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What is SIBO? (Small Intestinal Bacterial Overgrowth)

Small bacterial overgrowth SIBO
Understanding SIBO: Causes, Symptoms, and Solutions

Understanding SIBO: Causes, Symptoms, and Solutions

Small Intestinal Bacterial Overgrowth (SIBO) is a condition where too many bacteria build up in the small intestine. This disrupts digestion, causes symptoms like bloating and gas, and often leads to nutrient deficiencies.

What Is SIBO?

The small intestine is meant to have relatively few bacteria. In SIBO, however, bacteria that usually live in the large intestine grow where they shouldn’t. This overgrowth can lead to fermentation of food, especially carbohydrates, resulting in gas, discomfort, and inflammation.

How Bacteria End Up in the Small Intestine

  • Slow gut movement: When digestion is too slow, bacteria aren’t cleared from the small intestine.
  • Past surgeries or gut issues: These can create pockets or changes in structure that trap bacteria.
  • Use of medications: Long-term use of antibiotics or acid-reducing drugs can shift bacterial balance.
  • Weak immune response: A low-functioning immune system may not regulate bacteria effectively.

SIBO Symptoms: What to Watch For

SIBO symptoms can mimic other digestive disorders, so they’re often overlooked or misdiagnosed. However, certain signs point clearly to bacterial overgrowth:

  • Ongoing bloating or swelling in the belly
  • Abdominal pain or cramping
  • Excessive gas or belching
  • Diarrhoea, constipation, or both
  • Brain fog, tiredness, and poor concentration
  • Unexplained iron or B12 deficiency

When Symptoms Persist

If your digestive symptoms don’t improve with general changes to diet or lifestyle, consider speaking with a qualified healthcare practitioner. Getting to the root of the issue is key to long-term relief.

How SIBO Is Diagnosed

To confirm SIBO, healthcare professionals often use a simple breath test. The test involves drinking a sugar solution and then measuring the hydrogen or methane levels in your breath over time. Elevated levels suggest excess bacterial fermentation in the small intestine.

Why Breath Tests Work

The test works because bacteria produce specific gases when they ferment food. These gases enter the bloodstream and are released through your lungs. Testing them helps detect where bacterial overgrowth may be happening.

Personalised Nutrition for SIBO

There’s no universal diet for SIBO. Each case is different and requires an individual plan tailored to symptoms, health history, and test results.

Why Diet Must Be Tailored

Some people respond well to structured short-term plans that reduce bacterial fermentation. Others may need a gentler, phased approach. The right plan depends on many factors, such as gas type, severity of symptoms, and underlying health conditions.

Phases of Support

  • Symptom relief: Focus on easing digestive distress.
  • Root cause support: Identify what led to SIBO and support healing.
  • Maintenance: Build a long-term plan to reduce the risk of relapse.

Supplement Guidance: Use with Care

Supplements can play a role in SIBO support, but they’re not suitable for everyone. A professional can help you understand when and how to use them safely.

Common Types of Support

  • Digestive aids that help with food breakdown
  • Nutrient support if deficiencies are present
  • Targeted herbal options where appropriate

Some probiotics may worsen symptoms in SIBO cases. Always seek guidance before starting anything new.

⚠️ Disclaimer: This article is for educational purposes only. Always consult a qualified medical professional before beginning any supplement or dietary protocol.

Lifestyle Habits That Support Gut Healing

  • Eat at regular times: This supports gut motility and proper flow.
  • Manage stress: Stress slows down digestion and weakens the gut-brain connection.
  • Move your body: Light activity promotes intestinal movement and helps prevent stagnation.
  • Prioritise sleep: Rest supports repair processes and hormone balance.

Building Sustainable Habits

Improving gut health takes time. With the right support, you can create realistic, long-term changes that encourage lasting recovery.

Why Personalised Support Matters

Every case of SIBO is different. Whether your symptoms are mild or more severe, a tailored strategy ensures that you’re supporting your body safely and effectively.

Conclusion

SIBO is a complex but manageable condition. With the right support, many people see real improvements. By working with a trusted practitioner, you can take smart, practical steps toward better digestion and overall wellbeing.

Please note, the links provided are Amazon affiliate links. If you buy something using these links, I will receive a small commission, at no additional cost to you. Rest assured that all products recommended have been personally used and endorsed by myself.

Nutritionist

Milena Kaler is a is a qualified London Nutritionistsports nutrition, stubborn weight lossdigestive health, and skin health nutrition specialist. She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Harley Street, as well as providing online consultations.

Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.

Milena’s expertise has been sought by royalty, celebrities, and she has been featured as a nutrition expert in reputable magazines including Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.

As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics.

Additionally, Milena is a member of  The Royal Society of Medicine and The Primary Care Society for Gastroenterology (PCSG).

Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, hormonal, autoimmune diseasemenopause, and skin health.

Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.

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