Visit our Location
356 MacLaren Street, Ottawa
Give us a Call
613 230-0998
Send us a Message
info@dominickhussey.ca
5 Supplements To Reduce The Christmas Dinner Bloat - Dominick Hussey

5 Supplements To Help Reduce The Christmas Dinner Bloat

Have you ever felt bloated and sleepy after Christmas dinner?

As a young lad after eating my grandmothers Christmas dinner, I would look like I had swallowed a soccer ball and would soon be sound asleep on the sofa.

Dial forward some 45 years after learning I have celiac disease I can understand why young body reacted in such a way to a meal full of wheat.

My solution is simple I just avoid wheat and can then sit comfortably on the sofa and watch the Christmas day movie without falling asleep.

Have you felt bloated after Christmas dinners?  Do want to avoid the same experience this year? If you do feel bloated, read on to learn more about which supplements I recommend.

Supplements to reduce the Christmas dinner bloat

Increase your stomach acid production

One of the most common reasons for bloating after eating is due to a lack of acid production in the stomach. Stomach acid helps break down protein-rich foods such as turkey. If you have low stomach acid, then the turkey will not be broken down sufficiently and will cause bloating. Reduced stomach acid related bloating occurs 5-10 minutes after eating.

To help increase stomach acid production, I suggest the following supplements:

  1. Braggs Organic Apple Cider Vinegar – take one tablespoon in some warm water 5-10 minutes before eating.
  2. St Francis Canadian Bitters – take one teaspoon 5-10 minutes before eating.
  3. Betaine HCL capsules – take one capsule during the meal.

Stimulate Digestive Enzymes

Digestive enzymes are mainly produced by the pancreas and by the cells that line your small intestine. These enzymes help to break down your food’s macronutrients such as protein into micronutrients such as amino acids. If you have reduced enzymes and foods are left in their macronutrient form this can lead to inflammation and bloating. This inflammation and resulting bloating can be much worse if you have a sensitivity to a particular food protein such as gluten or casein. Pancreatic deficiency bloating becomes apparent 30 minutes after eating.

To help increase production of pancreatic enzymes, I suggest the following supplements:

Reduce Gas Production from Small Intestinal Bacterial Overgrowth

Small Intestinal Bacterial Overgrowth or SIBO is condition occurs when bacteria that normally live in the large intestine overgrow onto the small intestine. A common symptom of SIBO is bloating that occurs roughly 30 minutes after eating. I find SIBO in the vast majority of my clients with or without digestive symptoms such as bloating.

To help reduce bloating from SIBO, I suggest the following supplement:

What supplements should I take?

If you are unsure what supplements to take, I suggest the following:

Determine when your bloating starts after eating. If it starts 5-10 minutes after eating, then you probably have inadequate stomach acid. I would then begin with the apple cider vinegar.

If the bloating starts later, then consider starting with the Bitters. If the bloating continues, then try the probiotics.

 

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

SIBO breath test preparation: Best Practices - Dominick Hussey

SIBO breath test preparation: Best Practices

To obtain the best possible results from your SIBO test, you should be aware of the correct guidelines on SIBO breath test preparation. Instructions may vary from lab to lab which is a little confusing.

However, read on to learn about the current (at the time of writing) best practices for preparing for a SIBO breath test.

Two weeks before the test:

  • You must stop taking any antibiotics or antimicrobials herbs.
  • You must not have done a colonoscopy or barium enema.

You should not be experiencing any atypical diarrhea.

Four days before the breath test, you would instruct the patient to stop all laxatives including medications, herbs and high-dose vitamin C and magnesium.

48 hours before, you should avoid all high-fibre and lactose-containing foods, condiments, spices and herbs.

Twenty-four hours before the test, you should stop all non-essential medication.

Between 24 and 12 hours before the test, you should only eat meat, fish, or poultry, plain steamed jasmine rice, eggs and clear meat broth, no bone broth, small amounts of fat and oils, salt and pepper, and maybe weak black coffee and tea.

12 hours before you should begin a water fast, where you avoid everything except for water.

On the day of the test, you should awake at least one hour before the test.

