The antibiotic approach to SIBO... A reasonable approach to Small Intestinal Bacterial Overgrowth (SIBO) treatment? Perhaps. Effective long term? Probably not. So the question is not “should I take Rifaximin or Neomycin/Rifaximin or plant antimicrobials?” Which I go into detail on this blog post . The question is what should I do after I take them? Because we all know of the infamous likelihood of a SIBO relapse. Too dive into this question we should look at the factors that lead to SIBO: Intrinsic factors that prevent bacterial overgrowth (Ghoshal, Shukla, & Ghoshal, 2017): 1. Secretion of gastric juice and bile which have antibacterial effects. Basically proper stomach acid and gallbladder function. 2. Peristaltic movement preventing adherence into the intestinal mucosa. Basically regular bowel movement. 3. Normal gut defense including humoral and cellular mechanisms. Basically adequate immune defenses in the gut such as proper Secretory IgA levels ...
The Blog of Sound Integrative Health . The Kirkland, Washington Naturopathic Medicine clinic.