Our small intestines are your body's gatekeepers. Because the absorption of all nutrients and the decomposition of toxic substances are ensured here. Therefore, a problem here means that it can easily enter your body.
Your small intestines normally contain much less bacteria than your large intestines. This is a very important factor for maintaining its balance and ensuring the passage of nutrients.
In SIBO, the bacterial order in your small intestines is disrupted and the existing bacterial groups proliferate excessively. This situation can harm you in several ways.
The most important of these is that bacteria starve you by using digested and ready-to-absorb nutrients. In addition, so many bacteria damage your intestinal wall by seriously stimulating the immune system and causing leaky gut syndrome.
Therefore, the bacteria that invade your intestines slowly begin to consume your body.
SIBO DIAGNOSIS. HOW TO TAKE IT?
Breath test. There are two different protocols in the test. The first is to give lactulose, which is not digestible in the intestines but can be broken down by bacteria; The other protocol is to give glucose. In both tests, the proliferation of bacteria can be detected by looking at the levels of hydrogen and methane gases seen in the breath.
CONDITIONS TO CONSIDER BEFORE THE TEST
• Postpone the test if you have an active upper respiratory tract/throat infection.
• Do not smoke or be exposed to cigarette smoke for at least 2 hours before the test and during the test.
• You will give a breath sample at regular intervals for approximately 2 hours during the test. It is not appropriate to sleep, doze or do excessive exercise starting from 1 hour before the test until the test is completed.
• If endoscopy or enema has been performed, 1 month must pass for the test.
• A If you have taken antibiotics, at least 1 month must pass.
• In the 1 week before the test: you should not have used a laxative-type medicine for constipation, an aluminum antacid such as Talcid or Rennie, or magnesium hydroxide or calcined magnesia.
SIBO SYMPTOMS
Bloating and gas. The increase in the number of bacteria means that they create more metabolic reactions. As a result of these reactions, your intestines Much more gas than normal occurs and this causes bloating.
Abdominal pain and diarrhea. Developing bloating can stretch your intestines and cause abdominal pain. The pain here is not concentrated in a single point and may feel like the feeling of defecation. Additionally, excessive fermentation of bacteria causes diarrhea.
Fatigue. We mentioned that excessive bacterial growth can cause vitamin deficiency. The most common symptoms of vitamin deficiencies are weakness and chronic fatigue. (SIBO should be suspected especially in people with fibromyalgia problems)
One of the most common vitamin deficiencies in SIBO is B12. This condition should be suspected especially in people who take oral B12 supplements and whose blood B12 levels do not increase.
Itching, redness. There are many different symptoms of autoimmune problems. The ones you can detect most easily are the problems on the skin. Itching, redness and rash may occur, especially in the facial area.
Weight loss. Unwanted weight loss or the problem of not gaining weight is not only seen in thyroid and malignancies. SIBO problem also causes serious weight loss and inability to gain weight because it prevents food absorption.
Food intolerance. Many people have food sensitivities. The problem here is sudden food sensitivities. Because sudden onset of food intolerance may indicate a serious bacterial disorder in the digestive system.
CAUSES OF SIBO
1) Since stomach and intestinal surgery changes the intestinal passage and structure, it disrupts the natural flora and allows proliferation.
2) Celiac disease... Disruption of the intestinal wall and response can cause bacteria to take control and overproliferate.
3) Crohn's disease. Crohn's disease, which has inflammatory properties, causes excessive proliferation by changing the passage on the intestine and many factors.
4) Diabetes (type 1 or 2). Many studies confirm the negative effects of uncontrolled blood sugar on the intestinal flora. In this context, all diabetic individuals should be evaluated for SIBO.
5) Low stomach acid. Stomach acid is a controlling factor for intestinal bacteria. Reducing acidity increases fertility.
6) Cirrhosis, kidney failure, pancreatitis.
7) Poor nutrition. Adequate and regular nutrition ensures that the bacteria in the intestine are properly nourished and kept under control. Malnutrition changes the formation of bacteria and causes excessive division.
8) Frequent use of antibiotics. Antibiotics harm many gut bacteria. This situation causes harmful and antibiotic-resistant bacteria to overgrow and progress in the intestine.
9) Stomach medications (PPI, antacid, H2RA). The use of stomach medications reduces acid strength. This situation causes SIBO with a mechanism similar to low stomach acid.
It is also said that excessive alcohol consumption and birth control pills may cause SIBO.
Because Alcohol has the ability to reduce beneficial bacteria in the intestine, while birth control pills have the ability to stimulate intestinal bacteria locally by changing the hormonal system
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