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SIBO (small intestine overgrowth) - causes, symptoms & treatment

SIBO (small intestine overgrowth) causes flatulence, digestive problems and nutritional deficiencies. Find out more about the causes, symptoms and natural treatment options.

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Things worth knowing about "SIBO"

SIBO (small intestine overgrowth) causes flatulence, digestive problems and nutritional deficiencies. Find out more about the causes, symptoms and natural treatment options.

An estimated 11% of the world's population suffers from SIBO (Small Intestinal Bacterial Overgrowth), a bacterial overgrowth in the small intestine. Normally, the small intestine contains only a few bacteria, while most microorganisms are colonised in the large intestine. SIBO leads to an excessive proliferation of bacteria in the small intestine, which disrupts digestive processes and causes discomfort

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Causes of SIBO

Frequent causes are:

  • Disturbed bowel movement (e.g. due to irritable bowel syndrome or diabetes)
  • Reduced stomach acid production (often due to proton pump inhibitors)
  • Chronic stress and malnutrition
  • Intestinal surgery or anatomical changes

Symptoms of SIBO

The symptoms are often similar to irritable bowel syndrome and include:

  • Flat belly, abdominal pain, bloating
  • Chronic flatulence and diarrhoea or constipation
  • Nutrient deficiencies (e.g. vitamin B12, iron)
  • Fatigue, concentration problems and skin problems

Treatment and natural approaches

  • Nutrition: Low-FODMAP diet or elemental diet to reduce bacterial food
  • Antibacterial therapy: Antibiotics (Rifaxim.) or natural alternatives such as Oregano oil or berberine
  • Promote bowel movement: prokinetics and intermittent fasting
  • Regulate intestinal flora: Specific probiotics and micronutrients to support digestion

SIBO is a complex intestinal disease that requires individualised and holistic treatment. A combination of adapted nutrition, antimicrobial strategies and promotion of bowel movement can help to alleviate symptoms in the long term.

Literature references:

  • Pimentel, M. et al. (2020). "Small Intestinal Bacterial Overgrowth: Diagnosis and Treatment." American Journal of Gastroenterology.
  • Robert Koch Institute (RKI) (2021). "Irritable bowel syndrome in Germany: prevalence and health consequences." Federal Health Gazette
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Related search terms: SIBO-en