Approximately 11% of people worldwide suffer from IBS, a “wastebasket diagnosis” many patients with an array of digestive issues are given when doctors can’t pinpoint a more precise cause. SIBO is a notoriously underdiagnosed condition, despite research suggesting it may be a chief cause of irritable bowel syndrome (IBS). She answered the first few notes, but when the avalanche didn’t let up, she set up an automatic response with links to online resources. They reach out from all over the world and are like, ‘No one here where I live knows what this is,’” Lapine says. “I’ve gotten many, many messages and emails from really sick, desperate people. That’s when she learned how lucky she’d been. Lapine, a food and health writer and chef, chronicled her SIBO journey and shared SIBO-appropriate recipes on her blog and podcast in early 2018. It would take six weeks of antimicrobial medicines and another six months of a restricted diet for her digestion to feel normal again, and for the bloat to finally go away. But treatment proved to be an odyssey in and of itself. The diagnosis was a relief: “It’s not all in my head the bloating is just sticking to my body like an inner tube,” Lapine, now 36, remembers thinking. Lapine, who lives in New York, had never heard of it, nor had her endocrinologist warned of the possibility of developing it. She turned to a functional doctor who quickly gave her a diagnosis: small intestinal bacterial overgrowth (SIBO), a gut condition not uncommon for hypothyroid patients. She was following a gluten-free diet, drinking kombucha and taking prebiotics, and finally feeling her best when she noticed peculiar gut symptoms starting to rear their head: burping during meals, stomach discomfort, and a bloated belly that simply would not deflate. Schilling test.In 2017, shortly after she turned 32, Phoebe Lapine had just spent the previous three years overhauling her health to make up for her ailing thyroid, the result of unchecked Hashimoto’s thyroiditis. Effect of a preparation of four probiotics on symptoms of patients with irritable bowel syndrome: Association with intestinal bacterial overgrowth. Leventogiannis K, Gkolfakis P, Spithakis G, et al. Fat soluble vitamin, b12 and iron deficiency in patients with coliform small intestinal bacterial overgrowth(Sibo). No more pain in the gut: Lifestyle medicine approach to irritable bowel syndrome. Gut microbiota and metabolic health: the potential beneficial effects of a medium chain triglyceride diet in obese individuals. Rial S, Karelis A, Bergeron K-F, Mounier C.
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Hunger and microbiology: is a low gastric acid-induced bacterial overgrowth in the small intestine a contributor to malnutrition in developing countries?. Gastric hypochlorhydria is associated with an exacerbation of dyspeptic symptoms in female patients. Impacts of gut bacteria on human health and diseases. Zhang Y-J, Li S, Gan R-Y, Zhou T, Xu D-P, Li H-B. Symptomatic intestinal bacterial overgrowth diet (SIBO). Gut inflammation in chronic fatigue syndrome. Gastrointestinal bacterial overgrowth: pathogenesis and clinical significance. Small intestinal bacterial overgrowth and irritable bowel syndrome: A bridge between functional organic dichotomy. Small intestinal bacterial overgrowth: Nutritional implications, diagnosis, and management.