DOC SIBO

08/19/2024

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06/28/2023

📢 Exciting News! 🎥🔔 My DOC SIBO YouTube channel is now live and ready for you to explore! 🎉

Join me on this journey into the world of SIBO (small intestinal bacterial overgrowth) and digestive health. 🌱🌍 Discover informative and eye-opening videos that will empower you to take control of your well-being.

Make sure to hit that "Subscribe" button, and don't forget to turn on the notification bell 🔔 to stay updated whenever I upload a new video. 📺✨ Be the first to access valuable insights, practical tips, and the latest advancements in managing SIBO.

Subscribe now and embark on a path toward improved digestive health! 🙌💚 click the link below to access my channel and start watching: https://www.youtube.com/channel/UCCxm2nB929gWTg11CDYYUDw

Together, let's unlock the secrets of SIBO and find the solutions you deserve! 🌟💪

04/20/2023

03/15/2023

Are you tired of constantly feeling bloated, gassy, or experiencing other uncomfortable digestive symptoms? Have you ever considered that you might have a food intolerance or SIBO?

If so, the AIRE 2 and FoodMarble app can help you take the first step toward finding relief. Using the AIRE 2 breath testing device and the FoodMarble app, you can quickly and easily test for food intolerances and SIBO in your home.

Don't let digestive discomfort keep you from living your life to the fullest. Instead, try the AIRE 2 and FoodMarble app and discover what might be causing your digestive symptoms. Your body will thank you for it!

Watch the video for more information. If you have any questions, please feel free to message me.

03/11/2023

Just another day in the life of a SIBO expert named Doc Sibo.

02/26/2023

Welcome to this video on small intestinal bacterial overgrowth (SIBO) and how it can be linked to a wide range of diseases that we so commonly see today.

SIBO is a condition in which there is an abnormal increase in the number of bacteria in the small intestine, which can lead to various symptoms, including belching, bloating, abdominal pain, constipation, and diarrhea.

However, many people don't realize that SIBO can also have far-reaching effects beyond the digestive system, contributing to developing or exacerbating conditions such as autoimmune disease, neurological disorders, and mental health disorders.

In this video, you will learn about SIBO, some common causes and risk factors leading to SIBO, the best testing device for accurately determining the presence of SIBO, and standard treatment options.

So, whether you have been struggling with SIBO, another health condition, or are a healthcare provider looking to expand your understanding of this complex topic, I hope this video is informative and helpful.

02/12/2023

SIBO is a risk factor for developing gastroesophageal reflux disease (GERD). Small intestinal bacterial overgrowth (SIBO) by-products (gases) can impact the lower esophageal sphincter (LES), the junction that separates the esophagus from the stomach, resulting in GERD symptoms. For example, increased gas pressure from the fermentation of foods by the overgrowth of bacteria in the small intestine leads to acid reflux due to the gas's pressure resulting in the LES's forced opening. The LES has to hold against this pressure. If the LES is too weak to maintain the pressure, it opens, resulting in reflux.

In addition, unnecessary treatment with proton pump inhibitors (PPIs) may predispose to developing SIBO. The duration of PPI use has been shown to significantly increase the risk of SIBO, highlighting the need for appropriate prescribing and scaling down of PPIs. In addition, PPIs can lead to a higher likelihood of developing food allergies in children, which may be avoidable if SIBO is ruled as a cause of GERD symptoms and treated accordingly. In a study of GERD patients receiving a PPI, SIBO was detected in 8.3% of cases (0-6 months of treatment), 21.7% (6-12 months of treatment), and 61.6% (over 12 months).

In another study, prolonged PPI treatment was proven to produce bowel symptoms and SIBO; therefore, PPI therapy should be carefully used and perhaps should be minimized in GERD.

Anyone suffering from GERD should always test for SIBO through a simple breath test. The eradication of SIBO will reduce pressure on the LES, significantly reducing the symptoms of GERD.

