If you suspect that you have SIBO do not take prebiotics.
Make sure the probiotics you are taking do not include prebiotics. This will aggravated SIBO by providing food for the bacteria living in the small intestines while encourage their continual growth.
Start by taking on a Low FODMAP Diet for 2 weeks, this will help you to gain control over the symptoms, and then move into the GAPS Protocol to start healing leaky gut.
Eat smaller meals, filling up the stomach and having large amounts of food sit int eh digestive system can aggravate the condition. Longer periods between meals, fasting, and intermittent fasting to allow for the migrating motor complex to move food, derbis, and bacteria through the small intestines.
Incorporating digestive supplements such as Betaine HCL and digestive enzymes can also be beneficial to help restore adequate gastric secretions to begin to properly assimilate nutrients.
SHOULD YOU USE ANTIBIOTICS?
Antibiotics are often used to treat SIBO, Rifaximin is the most common. However, studies show that despite treatment with antibiotics, recurrence develops in almost half of all patients within one year.
Botanical antimicrobials, such as Neem and Berbaine, show better outcomes than pharmaceutical antibiotics. Researchers have even found that herbal remedies such as these are as effective as 3 courses of antibiotic therapy in patients who don’t respond well to Rifaximin.
What studies and anecdotal evidence are showing is that treatment of the overgrowth alone is not enough for most people to make a long term recovery. Addressing the underlying cause, or predisposing factor, is necessary for a full sustained recovery.
If you learn that you have a slow moving MMC, Dr. Allison Seibecker recommends Prokinetics. This as a motility agent is used to stimulate MMC in the small intestines, it doesn't stimulate bowel movements.