Dietician
Karolina Dobrowolska-Zrałka
A healthy digestive system is important for general and health. One of the diseases that may affect its functioning is a syndrome of bacterial growth, also known as Sibo. Ten articles are devoted to diagnostics and methods of treating this disease, which, although often overlooked, can be supplied to a utility form.
"Journal of Gastroenterology and Hepatology. ↩
Quigley, E. M. M. (2003). “Small Intestinal Bacterial Overgrowth: The Roles of Antibiotics, Prebiotics, and Probiotics.” Gastroenterology. ↩
Ghoshal, U. C., and Srivastava, D. (2014). "Irritable bowel syndrome and small intestinal bacterial overgrowth: significant connection or unnecessary hype?" World Journal of Gastroenterology. ↩
Sachdev, A. H., and Pimentel, M. (2013). "Intestinal microbiota and long-term metabolic changes leading to obesity." Scandinavian Journal of Gastroenterology. ↩
Shah, S. C., Day, L. W., Somsouk, M., and Sewell, J. L. (2016). “Meta-analysis: Antibiotic therapy for small intestinal bacterial overgrowth.” Alimentary Pharmacology & Therapeutics. ↩
Staudacher, HM, Whelan, K., Irving, PM and Lomer, MCE (2011). "Comparison of the symptomatic response after the recommendation of a low fermenting diet (FODMAP) and standard dietary advice in patients with irritable bowel syndrome." Journal of Human Nutrition and Dietetics. ↩
Bell, A. and Kettaneh, A. (2017). "Prebiotics in the treatment of gastrointestinal functional disorders". The British Journal of Nutrition. ↩
Sibo - what is it?
The bacterial growth syndrome of the small intestine (sibo, bacterial extermination of the small intestine) is a condition that can cause an increase in risk in a threatening intestine. The small intestine, inside the thick storage, naturally contains an open protected version. Sibo turns on when the number of microorganisms in this part of the power grid becomes disproportionately large. According to occurring literature, which may apply in the case of various digestion and absorption disorders, regulations apply.Where does Sibo come from?
There are several necessary reasons for the development of SIBO:- Intestinal motility flow - Proper mobility of the intestine is equal to the movement of food and exit from the range of spreading. Conditions such as irritable bowel syndrome (IBS) can disturb normal intestinal motility.
- Structural additional - such as a hernia, diverticulas or adhesions after action, can be associated with nutritional content and support the virus growth.
- Changes in succession - An example of acidity as a result of the use of proton pump inhibitors (IPP) can promote the survival and spread of bacteria in the causing intestine.
- Danger deficiencies - People with a weakened threatening system, such as HIV/AIDS or immunosuppressive drugs, are particularly vulnerable to Sibo development.
- Diabetes
- Autoimmune diseases
- Teams with an extended intestinal passage time
- Use of antibiotics
SIBER SYMPLES
Sibo can be very available and available in various systems and organs, but they are most often made available with the digestive tract.Symptoms related to the digestive tract
Pain and discomfort during use - It is often a stake pain, intensifying after meals. Flatulence and gases - There are effects of controller fermentation by multiplied software. Diarrhea - side effects absorbed by bacteria. Constipation - In some cases, Sibo may also be manifested by constipation. Nausea and consequences - as a result of the effects of gastrointestinal motility.Systemic symptoms
- Weight loss
- Deficiencies of vitamins and minerals (e.g. vitamin B12)
- Fatigue and weakness
- Sibo list list:
- Sore throat
- Flatulence
- Diarrhea
- Constipation
- Nudity
- Vomiting
How to diagnose sibo? Treatment
Sibo diagnostics is important for appropriate treatment. There are several diagnostic methods that can be used to confirm the presence of additional bacterial growth:Respiratory test
A respiratory test with lactulose or glucose is possible. The solution used in the water solution, after using a medicinal product and methane in the exhaled air. An elevated level of this information can be used on prolonged carriers.Intestinal microbiota analysis
Less common, feces analysis may contain information on the composition of the intestinal microbiota.Bacterial culture of intestinal aspirate
It is a direct method of intestinal content aspiration and spreading, but it is more invasive and spreads.Sibo treatment
Sibo protection includes several security that includes protection against attack, as well as restoring the correct intestinal function.- Antibiotic therapy - Statistics with a wide spectrum of activity, such as rifaxymin, are used. The goal is to limit the number of pests in the harmful intestine.
- Diet modification - An appropriate diet, such as a low-FODMAP diet (containing fermentable oligo-, di-, monosaccharides and polyols), can help reduce the occurrence.
- Prokinetics - Medications that improve intestinal motility can be used to prevent SIBO from recurring.
- Supplementation - In case of vitamin and mineral deficiencies, supplementation may be necessary, especially vitamin B12.
- Probiotics - their effect in the case of SIBO is the issue that some secondary tests can help rebuild healthy intestinal microflora.
SIBO - what diet for bacterial overgrowth syndrome?
Diet is important in managing SIBO. The goal is to use bacterial fermentation in the intestine and alleviate the effects.Low FODMAP diet
This is a diet containing fermentable oligo-, di-, monosaccharides and polyols, which may be difficult for intestinal bacteria to digest and provide content. Here are the basic principles of the low-FODMAP diet:- Limiting the consumption of high-fructose fruits and vegetables.
- Avoiding lactose containing dairy products.
- Reducing the consumption of alcoholic sugars such as sorbitol and mannitol.
Example of a daily low-FODMAP menu
Breakfast : Oatmeal with lactose-free milk and berries. Lunch : Salad with chicken, quinoa, cucumber and oven-baked olive oil. Dinner : Grilled fish with baked potatoes and spinach. Snacks : Carrots, bananas containing fructose.Other dietary recommendations
- Introducing small, frequent foods - helps with digestion and reduce symptoms.
- Avoiding products with high fat content - one of delays and also a consequence to intensify the effects.
- Adapting life to individual needs - it is possible to introduce risk if a problem occurs.
SIBO prevention
The gut microbiota is an important contributor to preventing the spread of the causative virus in the gut. A healthy gut microbiota can help with the balance of gut microorganisms, appropriate SIBO. Here are some methods for a healthy microbiota: Probiotics and prebiotics: Regularly consuming probiotics (e.g. yogurt, kefir) and prebiotics (e.g. fiber) can help support a healthy microflora. Avoiding immediate use of antibiotics: Antibiotics can disrupt the gut microbiota's switches, which is why they are only used when really needed. A healthy and balanced diet: A diet rich in fiber, vegetables and fruit can help balance the microbiota.Summary
Diagnostic bacterial overgrowth (SIBO) is a condition that requires proper identification and an individualized vehicle. A healthy diet, power cable and intestinal motility support are important elements of treatment. Supporting a healthy gut microbiota is not only important in life, but also in the prevention of SIBO. Please remember that each case is different, so it is important that the application applies to the client's individual needs.Sources
Pimentel, M., Parodi, G., & Kusbudianto, K. (2000). “Small intestinal bacterial overgrowth: a case-based reviewLooking for a nutritious and filling meal?
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