In fact, one clue that you may have SIBO is that when you take a probiotic containing lactobacillus or bifidobacterium you have an exacerbation of your symptoms such as more gas, bloating, constipation, diarrhea or other digestive symptoms. Soil-based probiotics do not exacerbate symptoms of SIBO in the way other types of probiotics can. Amy Myers says that for those with SIBO, a soil-based probiotic is best. What is it telling you today? If it’s in misery, consider dropping that probiotic for a short period of time for best results. If I even feel a hint of SIBO trying to relapse, I remove the probiotic. Over time, I have learned that when SIBO relapses I must completely remove the probiotic. I took the probiotic, but it never helped. (Rifaximin, by the way, was part of the course of antibiotics I took.) You need to take a probiotic especially if you’ve been on Rifaximin for a month. When I was first diagnosed and/or every time I would relapse, everyone said, I can only speak to this one from 100% experience. #2: What stage of SIBO healing are you in? Symptoms? Ultimately, then, the overgrowth becomes harder to treat. So often, though, we never know the root cause, which probably contributes to a probiotic “not working.”įurthermore, when we don’t understand why the overgrowth occurred in the first place, what was once an “easier-to-treat” SIBO case then turns into more severe cases. The key here is that you must know your root cause. In that case, the good news is that a probiotic may be beneficial once you take into consideration the other things below. Sometimes, however, SIBO is triggered after an illness while traveling abroad. If this is your root cause, too, this could be the reason you also aren’t tolerating probiotics during treatment of SIBO. My bottleneck is motility and reduced stomach acid. This helps explain why probiotics, at certain times during my healing journey, made me miserable. Probiotic use may be particularly problematic for patients who have known problems with motility, as well as those taking opioids and proton pump inhibitors, which reduce stomach acid secretion and so the natural destruction of excessive bacteria. This is, by far, one of the best first things you can do to understand not only the role of probiotics for your healing journey but also the way in which you can see significant improvement in the shortest time possible. One area to start your focus is to understand the root, or underlying cause. Let’s first address #1: What is the root cause? What stage of SIBO healing are you in? How are your daily symptoms?.Many healthcare professionals will agree that whether or not you take a probiotic with active SIBO depends on these three main things: Follow a low FODMAP diet and/or other SIBO dietĪnd then, of course, take probiotic supplements – which is at the heart of our conversation today.Here are some of the most common SIBO treatment options you’ve likely heard about: With SIBO, there are also a multitide (of conflicting?) number of ways for treating it. What makes this small intestine bacterial overgrowth so frustrating is that, once you’ve been diagnosed with it and are experiencing these gastrointestinal symptoms, it’s also stubborn very hard to get rid of and seemingly around for the long term for many. Want to learn more about this? Check out THESE 8 SIBO Signs and Symptoms. SIBO patients typically present with any or all of these SIBO symptoms due to the overgrowth of bacteria: SIBO stands for small intestinal bacterial overgrowth and at its core, in the most basic terms, occurs when there is too much bacteria in the small intestine. Do Probiotics Help SIBO?Ĭlick HERE to save this article on “do probiotics help SIBO?” for later. Psychology Today cautioned the use of probiotics with SIBO.Īgain, I’m only speaking from tried, tested, and true trial-and-error.Michael Ruscio says probiotics benefit those with SIBO and IBS. Chris Kresser often sits on both sides of the fence.Amy Myers MD says to go with a “soil-based probiotic.”.The SIBO Guru says that probiotics are “absolutely necessary.”.Here is some information on what other people say on the issue. So today, I want to give it to you straight – what I’ve done and what has worked in my experience. Additionally, I have tried various types of probiotics. I have taken probiotics with SIBO and I have not taken probiotics with SIBO. Therefore, every single thing you read (yes, even this post) is subjective.īut let me just tell you that I have done it all. Taking probiotics with SIBO (small intestinal bacterial overgrowth) is a controversial topic, and that’s because no two SIBO cases are exactly the same. Do probiotics help SIBO? And should I take a probiotic with SIBO?
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