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The Root Cause Culprits Behind SIBO

abdominal adhesions connective tissue disorders food poisoning hypermobility hypochlorhydria hypothyroid ibs low stomach acid migrating motor complex mmc motility multiple sclerosis root causes sibo Jul 09, 2023

The Root Cause Culprits Behind SIBO

Knowledge is Power when it comes to treatment and recurrence prevention!

 

 

Small intestinal bacterial overgrowth (SIBO) is a condition characterized by an excessive growth of bacteria in the small intestine, leading to various digestive symptoms such as bloating, constipation, diarrhea and gut pain. Understanding the potential root causes of SIBO can provide valuable insights. Here are some of the main Root Causes (there are many others) that may be impacting your digestive symptoms.

 

  1. Impaired Gut Motility:

One of the primary drivers of SIBO is impaired gut motility. When the natural muscular contractions that propel food and waste through the digestive system become compromised, bacteria can accumulate and proliferate in the small intestine. Conditions like intestinal dysmotility, as well as diseases such as gastroparesis and irritable bowel syndrome (IBS), can contribute to SIBO by disrupting the proper movement of digestive contents.

 

  1. Structural Abnormalities:

Structural abnormalities within the gastrointestinal tract can disrupt the normal flow of intestinal contents, leading to SIBO. Conditions such as intestinal strictures, diverticula (small pouches in the intestinal wall), and adhesions (scar tissue) can cause stagnant areas where bacteria can grow unchecked. These structural issues can arise from previous surgeries, abdominal trauma, or congenital abnormalities.

 

  1. Low Stomach Acid Levels:

The stomach plays a vital role in protecting the small intestine from bacterial overgrowth. Adequate levels of stomach acid act as a defense mechanism by killing bacteria present in food and preventing their migration to the small intestine. However, certain factors such as chronic stress, medications like proton pump inhibitors (PPIs), and autoimmune conditions can lead to reduced stomach acid production, increasing the risk of SIBO.

 

  1. Intestinal Dysbiosis:

A disruption in the balance of the gut microbiota, known as dysbiosis, can also contribute to SIBO. Imbalances may occur due to factors such as antibiotic use, poor dietary choices, chronic stress, or other underlying conditions. Dysbiosis weakens the defense mechanisms of the small intestine, providing an opportunity for harmful bacteria to flourish.

 

  1. Digestive Disorders:

Certain digestive disorders can increase the likelihood of developing SIBO. Conditions like celiac disease, Crohn's disease, and pancreatic insufficiency can interfere with normal digestive processes, affecting nutrient absorption and creating an environment conducive to bacterial overgrowth in the small intestine.

 

  1. Hypothyroidism:

An underactive thyroid gland, known as hypothyroidism, can contribute to SIBO development. Thyroid hormones play a crucial role in regulating gut motility and maintaining the integrity of the intestinal lining. When thyroid function is impaired, it can lead to decreased intestinal contractions and reduced protective mechanisms, increasing the risk of bacterial overgrowth in the small intestine.

 

  1. Previous Food Poisoning:

Experiencing a severe bout of food poisoning can disrupt the delicate balance of the gut microbiota and lead to SIBO. Certain bacterial infections, such as Salmonella, Campylobacter, or Escherichia coli, can secrete endotoxins that damage the nerves that promote motility of the small intestine known as the MMC or Migrating Motor Complex. This damage can impair the normal functioning of the digestive system and create an environment favorable for the overgrowth of bacteria.

 

  1. Abdominal Adhesions from Surgeries:

Abdominal surgeries, such as those involving the intestines or reproductive organs, can lead to the formation of abdominal adhesions. Adhesions are bands of scar tissue that can develop between organs or between organs and the abdominal wall. These adhesions can cause mechanical obstructions or disrupt the normal movement of the intestines, creating stagnant areas where bacteria can accumulate and contribute to SIBO.

 

  1. Multiple Sclerosis (MS):

While the relationship between multiple sclerosis (MS) and SIBO is not yet fully understood, there appears to be a connection between the two. Studies have suggested that the impaired gut motility and dysregulated immune response associated with MS may contribute to an increased risk of SIBO. Additionally, medications used to manage MS symptoms, such as corticosteroids, can further disrupt the gut microbiota and increase the susceptibility to SIBO.

 

  1. Connective Tissue Disorders. The whole digestive system is nested in connective tissue in your body. Someone with a Connective Tissue Disorder such as Ehlers Danlos Syndrome will not have good integrity in the tissues that are holding the digestive organs in place and are more susceptible to developing SIBO.

 

It is important to note that SIBO is a complex condition, and multiple factors can contribute to its development. Identifying and addressing the underlying root causes are crucial for effective management and treatment. If you suspect you may have SIBO or any other health concern, consult with a healthcare professional for a comprehensive evaluation and personalized care.

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