Science says eating just one meal per day can improve your health. Learn more at https://highintensityhealth.com/OMAD ----- Episode #6: Dr. Steven Sandberg-Lewis Shows Us How to Overcome Small Intestinal Bacterial Overgrowth (SIBO) Download the show notes and learn more about Dr. Steven Sandberg-Lewis here http://highintensityhealth.com/SIBO ➢Check out Dr. Sandberg-Lewis's book: http://ncnm-press.com/product/functional-gastroenterology -----------------------------------------Lets Connect-------------------------------------- ➢ Facebook https://www.facebook.com/MikeMutzelMS ➢ Listen to the Audio in iTunes: http://highintensityhealth.com/itunes ➢ Instagram https://www.instagram.com/metabolic_mike --------------------------------------Key Takeaways---------------------------------- 07:18 Functional GI Disorders: A group meets in Rome, Italy every 10 to 15 years to determine “The Rome Criteria for Functional Gastrointestinal Disorders”. There are about 36 functional gastrointestinal disorders that have diagnostic criteria. Each part of the GI tract can have dysfunction. Pathologies, true diseases, will show in blood testing, biopsies or scope exams. IBS (Irritable Bowel Syndrome) is the most common functional GI disorder. Most physicians do not know how to deal with functional gastrointestinal disorders, so Dr. Sandberg-Lewis wrote a text book for physicians and created the center. In the general population, he believes that 10 to 15% of our population has IBS. 10:58 Bacterial Imbalances in the Small Intestine: SIBO stands for Small Intestine Bacterial Overgrowth. One study determined that 84% of patients with IBS have IBS because if SIBO. They do not have an infection. They have an overgrowth of the normal flora. The small intestine has a relatively small bacterial population. Symptoms typically are severe IBS symptoms: bloating of the abdomen, abdominal pain (could be severe), gas, gas that comes out as breath, heartburn, chronic nausea, inability to gain weight, muscle pain like fibromyalgia, headaches, joint pain, cramping pain and either constipation or diarrhea, or an alternation between the two. 13:43 Causes of SIBO: Medications, such as proton pump inhibitors like Nexium, Prilosec, and other commonly prescribed drugs that inhibit acid production predispose us to SIBO. Normal levels of stomach acid, pancreatic enzymes and bile are essential to keep the growth of bacteria at normal levels. Opiate pain killers, like Vicodin, Tramadol and Oxycodone, decrease the cleansing of the small intestine by slowing it or nearly shutting it down, allowing bacteria to overgrow. Another trigger could be antibiotics, especially for extended periods. Alcohol abuse could also be a trigger. 15:38 Preventing Overgrowth: Ensure proper motility, where things move from mouth to anus (not the other direction) in a well-regulated manner. The proper secretions are needed also. The right type of saliva, stomach secretions, pancreatic secretions and gallbladder secretions. The valves of the GI tract should work properly, especially the ileocecal valve between the small intestine and the large intestine. If the ileocecal valve is not toned and operating properly, we can get ileo-reflux, which can allow billions or trillions of bacteria from the large bowel to enter the small bowel. 18:19 Improving Sphincter Health and Tone: Look for parasite overgrowth or food sensitivities, unresolved emotions, and dietary factors. Popcorn is like razorblades going through the ileocecal valve. 19:47 Foods That Inflame: Fiber helps to feed gut bacteria. In SIBO, however, the bacteria are in the wrong place. Low FODMAPS diet is low fermentable carbohydrate foods that tend not to feed the bacteria. Eventually we will want to feed the bacteria when we can get a balance. You cannot starve the bacteria, because they will eat the sugars in intestinal mucus, and when you are very ill, it can eat the mucosa. 22:29 Rebalancing the GI Tract: There are a few strategies involved in rebalancing the GI tract. Reduce the bacteria’s food and, one could use prescription non-absorbable antibiotics like Surfaxin, Neomycin, or the absorbable antibiotic Metronidazole. Another option is to use a natural route and use berberine herbs, like golden seal or Oregon grape. There are different gasses produced by the different organisms and the ones that produce hydrogen, respond well to that. They also use extracts of garlic, the allicin extract, neem, an irevadic herb, maybe some oregano, and maybe enterically coated peppermint, that has the additional effect of being an excellent anti-spasmodic for the bowel. A study from John’s Hopkins reported that herbal combinations were more effective than Rifaximin.