You may brush your teeth and no smoking or vigorous exercise within one hour before the collection.

 

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

Fundamental Elements For A Natural SIBO Treatment Protocol - Dominick Hussey

Fundamental Elements For A Natural SIBO Treatment Protocol

Because of the complicated nature of SIBO, no definitive natural SIBO treatment protocol works for everybody.

That said, in my opinion, we should consider four fundamental elements in a natural SIBO protocol. These elements include :

  • Antimicrobial Herbs and Probiotics – to kill the bacteria
  • Biofilm Disruptors – to break down bacterial biofilms
  • Bacterial Activator – to encourage

Read on to learn about some of the supplements that I use in my practice that encompass the above four elements within a natural SIBO treatment protocol.

Antimicrobial Herbal Supplements

There are two approaches to treating SIBO with antimicrobial herbs. Some health practitioners use a single herb supplement while the others use combination product.

Currently, there is no scientific evidence to show that one approach is better than the other. I use combination products in my practice purely by convenience and cost.

Due to lack of accessibility in Canada, there is only one antimicrobial formula I use in my natural SIBO treatment protocol.

GI Microbe X is antimicrobial formula produced by Designs for Health. The product is a blend of antimicrobial, antifungals and anti-parasitic herbs.

If you live in the United States, a product that is similar to GI Microbe X is GI-Synergy. GI-Synergy is a blend of three products from a company called Apex Energetics.

Biofilm Disruptors

Biofilms are composed of extracellular polymeric substances (EPS). Bacteria in the gut surround themselves with biofilms as a protective measure. Within a natural SIBO treatment protocol, we use biofilm disruptors to break down the biofilms.

Within my practice currently, use one supplement as a biofilm disruptor.

Acetylcholine is an organic chemical that functions in the brain and body of many types of animals, including humans, as a neurotransmitter—a chemical released by nerve cells to send signals to other cells. Supplemental acetylcholine has been shown by researchers to be effective in breaking down biofilms.

Another well-researched biofilm disruptor is Lauricidin, which is monolaurin. Lauricidin is a particular form of monolaurin, which is an extract of lauric acid.
You can find Lauric acid in coconut oil and mother’s milk.

Lauricidin has activity against yeast, viruses, and bacteria, and also some action against biofilm.

A recent study tested the activity of 15 phytochemicals against Borrelia burgdorferi, which is the bacterium that causes Lyme disease. Monolaurin was one of the four most effective botanical compounds and only one of two that affected Borrelia biofilm. Importantly, it did not cause toxicity to human cells.

Interface Plus is also a biofilm disruptor.

Bacterial Activator

A bacterial activator is a compound that encourages bacterial cell division. When treating SIBO with antimicrobials bacteria go into survival mode by becoming dormant and stop dividing.

Hydrolyzed Guam Gum or PHGG is a supplement I use a bacterial activator. PHGG is a type of guar gum that has a lower molecular weight. It dissolves completely in water and has no taste, and it’s straightforward to
consume for that reason.

Probiotics

In a natural SIBO treatment protocol probiotics are used for their antimicrobial properties.

Currently, I use two probiotic supplements, Prescript-Assist and MegaSporeBiotic.

Prescript Assist

Prescript-Assist is a blend of 29 strains of soil-based organisms. Soil-based probiotics mimic the flora in traditional diets, ancestral Paleo type of diets.

The benefits of Prescript assist include:

  • It is shelf-stable when stored at a temperature below 98 degrees Fahrenheit.
  • The bacteria are highly resilient to stomach acid.
  • It has been supported by peer-reviewed, published, long-term studies.
  • It’s better tolerated than most probiotics I’ve worked with, especially for people with SIBO who don’t tend to tolerate probiotics very well.
  • The bacteria species in Prescript-Assist secrete antimicrobial peptides, which is one of the main reasons that I use it.

MegaSporeBiotic

The bacteria in MegasporBiotic are known as transit commensal organisms that use an environmental vector, the soil, in this case, to gain exposure to hosts.

