Small Intestinal Bacterial Overgrowth and Celiac Disease EP030

Gluten Free RN

Nobody wants bad bacteria, parasites, yeast or food particles hanging around their small intestine! There are a number of causes of small intestinal bacterial overgrowth (SIBO), and undiagnosed celiac disease just happens to be one of them.

The Gluten Free RN is prepared to discuss the complexity of health issues celiac patients must resolve after going on a gluten free diet, one of which may be SIBO. She shares the symptoms of small intestinal bacterial overgrowth, how we test for SIBO, and potential treatments for the condition. Listen in to learn how foods and medication affect the microbiome and alter the environment of your intestines.

What’s Discussed:

The complexity of healing once a celiac patient goes gluten free

• Very rarely does diet change heal all associated disorders
• Other issues like SIBO must be treated once intestines heal

The causes of irritable bowel syndrome

• Thought to be caused by stress
• Studies now show food poisoning may be trigger

How food, drink and medication affect your intestines

• Certain food/drink can move in bad bacteria, push out good
• Antibiotics change pH of stomach acid
• Bacteria, parasites, yeast and food particles get into small intestine

The consequences of damaged villi due to undiagnosed celiac disease

• Compromised immune system
• Inflammation
• Body can’t absorb nutrients

The process of healing your intestines

• Takes six months to a year
• Must eliminate all foods that cause inflammation (gluten, dairy, soy, etc.)
• After villi heal, deal with additional health issues (i.e.: SIBO)
• Villi MUST grow back before good bacteria can return

The symptoms of SIBO

• Gas, bloating
• Abdominal pain
• Diarrhea
• Constipation

How to test for SIBO

• Consume sugary drink, then breathe into tube
• Hydrogen sulfate associated with diarrhea
• Methane connected to constipation
• Gives snapshot of what is happening in intestines

How SIBO is treated

• Antibiotics (rifaximin)
• Herbs (i.e.: oregano oil, berberine, neem)
• Fecal microbial transplant

Risk factors for SIBO

• Any course of antibiotics
• Diabetes
• Bowel surgery
• Crohn’s disease
• Undiagnosed celiac disease

Resources:

Primal Docs

SIBO Info Website

“Small Intestinal Bacterial Overgrowth: A Comprehensive Review” in Gastroenterology and Hepatology

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Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism