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Nov 24, 2019
Standard treatment options of Small Bowel Bacterial Overgrowth include pharmaceutical antibiotics, herbal antimicrobials, and a period of elemental diet. However, before being treated by either of them, we hope you can have a better understanding of the diagnosis, and your test result of SIBO. You will expect that this condition can become chronic, confusing, and overwhelming without an appropriate level of treatment. Some clinicians consider SIBO is a symptom even then an actual disease. Therefore, we will encourage you to find the root cause of this condition with the help of your care team and prevent the recurrence of SIBO.
Most researches are focusing on pharmaceutical antibiotics. The common prescribing medications are Rifaxamin(Xifaxan), Neomycin, Metronidazole, and Amoxicillin-clavulanate. #1. Patients report noticing improvement as fast as two to three days after the initiation of antibiotic treatment. However, even with the most tolerable and effective antibiotic treatment, some patients are required multiple rounds of intervention and remain to suffer from the recurrence of the SIBO symptoms. A typical course of antibiotics therapy is about two to three weeks, which depends on which antibiotics you have been prescribed. You might experience potential adverse effects and pay a relatively high cost from antibiotic treatment.
Another option that is appealing to SIBO patients is herbal antimicrobials. There are two different herbal treatment options: a single herb or combination of herbal formulas. Ingredients extracted from herbs and concentrated in a supplement and shown to useful modulating bacterial growth in the gastrointestinal tract. The downside of using herbal treatments is they usually require to be taken a long time, with six months minimum but most often three months or even longer. Side effects of herbal remedies are common but might be better tolerated then antibiotic treatments.
An alternative treatment to SIBO is on a specific diet called elemental diet for two weeks. It is the most effective treatment option, according to literature. The philosophy here is to minimize bacterial overgrowth in the small bowel by feeding our body with a formula that is fast absorbed from the lumen. Bacteria die because nutrients are absorbed by your body and are not available to the bacteria. The costs of a pre-made elemental diet are various. Also, since the elemental diet becomes the own source of energy and no other food intake, patients might not tolerate it well. The potential side effects of being on an elemental diet are weight loss, decrease appetite, sugar deregulation. More significantly, yeast overgrowth can occur.
Except for the three interventions for SIBO discussed above, beginning a low FODMAP diet with other adjunctive treatments like GI tract motility promoter, breath exercise with stress manipulation, cramping herbs for symptoms modulation are available. We are willing to help you individualize your treatment plan and establish the foundation of health. Prevention of the recurrence of SIBO is also as crucial as its symptoms relieving treatments.
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