SIBO is associated with disorders of abnormal gastrointestinal motility, such as irritable bowel syndrome, narcotic use, post-radiation enteropathy, hypothyroidism, diabetes mellitus, and scleroderma. Migrating motor complexes are responsible for peristalsis and cleansing the small intestine. Chronic pancreatic insufficiency is associated with SIBO. Also, proteolytic enzymes digest and degrade bacteria in the intestines. Conditions that cause achlorhydria are associated with SIBO. Upon ingestion of food, gastric acids and bile destroy and prevent bacteria from passing through the intestines. When these protective barriers fail, SIBO occurs. There are many important host defense mechanisms against bacterial overgrowth. The etiology of small intestinal bacterial overgrowth is complex. Due to recent advances in medicine and increased awareness and understanding, SIBO is now often considered in most clinicians’ differential diagnoses in patients with non-specific gastrointestinal complaints. When the protective mechanisms against excessive bacterial growth fail, small intestinal bacterial overgrowth (SIBO) can manifest. Bacteroids are predominant organisms in the colon, and concentrations can reach 10organisms per mL. The concentration of organisms rarely exceeds 10/mL in the small intestine.

Lactobacilli, enterococci, facultative anaerobes, and gram-positive anaerobes are predominantly organisms in the small intestine. The proximal small intestine normally contains relatively very few bacteria due to the presence of stomach acid and the effects of peristalsis. The presence of these excess organisms, resulting in multiple intestinal symptoms, is mandatory. Small intestinal bacterial overgrowth (SIBO) is defined as the presence of excess colonic bacteria in the small intestine. Discuss interprofessional team strategies for improving care coordination and communication to improve outcomes in patients who present with small intestinal bacterial overgrowth.Outline the management options available for small intestinal bacterial overgrowth.Review the appropriate steps to evaluate a patient with suspected small intestinal bacterial overgrowth (SIBO).Identify the risk factors and etiology of small intestinal bacterial overgrowth.This activity reviews the evaluation and management of SIBO and explains the role of the interprofessional team in improving care for patients with this condition. When these protective mechanisms against excessive bacterial growth fail, small intestinal bacterial overgrowth (SIBO) can manifest. Gastric acid secretion and intestinal motility limit the overgrowth of bacteria in the small intestine. In contrast to the large intestine, the concentration of the bacteria in the small intestine rarely exceeds 1000 organisms/mL. *If your medical needs require emergency services, please call 9-1-1 immediately.Small intestinal bacterial overgrowth (SIBO) is defined as the presence of excess colonic bacteria in the small intestine. Call Blair Gastroenterology Associates today at 81 to schedule an appointment for a complete evaluation with one of our qualified physicians. A low carbohydrate diet can be helpful as well. Treatment will then begin on the underlying cause to keep the overgrowth from recurring. If bacterial overgrowth has been diagnosed, your doctor will use a suitable antibiotic regimen to get rid of the bacteria and relieve the symptoms caused by it. Treatment Options for Small Bowel Bacterial Overgrowth This would include breath samples every twenty minutes over a three-hour period and will be done in office. The entire process will take place in our regular office. After a short time, the doctor will take breath samples every twenty minutes during a three hour timeframe. With the Small Bowel Bacterial Overgrowth test, your doctor will have you ingest a substrate packet.

This will include instructions for fasting, what to eat the night before the test, and what to avoid the day of the test. Prior to your Small Bowel Bacterial Overgrowth Test, your gastroenterologist will provide you with instructions on preparing for the test. What to Expect During a Small Bowel Bacterial Overgrowth Test

Small bowel bacterial overgrowth