Bloating and breath - how are they connected?

SIBO, or small intestinal bacterial overgrowth, is a condition that can arise from various factors, such as stress or a history of foodborne illness. Often misdiagnosed as IBS (irritable bowel syndrome), SIBO manifests through symptoms like bloating, borborygmi, irregular bowel movements, and even skin issues like rosacea.

The Link Between SIBO and FODMAPs:

FODMAPs, standing for Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols, are specific types of carbohydrates that can be poorly absorbed in the small intestine. Found in various foods, including wheat, onions, dairy, and certain fruits, these can exacerbate digestive issues.

When following a low FODMAP diet, individuals often limit or avoid these foods to manage symptoms associated with digestive issues, including SIBO.

FODMAPs and SIBO Symptoms:

Malabsorption of FODMAPs in the small intestine creates an environment conducive to bacterial overgrowth, worsening SIBO symptoms. Decreasing the intake of FODMAPs can alleviate symptoms, but it's crucial to consult a healthcare professional. Restricting FODMAPs requires careful consideration of nutritional balance to avoid deficiencies.

Breath and SIBO:

Incorporating a balanced low FODMAP diet can be challenging, therefore considering the lactulose breath test is a valuable diagnostic tool. It helps identify SIBO and guides treatment plans. It measures the levels of hydrogen and methane gases produced by bacteria in the small intestine. The types of gases produced (hydrogen or methane) can provide additional information about the types of bacteria involved in the overgrowth. For example, elevated methane levels may suggest the presence of Methane-Producing Bacteria (MPB). It's important to note that the interpretation of the breath test results should be done by a healthcare professional, typically a Naturopathic Doctor. I determine the appropriate treatment based on the type of SIBO diagnosed and the individual's symptoms. Treatment plans may involve biofilm disruption, antimicrobials, and migrating motor complex stimulation to prevent recurrence.

While the low FODMAP diet is effective in symptom management, addressing the root cause of bacterial overgrowth requires diagnostic testing. Treatment plans, including biofilm disruption and antimicrobials, aim to provide long-term relief. For personalized guidance, consulting with a healthcare professional is essential.

To find out more and explore a tailored approach, consider booking an initial intake with me today!