These organisms spend about 21 to 27 days in the gut, and they perform a variety of essential functions. One of these is secretion of antimicrobial peptides or antibiotics. Like Prescript-Assist, MegaSporeBiotic is shelf-stable and well tolerated.

MegaSporeBiotic contains an organism called Bacillus clausii, which is the most frequently prescribed probiotic in the world. Bacillus clausii has been shown to help SIBO.

In one study participants diagnosed with SIBO using a glucose breath test were given Bacillus clausii for one month. One month later researchers found that 47 percent of the subjects had a normal glucose test.

Other Useful Supplements to include in a Natural SIBO Treatment Protocol

Depending on presenting symptoms there are five additional supplements that, in my opinion, are worth considering within a natural SIBO treatment protocol.

Iberogast

Iberrogast is a blend of nine herbal bitters that stimulate both bile production and gut motility. Because Iberogast helps with gut motility, I will tend to use it in patients who have constipation.

I will use Iberogast in patients who have significant gas and bloating because it helps with that a lot.

MotilPro

MotilPro is a prokinetic supplement, which means it stimulates gut motility, but it does it in a different way than Iberogast.

MotilPro contains 5- HTP, which is a precursor to serotonin, and serotonin stimulates gut motility.

Betaine hydrochloric acid (HCL)with pepsin

Betaine HCl is stomach acid, and pepsin is an enzyme that helps with protein digestion, which is often impaired in SIBO patients. Including this supplement in the protocol often make patients more comfortable and helps with their symptoms.

Digestive Enzymes

Digestive enzymes help with the breakdown of protein, carbohydrates, and fat and can be useful for patients with severe gas and bloating.

Phosphatidylcholine

Phosphatidylcholine is useful for patients with fat malabsorption and impaired bile metabolism.

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

Guidelines for Treating SIBO with Xifaxan - Dominick Hussey

Guidelines for Treating SIBO with Xifaxan

When considering using antibiotic treatment of SIBO, Xifaxan is the most well known and researched. Xifaxan is the treatment of choice for the majority of medical doctors for SIBO. As a non-prescribing health practitioner, I predominantly recommend botanicals, but I do see a place for using Xifaxan in the treatment of SIBO.

In this article, I outline the benefits and disadvantages of Xfaxan, Xifaxan versus Refaximin, Xifaxan versus a herbal protocol and common Xifaxan treatment protocols.

Advantages of Xifaxan over other antibiotics

Xifaxan is a unique drug with some unusual properties that mean it has some benefits over other antibiotics.

  1. 99.6 percent of Xifaxan remains in the gut. Because of this localised activity, it has risks compared to other antibiotics.
  2. Xifaxan has very low potential for drug interaction
  3. Xifaxan does not have a significant impact on the colon and the microbiota. On the contrary, some studies have shown that Xifaxan increases numbers of beneficial species including Bifidobacterium and F. prausnitzii.
  4. Rxifaxan is remarkably safe for an antibiotic. In a study published in 2014, Researchers found that when subjects took Xifaxan for up to two years at a dose of 1,100 milligrams per day, there was no increase in the rate of infections, including with Clostridium difficile, or development of bacterial antibiotic resistance.

Disadvantages of Xifaxan

There are two main disadvantages of Xifaxan

  1. Xifaxan is very expensive. Xifaxan cots between USD 1,000 and 2,000 for a month-long course.
  2. There is no approval of Xifaxan for the treatment of SIBO in the United States. I am not sure about in Canada.

Xifaxan versus Refaximin

It is important to realise that Xifaxan and Refaximin are technically not the same drugs. Xifaxan is the brand name while Refaximin is the generic name of the drug. Because Refaxamin is generic by definition, it is much cheaper to buy. However, regarding research, the majority of the studies that have been looking at the efficacy and safety of the medication were using Xifaxan.

Xifaxan versus a Herbal protocol

In my practice, two situations lead me to consider recommending Xifaxan.

  1. If a patient has tried a botanical protocol and failed
  2. If the patient is hypersensitive to the herbs or suspects that they won’t tolerate a botanical protocol

Common Xifaxan Treatment Protocols

From research, there are two chief Xifaxan dose regimens commonly in use for adults. Rifaximin comes in 200 milligrams and 550-milligram quantities.

