You've probably heard of Hiatal Hernia and acid reflux. A brand new study reveals the true culprit underlying these conditions, in many cases, to be your gut bacteria. 

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In this video I'll reveal the 5 ways that SIBO (small intestinal bacterial overgrowth) can directly lead to Hiatal Hernia and reflux, plus what you can do about it.

The 5 ways discovered in the research reveal effects that span mechanical, neurological and inflammatory.

1. Excess gas production leads to increased intra-abdominal pressure. 
SIBO organisms overproduce hydrogen, methane and hydrogen sulfide gases which raises pressure within your abdoman, mechanically pushing your stomach upwards. The result? Hiatal hernia and acid reflux.

2. Impaired motility via vagus nerve dysfunction. 
Bacterial overgrowth alters vagus nerve signaling, or functioning. The emptying of your stomach slows, food and gas lingers, organisms mltiply and the result is reflux and increased pressure cuasing hiatal hernia.

3. Diaphragm compression from bloating.
A distended abdomen places pward stress on the diaphragm which over time weakens the hiatal opening structure.

4. chronic inflammation weakens structures (ligaments).
IBO increases endotoxins and cytokines (inflammatory chemicals) within you gut. these can degrade connective tissue, particularly a ligament (phrenoesophageal ligament) that anchors the diaphragm to the esophagus.

5. Gut-Brain Axis and Hypersensitivity.
SIBO alters serotonin and inflammation within the gut's nervous system (enteric nervous system). This heightens esophagueal sensitivity and reflux symptoms even without excess reflux.

Solutions:
1. Lower the intra-abdominal pressure. 
You have to stop feeding the bad bacteria through a low FODMAP diet, identifying food sensitivities, eliminating or vastly decreasing simple carbohydrates, ultra-processed foods, sugar, and alcohol. Also eliminar sugar alcohols like sorbitol and xylitol that feed the gas producers.
Antimicrobial support through working with a clinician.

2. Restore motility. 
Ginger, iberogast, meal spacing of 4 to 5 hours and stress reduction can assist.

3. Relieve diaphragm pressure.
Address constipation - magnesium citrate can help. Also decrease visceral fat and utilize exercises to strenghten the diaphragm.

4. Reduce inflammation.
An anti-inflammatory diet (omega 3s, polyphenols), real food (Mediterranean diet), avoiding ultra-processed foods, sugar, alcohol and simple carbs.
Supplements such as aloe, DGL, glutamine and zinc carnosine
Collagen and vitamin C to strenghten connective tissue.

5. Support gut-brain axis
Stress mangement - prioritize sleep, exercise and breathing techniques.
Microbiome support - a lab test can identify how to best address this.

If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

#SIBO #hiatalhernia #acidreflux 

References:
Neurovanna (Aug 29, 2025). 5 Mechanisms Linking SIBO to GERD and Sliding Hiatal Hernias. Neurovanna Health Blog. Link

Aziz I, et al. (2025). Functional abdominal bloating/distension and dysbiosis: central role of the gut–brain axis. World Journal of Gastroenterology. 

Liu Y, et al. (2021). Gut dysbiosis in reflux disease: associations with belching, bloating, and symptom severity. Frontiers in Medicine. 

Disclaimer: The information provided in this video is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified health provider with a