Hello! Welcome to Day 2 of my Living Well with SIBO Journey Week 2!
Yesterday, I gave you an overview of SIBO testing and treatment. Today, I want to share everything you need to know about getting tested, the different types of SIBO treatment and how each treatment works.
SIBO can currently be tested via breath test and jejunal aspirate.
The SIBO Breath Test is easy to do, can be done at home or in-clinic and is the most common method to test for SIBO. It works by measuring hydrogen and/or methane on the breath at specific intervals of time, over a period of time, after you drink a sugar solution (lactulose or glucose).
Meanwhile, jejunal aspirate can only be performed by an endoscopy in-clinic, generally under anaesthesia or sedation. This test is invasive, costly and difficult to find because it requires a highly skilled medical professional to undertake the test. Plus, if you don’t have SIBO in the section of the small intestine which has been aspirated, it can provide you with a false-negative test result.
These two tests will help you determine if you have hydrogen or methane dominant SIBO. Currently, there’s no test available to diagnose hydrogen sulfide SIBO. But researchers and breath test manufacturers are working on a commercially suitable test that will hopefully be available in the near future.
Just like what I mentioned yesterday, there are three treatment options for SIBO: antibiotics, herbal antimicrobials, and the Elemental Diet.
Antibiotics are often a preferred treatment option by gastroenterologists and patients alike, as they seek to attack the bacterial overgrowth quickly. Rifaximin is the most commonly prescribed antibiotics for SIBO, as it is almost completely non-absorbable and stays within the small intestine.
Herbal antimicrobials, on the other hand, are often the first choice for alternative practitioners, naturopaths, and integrative physicians. They do take longer to take effect, so for every week on an antibiotic, two weeks are required on an herbal antibiotic.
The Elemental Diet is believed to have a high success rate in treating SIBO. It replaces meals with a predigested liquid diet, which seeks to starve the bacteria while providing the individual with amino acids, carbohydrates, fats, vitamins, and minerals. I will cover The Elemental Diet more on Day 4.
It’s important to note that doing a round of treatment is not enough. It’s also essential to uncover the reason why you have SIBO, along with eating broadly for health.
Click the link below to get access to the SIBO Treatment Algorithm and to know more about SIBO tests and SIBO treatment options.