  1. 400 milligrams three times a day, which is a total of 1,200 milligrams a day for 10 to 14 days
  2. 550 milligrams three times a day, which is 1,650 milligrams a day for 10 to 14 days

Th second dose is what’s more commonly used by specialists who treat SIBO at this point.

For children, studies have used different protocols including:

  1. 600 milligrams per day for seven days that led to a 64 percent normalisation of lactulose breath test in kids ranging from three to 15 years of age that are an average of 10 years old.
  2. Other studies in kids with IBD who were treated with rifaximin. They used dosages ranging from 10 to 30 milligrams per kilogram of body weight and achieved a 61 percent symptom relief.

 

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

Guidelines For Using An Elemental Diet For SIBO - Dominick Hussey

Guidelines for Using an Elemental Diet for The Treatment of SIBO

An elemental diet is a liquid formula consisting of powdered nutrients in pre-digested, easily absorbed form.

The main ingredients of an elemental diet include:

  • Amino acids
  • A carbohydrate, typically maltodextrin in commercial formulas
  • Fat, which is industrial seed oils in commercial formulas
  • Vitamins and minerals

Studies show that an elemental diet has an 80 to 84 percent success rate in eradicating SIBO.

So an elemental diet is arguably the most effective treatment for SIBO and has been shown to be safe without risks and complications.

Disadvantages of the Elemental Diet

However, there are some disadvantages of using an elemental formula including:

  1. They are expensive
  2. They taste awful!
  3. They are they are high in sugar like maltodextrin
  4. The fats in commercial formulas are industrial seed oils
  5. The patient can’t eat solid food for two to three weeks
  6. They can lead to significant weight loss if the patient is underweight already
  7. Many people that do an elemental diet develop a thick white coat on the tongue, which could be indicative of oral thrush or candida overgrowth.

Elemental Formulas

Vivonex Plus

The main formula used in studies to test the efficacy of elemental diets is Vivonex Plus which is made by Nestlé.

As I mentioned above the ingredients are not very healthy. The main constituent in the Vivinex Plus formula is maltodextrin made from corn. The formula also includes modified corn starch and soybean oil.

Absorb Plus

Fortunately, there are some alternatives to Vivinex Plus including Absorb Plus.

Absorb Plus is formulated by Jenny Patel-Thompson, a nutritionist that suffered from severe IBD and healed herself with an elemental diet.

Absorb Plus uses whey protein in addition to freeform amino acids. The carbohydrate source is maltodextrin as well, but it is derived from tapioca.

Absorb Plus does not contain any fat, so you can add your fat using coconut oil or medium-chain triglyceride (MCT) oil.

Two downsides off Absorb Plus are that it never been tested in a study, and it’s not technically a pure elemental formula.

Absorb plus contains whey protein which is not an amino acid, so it may not be as readily digested as amino acids.

Dr Alision Siebecker’s DIY Elemental Diet Formula

Dr Allison Siebecker is a naturopathic physician in Oregon who specialises in treating SIBO. She has a do-it-yourself elemental diet formula recipe which is freely available on her website.

Bear in mind, and this formula has also never been tested in a study.

General considerations for using an Elemental Diet

Duration of Use

Two weeks is standard duration, although you can go as long as three weeks. In my opinion, people should be closely supervised by an experienced health practitioner.

Combining treatments

In my opinion, I would not recommend mixing an elemental diet with herbal or antibiotics treatments.

When to use an Elemental Diet for SIBO

Typically, in my opinion, you should consider an elemental diet as a last resort treatment if herbal and rifaximin therapies have failed and test results have continued to be unequivocally positive.

These types of people will often relapse, unfortunately, and usually will require periodic retreatment.

Retreatments may take the form of an elemental diet, botanical or drug protocols.

If you are the type person who is continually experiencing recurrence, then it is crucial that you are your health practitioner continue looking for the underlying cause or mechanism.

 

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

Why and When to do a SIBO Retest - Dominick Hussey

Why and When to do a SIBO Retest

Once you have treated SIBO it is essentially important to do a SIBO retest. This is probably the number one mistake practitioners make when dealing with SIBO.

Read on to learn about the reasons why it is vital to retest after treatment and the best time to do a SIBO restest.

Why a SIBO Retest is so important

Retesting is a crucial component in the successful treatment of SIBO.

If you do not do a SIBO retest will not know if the treatment was successful.

You need to remember that symptom improvement occurs before the breath test normalizes. If you stop the treatment when symptoms improve, there’s a very high likelihood of recurrence.

If you do not improve from treatment, it doesn’t mean the treatment didn’t work. It could mean it did work, but the symptoms you were experiencing, despite being symptoms consistent with SIBO, were not actually related to SIBO.

We know from research that 20 percent or more of controls that don’t have symptoms have SIBO. So it is possible that if you have SIBO, it may not actually be causing their symptoms.

So the key principle here is “test, don’t guess.” and this is what separates a good treatment from a poor treatment.

When to do a SIBO Retest

In general, I recommend retesting two weeks after the end of treatment.

During that period, you should not take any antimicrobials and probiotics.

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

SIBO Relapse Causes and Management - Dominick Hussey

SIBO Relapse Causes and Management

SIBO relapse is a common occurrence. According to research SIBO relapse rate ranges from 44 to 50 percent.

Those high figures are probably due to using doses that are high enough or durations that are long enough.

One study found a SIBO relapse rate of 13 percent at three months post-treatment, 28 percent at six months, and 44 percent at nine months. The significant caveats of that study, though, were that the probability of recurrence was increased with older age, constipation, a history of appendectomy, and chronic PPI use.

That said SiBO relapse is a significant issue.

Read on to learn about the number one reason why SIBO relapse occurs and some strategies to manage and prevent reoccurrence.

SIBO is as much a symptom as it is a cause.

The authors of the above study wrote that without correcting underlying mechanisms that lead to bacterial colonisation of the small bowel, SIBO would recur.

So, this highlights the point that SIBO is as much a symptom as it is a cause.

The key takeaway here is that if SIBO continues to recur, it probably has to do with not correcting an underlying mechanism.

Not dealing with the underlying cause, in my opinion, is the #1 reason why SIBO relapse occurs.

Guidelines for managing a SIBO Relapse

If you have a relapse of your SIBO symptoms, it is essential you get a retest.

If this is your first follow-up test, then you should try a different treatment.  If you did a botanical protocol, you could try a  treatment with Xifaxan. If you took Xifaxan, you could try a herbal protocol.

You could also consider extending the duration of the treatment depending on the test results.

If the test results were relatively low, a shorter duration is fine, but if they were elevated, you might try a more extended period.

If trying a different treatment fails to produce a negative test result, you may consider an elemental diet.

If your test results repeatedly test positive, you need to start considering the potential underlying mechanism that may be causing the SIBO.

Possible causes of SIBO include gut dysbiosis, parasites, infections, heavy metal toxicity, mould, biotoxins, or other chronic infections like Lyme Disease as well as HPA axis dysregulation (aka Adrenal Fatigue) and past emotional trauma.

If you have ruled out all of the above or if the mechanism cannot be addressed, for example, you have a disease or a mechanical problem that impairs gut motility, and you may need periodic retreatment with botanical or Xifaxan protocols.

Additional steps to reduce the likelihood of recurrence

Prokinetics

The first is using a prokinetic, which is an agent that increases gut motility. One theory on why SIBO recurrence is common is that SIBO involves the dysfunction of the migrating motor complex or MMC.

The MMC has a cleansing function in the intestine. A dysfunctional MMC can lead to bacterial overgrowth. Prokinetics stimulate the MMC which would counteract this tendency.

There are three types of prokinetics, herbal, nutritional and Medications.

Iberogast is a herbal prokinetic which has a been shown in research to be clinically valid. It has also been used in Europe for many years.

MotilPro is a nutritional type prokinetic. Motil Pro contains 5-HTP which is a major neurotransmitter in the gut that affects motility.

Drug type prokinetics include a low dose of Naltrexone or a low dose of Erythromycin.

