SIBO: what is this unrecognized intestinal disease responsible for hyper ballooning?

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SIBO: what is this unrecognized intestinal disease responsible for hyper ballooning?

Bacterial swarming of the small intestine. Here is the French name of SIBO, in other words "Small Intestinal Bacterial Overgrowth", a disease that we do not talk about, but which is not so rare.

This pathology is characterized by the overrepresentation of certain bacteria in the small intestine. Proliferation that occurs when colon bacteria migrate into the small intestine.

This bacterial imbalance is at the origin of the fermentation of food, which has several consequences, among which the appearance of digestive disorders.

The symptoms of SIBO

The symptoms of SIBO are similar to those of other digestive disorders, such as irritable bowel syndrome, namely:

Other signs such as nausea, food allergies, nutritional deficiencies or unintentional weight loss can also be associated with SIBO.

SIBO: risk factors?

If the origin of SIBO is unclear, there may be risk factors for its development, such as the long-term use of proton pump inhibitors (PPIs), drugs that reduce acid production. gastric, but also an alteration of the ileocecal valve, a previous infection causing a disorder of the intestinal microbiota or stress.

SIBO could also be a complication of pathologies such as hypothyroidism, diabetes, Crohn's disease, or celiac disease.

The diagnosis of SIBO

Detecting SIBO can be complicated because its symptoms are mostly nonspecific. However, if there is suspicion of the disease, two examinations may corroborate the diagnosis.

The first, which aims to aspirate the liquid in the small intestine, is quite invasive because it is done by endoscopy. The second is a breath test, which measures the concentration of hydrogen and methane in the breath. And for good reason: the bacteria that cause SIBO produce hydrogen and methane when they break down carbohydrates in the intestine.

SIBO: what treatment?

If there is no treatment of SIBO strictly speaking, it is possible to heal by combining different methods. At first, antibiotics, and more specifically rifaximin, are often prescribed.

Betting on plants and essential oils (oregano, cinnamon, clove ...) can then be useful if they are associated with a change in lifestyle. To combat SIBO, it is advisable to adopt a diet low in Fodmaps, carbohydrates in foods such as certain fruits, vegetables, dairy products or industrial products that ferment, but also to limit its consumption of alcohol and tobacco, physical activity or learning how to manage stress.

Sources: Medical News Today, the Swiss Medical Review, "A flush of pet, the 1st book on hyperballoon disease that have the microbiota upside down", by Dora Moutot (Guy Trédaniel editions).

Read also :

⋙ Intestinal microflora: what are the effective probiotics?

⋙ Bloating, gas: 15 foods to avoid to deflate

⋙ Irritable bowel syndrome: how to recognize symptoms?

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