August 07, 2023

25. Ultimate Guide to Small Intestinal Overgrowth - Hydrogen & Hydrogen Sulfide Dominant SIBO, SIFO, & Intestinal Methanogen Overgrowth or IMO

38 minutes

Welcome to another episode of The Synthesis of Wellness Podcast! This episode covers almost everything you would want to know about different microbial overgrowths that can occur within the small intestines.

Topics:

1. Introduction

- Overview of different diagnoses related to gut dysbiosis

- Types of intestinal microbial overgrowth: hydrogen dominant SIBO, hydrogen sulfide SIBO, IMO (intestinal methanogen overgrowth), SIFO (Small Intestinal Fungal Overgrowth), LIBO (Large Intestinal Bacterial Overgrowth)

- Importance of the small intestine in nutrient absorption

- Protective mechanisms against overgrowth: gastric acid secretion and intestinal motility

2. Prevalence and Risk Factors

- Prevalence of SIBO among individuals with Irritable bowel syndrome, intestinal motility disorders, and chronic pancreatitis

- Factors increasing SIBO prevalence: age, lower levels of stomach acid, slower gut motility

- Female predominance in SIBO cases

- Prevalence of undiagnosed SIBO and SIFO in the population

3. Symptoms and Malabsorption Issues

- Common signs of small intestinal overgrowth: bloating, excessive gas, diarrhea, constipation, abdominal pain, and cramping

- Nutrient malabsorption: fat-soluble vitamins (A, D, E, K), essential minerals (iron, calcium, magnesium), and B vitamins (B12, B1, B3)

4. Testing

- Introduction to breath tests and stool tests

- Trio Smart Breath Test for small intestinal overgrowth, assessing hydrogen, methane, and hydrogen sulfide levels

- Unique testing options for SIFO using aspiration of small bowel fluids and urinary organic acids

5. Treatment Strategies for SIBO

- Diet: Low FODMAP Diet and its impact on bacteria

- Antimicrobial therapy using natural agents: Oregano oil, berberine, garlic, grapefruit seed extract

- Probiotics for balancing gut bacteria

- Prokinetics to improve gut motility

6. Treatment Strategies for IMO

- Similarities with SIBO treatments

- Elemental diet as a potential treatment

- Reintroduction and Prevention Protocol

- Use of intermittent fasting to stimulate the migrating motor complex

7. Treatment Strategies for SIFO

- Addressing slow gut motility with prokinetics

- Use of antifungals like fluconazole or herbal antifungals: artemisinin, oregano, garlic, olive leaf extract

- Probiotic S. boulardii for reducing fungal colonization

8. Conclusion

- Recap of the different small intestinal overgrowths: SIBO, IMO, & SIFO

- Importance of identifying the specific type(s) for effective treatment

- Understanding the symptoms, risk factors, and testing options for a personalized approach to wellness.

Thanks for tuning in!

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By Chloe Porter

4.8

6161 ratings