The recommended duration you should take prokinetics is between 3-6 months.

Diet

Limiting fermentable carbohydrates is not good during the treatment with antimicrobials, however, it may be a useful measure to prevent recurrence of SIBO.

Possible diet options here would be a low FODMAP diet, or a low fermentation potential diet, which is a diet introduced by Dr Norm Robillard.

One downside to using these diets is that studies show that long-term low FODMAP diets can lead to reduced diversity in gut flora in the colon.

A kind of middle ground approach might be better by doing a low-FODMAP diet and using a soluble fibre like partially hydrolysed guar gum to continue to feed the beneficial gut bacteria.
 

Disclaimer

This article is not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

Does IBS Cause Lower Back Pain?

Does IBS Cause Lower Back Pain?

In my practice, clients with a primary presenting symptom of lower back pain often also report having irritable bowel syndrome (IBS) symptoms such as bloating, constipation, diarrhoea and gas. To the client, these two conditions appear unrelated. But are they? Does IBS cause lower back pain?

Research has found that IBS is associated unrelated extra-intestinal symptoms including Chronic Fatigue Syndrome, depression and Fibromyalgia.

Association of symptoms means that they usually appear together. It does not mean that one condition may cause the other.

For example, just because many of my clients with lower back pain also have IBS does not mean that the latter caused the former.

To say that one condition causes another you would have to observe that by treating one the other also resolves. In this article, I will outline a client case study whose back pain and IBS symptoms resolved on a low FODMAP diet.

Meet Kelly

Kelly 35, is a yoga teacher working in downtown Ottawa.

While participating in a yoga class, I was also attending I noticed that she avoided doing any postures that involved twisting. After the class, I asked whether Kelly suffered from lower back pain.

She said she did.

Kelly explained that the pain had started some four weeks previously. She had been receiving chiropractic care with a limited reduction in symptoms.

I indicated that if physical symptoms do not respond to physical therapy, then there is often an underlying condition that is driving the problem. I suggested that she come for a consultation with me so that I could assess her back pain and what might be causing it.

A week later she came for an initial consultation, and I took a full medical history.

As well as suffering from the lower back pain she also complained of digestive symptoms including abdominal discomfort, bloating, diarrhoea and gas. She had experienced these symptoms since she was a teenager. She had tried removing gluten from her diet to help her symptoms (which it did) but said that it was socially too stressful to maintain the diet.

On examination, I identified that her muscles were hypertonic or tight and a couple of the primary muscles that support her lower back were not functioning very well.

I explained to Kelly that in my experience over tight and poorly functioning muscles are often a cause and sign of low-grade inflammation. Furthermore, this inflammation often stems from problems in your digestion.

Some years previously Kelly was referred by her family to a Gastroenterologist about her digestive symptoms and was diagnosed as having IBS.

Recent research has found that approximately 80% of people with IBS have a condition called Small Intestinal Bacterial Overgrowth or SIBO.

SIBO is a condition where your friendly bacteria that normally live in your large bowel overgrow into your small intestine. One of the functions of the friendly bacteria is to breakdown fermentable carbohydrates known as FODMAPs.

When this process occurs in the small bowel, it can lead to a build of gases causing the symptoms of bloating, constipation and diarrhoea but also inflammation that can spread throughout the body.

Research has also shown that a low FODMAP diet can help reduce symptoms of IBS.

With this information in mind, I explained to Kelly that I thought that her poor digestive health might be causing her back pain and suggested that she try following a low FODMAP diet for two weeks.

Due to her experience of following diets, she was a little anxious but said she would think about it. I said that was, of course, her decision and to do what she could manage without getting too stressed.

Two weeks later at our follow up appointment she said that on reflection she had decided to embrace the diet fully. Furthermore, she reported significant improvement in both her digestive symptoms and lower back pain.

Interestingly she noticed that when on one occasion she veered away from the diet she observed the following day her lower back symptoms were worse.

Conclusion

Based on the clinical outcome, we could assume that Kelly’s back pain was the result of her IBS.

