Your Good Health: With meds and new diet no help, SIBO diagnosis needs revisiting

Dear Dr. Roach: I was diagnosed with small intestinal bacterial overgrowth by my gastroenterologist about three years ago. I was tested using the tube method. I am so bloated that I cannot wear any of my clothes.

Antibiotics will usually improve symptoms. Since it didn’t in your case, reconsideration of the diagnosis is appropriate, and either a repeat breath test or a different diagnostic test should be considered. An abnormal intestinal anatomy, from surgery or a condition like Crohn’s disease, is one big cause of SIBO. Abnormal GI motility from conditions that affect the nervous system of the intestine, like long-standing diabetes or scleroderma, is another.

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