal valve can cause bacteria from the large intestine to return to the small intestine. Other factors that may cause bacteria to enter the colon from the small intestine include bowel obstruction, diverticulitis, loss of normal muscle mobility of the GI channel, or when feces are supported in the large intestine (colon).
There appears to be a connection between IBS and SIBO, and the two conditions have overlapping symptoms. However, scientists still disagree whether the IBS leads to SIBO or whether SIBO leads to IBS. Some believe that IBS disrupts normal bowel motility and causes bacterial growth, while others believe that SIBO causes IBS symptoms. A third group of experts believes that SIBO and IBS are different conditions and should be handled separately. [2nd]
How is SIBO Diagnosed?
Because SIBO often mimics other conditions that affect bowel health, it may not be the first condition your doctor intends to test. You can talk to health centers and ask for special tests.
Test for SIBO
There are two main ways to diagnose SIBO: breath testing and bacterial culture, and the best scientific disagreement. The breath test is the simplest, least invasive and most commonly used test for SIBO. There are multiple types of breath tests used, but the two most common are glucose hydrogen and lactulose tests. These tests measure the gases produced by bacteria in the intestine from your breath.
If you are going to do a breath test for SIBO, here is what you would expect. You will be asked to fast overnight and avoid eating unfermented carbohydrates such as whole grain bread or pasta. Smokers are advised not to smoke a few hours before the test. During the test day, you will first drink water inoculated with either glucose or lactulose. A technician will then collect a breath sample from you every 15 to 30 minutes, every 3 to 4 hours. The health care provider can determine if you have SIBO by measuring the level of hydrogen gas produced in breath samples produced by bacteria.
According to one study, the laculose breath test was found to be more positive in people with GI symptoms than the glucose breath test. [4]
If a species (such as most bacteria) that does not metabolize carbohydrates to hydrogen gas is responsible, both tests may miss SIBO. If there are bacteria producing hydrogen in the mouth, it may be accidentally diagnosed as SIBO.
The other SIBO test involves bacterial culture taken directly from the small intestine. In this test, an endoscope will be placed in your mouth and down into the upper part of the small intestine. The doctor takes a sample of bacteria from inside your body and then the endoscope is removed. This sample is then cultured in a Petri dish to determine the number and species of bacteria present and whether there is overgrowth. Although this test directly measures existing bacteria, there are other drawbacks. The problems associated with the culture test include that it is more invasive, eg contaminated with other bacteria in the esophagus or mouth, and that the endoscope can only reach the upper small intestine, although bacterial overgrowth may go down the GI canal.
Is it Possible to Prevent SIBO?
If you completely avoid SIBO, you're better off. Eat a nutritious, plant-based diet and avoid diets rich in sugary and processed foods. Maintain your health with fitness, meditation and periodic fasting.
Developing a balanced intestine, purifying your body from toxins and increasing your energy, along with a colon cleansing diet and colon cleansing is one of the most proactive measures you can take. Many people think that regular colon cleansing is an important part of maintaining bowel health. One thing is clear - a healthy body starts with a healthy intestine!
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