Can we expect that everyone with lower back pain and IBS will have the same outcome? The answer, of course, is no.

To make that conclusion we would have to carry out a much larger study.

That being said changing one’s diet is a relatively low-risk therapeutic intervention compared to for example long-term use of anti-inflammatory medication.

If you do suffer from lower back pain that has not responded to physical treatment and at the same time suffer with IBS symptoms following a 2-week low Fodmap diet would be a safe option.

Disclaimer

This article in not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Do you suffer from lower back pain and IBS? Have you tried a low FODMAP diet? Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required


 

7 Little Known Warning Signs That You Have SIBO

7 Little Known Warning Signs That You May Have SIBO

SIBO or Small Intestinal Bacterial Overgrowth is characterised, as the name implies, by excessive bacteria in the small intestine.

Typical symptoms of SIBO include bloating, gas and constipation and or diarrhoea.

If you thought that not having any of these symptoms meant you do not have SIBO, think again.

There is a growing amount of evidence to show that SIBO can manifest with symptoms both inside and outside of the gut. Read on to find out more about some of the little-known signs and symptoms of SIBO that I observe every day in my practice.

Do you Burp after meals?

The majority of your friendly bacteria or microbiota should reside in your large intestine. Your small intestine should be virtually sterile.

One of the main occupations of the microbiota is to breakdown fermentable carbohydrates and produce valuable nutrients for your body as well as gases.

When SIBO occurs your microbiota overgrows from your large intestine to your small intestine. The microbiota that now lives in your small intestine continues to feed on these carbohydrates and produce gases.

These gases become partially trapped in the small intestine leading to the typical bloating and gas.  These gases are expelled upwards causing burping.

So, if you find yourself burping a lot especially after eating, this could be a symptom of SIBO.

Do you experience Fibromyalgia symptoms?

Fibromyalgia symptoms include chronic muscle pain and stiffness, especially across the upper back, neck and shoulders. There has been growing evidence of a link between Fibromyalgia and SIBO two studies published in the Annals of Rheumatic Disease, researchers from the Cedars-Sinai Medical Center found a direct association between subjects with fibromyalgia and SIBO. (1) (2)

Do you get Interstitial cystitis?

Interstitial cystitis (IC) is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain. A large number of people who suffer from IC have SIBO. In a study published in Digestive Diseases and Sciences, researchers found 81% of 21 subjects with IC tested positive for SIBO. (3)

Are You Lactose Intolerance?

People with lactose intolerance are unable to completely digest lactose. Lactose is a sugar found in milk. A small but significant amount of people with a lactose intolerance also has SIBO. In a study published in the Saudia Arabia Journal of Gastroenterology, researchers found that 18% of subjects with IBS were also lactose intolerant. (4)

Do you have chronic low Iron and or B12?

You may have SIBO if you suffer from chronic low B12 or iron that does not increase with supplementation. It is thought that the bacteria that have overgrown into the small intestine take up nutrients such as B12 and iron before they can be absorbed. (5)

Do you suffer from Restless Legs?

Restless legs syndrome (RLS) is a condition in which you have an uncontrollable urge to move your legs. It typically occurs in the evenings while you’re sitting or when you first lie down to go to bed. Recent research has found a strong association between IBS and RLS. In a study published in 2012, researchers found that 25% of people with RLS suffered from SIBO compared to 6.5% of controls. (6)

Do you have Diabetes?

If you have been diagnosed diabetes and suffer from digestive symptoms then you may have SIBO. A recent study observed that SIBO was present in 43% of diabetic patients with chronic diarrhea, and 75% had a positive change in their symptoms after being treated with antibiotics. (7)

Conclusion

If you suffer from any of the above conditions with or without other digestive symptoms then I suggest that it worth looking into the possibility you have SIBO.

SIBO is diagnosed using a Lactulose breath test.

Disclaimer

This article in not intended to provide medical advice, diagnosis or treatment.

Now I’d like to hear from you. Do you suffer from any of the above conditions? Have you heard of SIBO? Let us know in the comments below.

 

Like what you’ve read? Sign up for FREE updates delivered to your inbox.

* indicates required