Understanding SIBO: Causes, symptoms, and holistic management
These bacteria infect the small intestine, disrupting digestion and nutrient absorption
What is SIBO?
Small Intestinal Bacterial Overgrowth (SIBO) is a condition characterized by an abnormal increase in the number of bacteria in the small intestine. While bacteria are a normal part of the digestive system, they are typically more concentrated in the large intestine. In SIBO, these bacteria colonize the small intestine, interfering with normal digestion and nutrient absorption.
Causes of SIBO
SIBO can result from various structural, functional, and systemic issues. Common causes include:
Impaired Motility: Conditions that slow down gut movement (e.g., IBS, diabetes, or scleroderma) can allow bacteria to multiply excessively.
Anatomical Abnormalities: Strictures, adhesions, or surgical blind loops may create pockets where bacteria can grow.
Low Stomach Acid (Hypochlorhydria): Reduced acid allows bacteria to survive and reach the small intestine.
Immune Deficiency: A weakened immune system can allow overgrowth.
Food Poisoning & Infections: Previous infections can damage the intestinal nerves and impair cleansing waves.
Chronic Use of Medications:
Proton pump inhibitors (PPIs) reduce stomach acid.
Opioids slow gut motility.
Antibiotics can disrupt normal gut flora balance.
7. Diseases and Conditions: Celiac disease, Crohn’s disease, diabetes, and hypothyroidism are associated with increased SIBO risk.
Common Symptoms of SIBO
SIBO symptoms can overlap with many gastrointestinal disorders and include:
Bloating and abdominal distension
Excessive gas and flatulence
Diarrhea or constipation (or alternating)
Abdominal pain or cramping
Fatigue
Unintentional weight loss
Malabsorption leading to deficiencies in vitamins (e.g., B12, iron)
Brain fog or poor concentration
Bad breath (halitosis)
Skin issues like rosacea or eczema
Holistic Management of SIBO
SIBO requires a multi-faceted, individualized approach. Holistic management focuses on treating the root causes, restoring gut function, and supporting the body naturally.
While homeopathy is energetic, integrating diet and lifestyle is essential to reduce stress on the digestive system:
Dietary Integration
Recommended:
Warm, lightly cooked foods
Small, spaced meals (4–5 hrs apart )
Bone broth, ginger tea, caraway, and fennel
Avoid fermentable carbs (FODMAPs) in active phases
Avoid:
Refined sugars, alcohol, and carbonated beverages
Cold/raw food (if chilly constitution)
Heavy legumes and dairy (during flare-ups)
Lifestyle & Supportive Therapies
The gut-brain axis plays a vital role. Chronic stress can impair gut function and immunity. Incorporate:
Mindfulness practices
Yoga or Tai Chi
Breathwork and meditation
Adequate sleep hygiene
Constitutional Homeopathy
A constitutional homeopathic approach focuses on the individual as a whole — considering mental, emotional, and physical symptoms to find a remedy that helps balance the body from within.
A trained homeopath should be consulted for a complete case and individualized remedy selection.
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