THE REAL DEAL ON GERD AND PPIs

Having tested many patients with acid reflux using the Heidelberg pH Diagnostic medical device, I have never encountered anyone who presented with hyperchlorhydria (too much stomach acid). Instead, they tested positive for hypochlorhydria (low stomach acid) and one patient with achlorhydria (no stomach acid). The problem with "heartburn" or acid reflux is not that there's too much acid in the stomach; the problem is the involuntary opening of the LES due to injury, scarring, or weakness. You're prescribed PPIs not to reduce high levels of stomach acid but to significantly lower the risk of having just one tiny drop of stomach acid getting into the esophagus where it isn't supposed to be. This is because the stomach lining is built for the acidity of hydrochloric acid, whereas the LES is not.

The importance of stomach acid cannot be overstated. When food is eaten, the secretion of stomach acid (HCL) triggers the production of pepsin. Pepsin is the enzyme required to digest protein. If HCL levels are insufficient, pepsin will not be activated to break down complex long-chained proteins. As a result, proteins don't get broken down into their component amino acids and peptides. This can lead to a deficiency of essential amino acids, leading to chronic depression, anxiety and insomnia. In addition, proteins that escape digestion by pepsin may end up in the bloodstream. The body reacts to these proteins as foreign invaders, causing allergic and autoimmune diseases.

02/11/2023

Environmental and lifestyle factors brought up by industrialization, such as an altered diet, unbalanced species and strains of bacteria in the intestinal tract, a lack of physical activity, an increase in alcohol consumption, stress, and sleep deprivation, have greatly affected the development of colorectal carcinoma (colon cancer).

In addition, these factors increase the risk of colon cancer, at least partly, by pathologically altering the colonic environment, including the composition of the gut microbiota, referred to as dysbiosis. Dysbiosis means an imbalance between the types of organisms in a person's natural microflora, especially that of the gut, which is thought to contribute to a wide range of ill health conditions.

Intestinal dysbiosis promotes colorectal carcinogenesis through multiple mechanisms. Specific bacterial components can excrete substances that damage the protective lining of the colon, damage DNA, induce inflammation, and alter gene expression.

SIBO (small intestinal bacterial overgrowth) can cause inflammation of the gastrointestinal lining that may lead to ulceration. Constant inflammation can also cause cells of the lining to turn cancerous. Thus, SIBO also increases the risk of colon cancer.

Nutraceuticals such as prebiotics and probiotics can help maintain intestinal microbial homeostasis (normal function) in the gut. Therefore, prebiotics and probiotics can hinder the effects of dysbiosis and SIBO by encouraging anti-carcinogenic and anti-inflammatory immunity, the maintenance of the intestinal epithelial barrier (the single-cell thick protective lining of the intestines), and inactivating cancer-causing pathways.

In addition to their implications in preventing colon cancer, nutraceuticals are being discovered as potential adjuncts to immune checkpoint inhibitors in treating colon cancer because of the mechanisms affected.

Prebiotics and probiotics hinder the mechanisms of colorectal carcinogenesis in different ways. First, prebiotic molecules, especially oligosaccharides, form short-chain fatty acids (SCFAs). SCFAs can also impact cell signaling pathways. These functions allow SCFAs to promote a healthy immune response and regulate gene expression.

Probiotic species, particularly Bifidobacterium spp. and Lactobacillus spp., relieve the colon of bacterial toxins either through direct binding or by affecting specific enzymes. Probiotic bacteria in the gut have been shown to play a significant role in immunomodulation and display antitumor properties to eliminate early-stage cancer cells. That is why eradicating SIBO and favourably changing the intestinal tract's bacterial environment are critical to halting and reversing colon cancer.

02/08/2023

Methane (CH4) present on a SIBO breath test is significantly associated with constipation in both IBS and functional constipation. These results suggest there is merit in using SIBO breath testing for constipation.

People with CH4-predominant SIBO, better described as intestinal methane overgrowth (IMO), usually present with bloating, stomach pain (powerful contractions which paralyze peristalsis), and abdominal distention. However, they are also five times more likely to have constipation than hydrogen (H2)-predominant SIBO.

Moreover, the severity of constipation is directly correlated with the level of methane detected on a SIBO breath test. So, again, this merits using a breath test to get an accurate measure of methane and develop a more precise treatment protocol.

Elevated methane (CH4) levels in the small intestine suggests delayed small bowel and colonic transit. In other words, it has been shown and proven that high levels of CH4 found on a breath test can completely halt the movement of food and waste through the small and large intestines, respectively.

