Bloated belly or bloated ego? Should your malady be bloated belly and not the ego, then I have some information for you. Your bloated belly may be caused by SIBOS.
What is SIBOS, you ask?
SIBOS stands for Small Intestinal Bacterial Overgrowth Syndrome. This is a condition where bacteria from the large bowel or colon (where bacteria should be growing) overgrows into the small intestine (where bacteria shouldn’t be growing). The presence of bacteria in the small intestine causes the small intestine to become very “leaky” to large microbial and dietary protein molecules that normally stay within the gut. When this “leaking” happens, these larger molecules can enter systemic circulation and cause inflammation and immune activation throughout the body. Researchers now theorize by this “leaky gut” model for systemic inflammation is the underlying cause for various autoimmune and related inflammatory diseases.
How do You know You Have SIBOS?
If you have a combination of any of these symptoms on a daily or weekly basis (Frequently occurring to less occurring) you MAY have SIBOS and should see your health care provider:
- Bloating (especially if worse taking probiotics and eating carbohydrates)
- Abdominal pain
- Constipation
- Nausea
- Abdominal tenderness
- Diarrhea
- Vomiting
Also, you may be required to take a breath test. If you have an excess of methane and/or hydrogen in your breath, this can signal the presence of SIBOS.
What can You do to treat SIBOS?
If you are suspected of having SIBOS, you will need to be treated with a particular antibiotic or antibiotic combination. The primary antibiotic used is Rifaximin. It is an “intraluminal antibiotic.” This means it stays in the intestine and is not absorbed. Rifaximin can be combined with other antibiotics at times such as Metronidazole or Neomycin. Dietary changes may also be required along with the antibiotic treatment for better and more prolonged results. These dietary changes include a marked reduction in carbohydrate intake particularly grains, legumes, sugars, and flour products. It is best if NO gluten is eaten as gluten can enhance further leakiness of the small intestine in a large number of patients.
So, what’s better, a bloated belly or a bloated ego? Well, I’ll let you and your friends and family decide that one!
About the writer
Dr. Donovan is a Naturopathic Physician, author, educator, and a professor of clinical medicine at Bastyr University’s Natural Health Clinic. In 2010 he was voted by his professional peers as one of Seattle’s Top Doctors in the Seattle Metropolitan Magazine. Dr. Donovan writes and lectures on the transformational process of healing and believes a person’s healing journey is ultimately a quest for his/her identity, purpose and meaning. He has more than 35 years of patient care experience as a Registered Nurse (RN) and a Naturopathic Physician (ND), representing a wide range of clinical settings from hospital-based surgical and intensive care as a registered nurse to outpatient primary care as a physician.
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