Links to some diseases and conditions by elevated methane levels are as follows:

-higher body max index (BMI). Lower transit time increases calories extracted and stored in the body.

-colon cancer. 80% of patients with colon cancer were shown to have high levels of methanogens (methane producers).

-IBD. Patients with IBD show a higher prevalence of methanogens.
-diverticulosis-often have high levels of methanogens.

-obesity/anorexics/periodontitis all shown to have higher levels of methanogens.

02/05/2023

Restless legs syndrome (RLS) is a neurological disorder characterized by a periodic need to move the legs to relieve an unpleasant or uncomfortable sensation in the legs. The symptoms are usually worse in the evening or at night and occur primarily during periods of inactivity, such as lying down or sitting.

IBS and SIBO are common in RLS. Three hypotheses developed are:

1. RLS patients are selectively immunocompromised or genetically predisposed and thus more subject to SIBO;

2. SIBO leads to autoimmune changes, and subsequent auto-antibodies attack the brain and/or peripheral nerves and

3. SIBO inflammation leads to increased hepcidin and CNS iron deficiency which, in turn, leads to RLS.

02/03/2023

Breath testing for carbohydrate malabsorption (food intolerance) is integral in helping you find the foods triggering your symptoms. Breath testing has been used for decades in hospital settings to assess for carbohydrate malabsorption. The increase in gases acts as a biomarker as they indicate that the food has been malabsorbed and enters the colon where it is fermented.

Carbohydrate malabsorption testing can be done outside hospitals, making it much more accessible and easier for you. The tests can be completed from home following the same process and clinically established guidelines. You can also use the device to test your fermentation response to your regular diet. The tests can help you confirm which foods are being malabsorbed and which foods won't cause symptoms. As a result, THE AIRE 2 has helped many people overcome their fear of food and reduce the length of dietary restriction, which has potential side effects and impacts their quality of life.

Here are some facts which I have just learned myself. The following sugars are those that SIBO sufferers and/or IBS sufferers react to, causing so much bloat and gas; lactose, fructose, sorbitol, and inulin.

-84% of IBS patients are intolerant to the FODMAP foods (these 4 sugars)
-the highest suspected sugar is lactose, but it has the lowest rate of intolerance at 36%
-sorbitol is the lowest suspected sugar, but it has the highest rate of intolerance at 73%
-fructose and inulin rates of intolerance are 44% and 52%, respectively

02/02/2023

Carbohydrate malabsorption (impaired digestion of carbohydrates) leads to bacterial and yeast overgrowth by increasing the levels of carbohydrate substrate that microbes (different species of bacteria) feed on and multiply in numbers.

Under healthy conditions, beneficial bacteria preoccupy the favourable ecological niches for bacteria (e.g. the intestinal villi), preventing invading pathogens (harmful bacteria and fungus) with a place to anchor (attach). Moreover, when beneficial bacteria are high enough, they tend to out-compete toxinogenic (producing toxins or poisons) bacteria while, at the same time, producing antibacterial chemicals called bacteriocins, which act as antibiotics. This is good!

However, in SIBO, where there are too many non-beneficial bacteria in the small intestine, they secrete toxins which can damage the villi, which are needed to break down sugars for absorption into the body. This damage leads to inflammation and carbohydrate malabsorption. Not good!

The fermentation of carbohydrates that have yet to be appropriately digested produces gas. The resulting gas increases intra-abdominal pressure, which is the driving force behind Gastroesophageal reflux disease (GERD).

If a portion of food is malabsorbed, it continues to the large intestine, where it is fermented, and gas is produced. This increase in gas may cause symptoms. Some carbohydrates can also draw water into the gut and increase transit through the gut, which can lead to diarrhea. This is commonly seen in fructose malabsorption and also lactose malabsorption.

02/01/2023

Stop guessing and start testing. The next era of digestive breath testing, based on validated clinical technology, is here. Never order multiple breath tests ever again. This one-time purchase AIRE 2 device allows you to test an unlimited number of times while receiving your results instantaneously. It's truly amazing!

For more information about this state-of-the-art testing for SIBO, please send me a message.

02/01/2023

Small intestinal bacterial overgrowth (SIBO) is the presence of excessive bacteria in the small intestine. What is unique about SIBO is that there are disproportionate numbers of aerobic and anaerobic bacteria colonizing the small intestine, a region usually containing few bacterial populations. The bacteria typically recognized as SIBO are mainly of the colonic type and are thus predominantly gram-negative aerobes and anaerobic species that ferment carbohydrates into gas.

The SIBO hypothesis proposes that this expansion of bacteria into the small intestine from the large intestine leads to symptoms including bloating, abdominal discomfort and changes in stool form.

SIBO is frequently implicated as the cause of chronic diarrhea, constipation, and malabsorption. Patients with SIBO may also suffer from unintentional weight loss, nutritional deficiencies, and osteoporosis.

A common misconception is that SIBO affects only a limited number of patients, such as those with an anatomic abnormality of the upper gastrointestinal (GI) tract or those with a motility disorder. However, SIBO may be more prevalent than previously thought. This apparent increase in prevalence may have occurred partly because readily available diagnostic tests have improved our ability to diagnose SIBO, such as the SIBO hydrogen and methane breath test.

SIBO develops when the normal homeostatic mechanisms that control enteric (intestinal) bacterial populations are disrupted. The two processes most commonly predispose to bacterial overgrowth are diminished gastric acid secretion (achlorhydria/hypochlorhydria) and small intestine dysmotility.

Disturbances in gut immune function and anatomical abnormalities of the GI tract also increase the likelihood of developing SIBO. In addition, once present, SIBO may induce an inflammatory response in the intestinal mucosa (lining of the intestinal tract), further exacerbating the typical symptoms of SIBO.

Therapy for SIBO must be complex, addressing all causes, risk factors and complications, and thoroughly individualized. It should include treatment of the underlying disease, nutritional support and/or cyclical gastrointestinal selective antibiotics. The prognosis is usually moderate to severe, determined mainly by the underlying cause, risk factors, or condition that led to SIBO.

For more information, please send me a message.

01/29/2023

Fibromyalgia (FM) is a disease characterized by skeletal muscle hyperalgesia (abnormally heightened sensitivity to muscle pain), fibrous tissue pain (fibrous connective tissue is found in tendons which connect muscles to bones), and ligament pain (which connect bones to bones).

This term is an amalgam of three Latin roots: fibro means “fibrous tissue,” myo means “muscle,” and algia means “pain.” So, fibromyalgia means tendon, ligament, and muscle pain. This makes FM a disease of known origin, not a syndrome of unknown origin.

How does SIBO cause FM? Bacterial secrete toxins such as;

-lipopolysaccharide (LPS), which stimulates the immune system causing inflammation

-D-lactic acid, which causes muscle pain, fatigue, and brain fog

-hydrogen sulfide (H2S), which poisons the mitochondria (energy-producing factories in the cells), kills brain cells, causes muscle fatigue, and causes brain fog

-tryptophanase, which leads to tryptophan deficiency, causing serotonin deficiency (depression), melatonin deficiency (insomnia), hyperalgesia, and hypoadrenalism (low adrenal glad output

01/26/2023

What is the best device for detecting SIBO? Check this out...

Detecting SIBO by hydrogen (H2) and methane (CH4) gases in the breath has recently become significantly more accessible and less costly. One innovation that has taken the diagnosis of SIBO out of the doctor's office is a new consumer device called AIRE 2. Initially conceived as a device to navigate a low-FODMAP diet for people with irritable bowel syndrome (IBS), it is also a device that, by detecting H2 and CH4 in the breath, is now being used to identify SIBO.

How does it work? It's simple! You blow a breath of air (AIRE) into the device and breath H2 and CH4 gas registers on your smartphone via Bluetooth. With a cost-practical purchase of the device for less than $300 CDN, you can use this small, simple device repeatedly, representing substantial cost savings over performing a typical SIBO breath test in a lab or clinic or from a breath test kit mailed to your home, which incurs hundreds of dollars each time you take the test.

You can also share the device with members of your family.

01/26/2023

SIBO has unlimited SYMPTOMS. The most common are listed.

01/26/2023

SIBO can lead to many DISEASES & DISORDERS.

01/26/2023

SIBO can lead to many SYNDROMES and impact many common HEALTH ISSUES.