Gastrointestinal issues are one of the main reasons why patients come into a doctor’s office. Certainly, irritable bowel syndrome (IBS) is the primary gastrointestinal diagnosis. Despite being a common disease, IBS’s etiology is still unknown due to the heterogeneity of its symptoms. The new hypothesis points to the fact that underlying infectious illness may cause IBS, and the bacteria overgrowth in the small intestine (SIBO) could explain the apparition of symptoms.
Observation concludes that the incidence of new-onset IBS symptoms is commonly reported after acute infectious gastroenteritis. In addition, breath tests have been able to determine the presence of SIBO in patients with IBS. Furthermore, after treatment, a reduction of SIBO resulted in an improvement of IBS’s symptomatology.Â
Table of Contents
- Abdominal pain.
- Altered bowel movements.
- Constipation in women.
- Diarrhea in men.
Furthermore, these symptoms are usually paired with secondary complications due to the connection between the gut and the body’s systems.
Neural signaling and IBS
The presence of IBS can cause detrimental symptomatology in the nervous system. Issues like autonomic dysfunction, sensitization of primary afferents, central pain amplification, and visceral hypersensitivity are complications attributed to IBS.
Patients with IBS have elevated proinflammatory cytokine levels, intestinal permeability, and mast cells in the mucosa. However, the main reason is not yet elucidated since a previous infection can cause these mechanisms.
Small intestinal bacterial overgrowth (IBS) is commonly found in patients with IBS. Indeed, the bloating symptoms of IBS are associated with the increase of fermentation and gas production by intestinal bacteria. In addition, the risk of developing IBS rises after suffering from infectious gastroenteritis due to a disruption of colonizing bacterial.
How to treat SIBO and IBS? 5R’s Framework
Orthomolecular medicine seeks to treat upstream and deal with the root cause of disease. Restoring gastrointestinal health and treating the gut are the main focal points to treat SIBO and IBS. Therefore, what seems fair is to develop a treatment plan that focuses on removing the nocive gastrointestinal environment and replacing all the gastric secretions. Furthermore, the reinoculation of beneficial bacteria with probiotics and prebiotics is vital to repair and rebalance well-being.
- Remove: Eliminating stressors that might affect the GI environment may include the use of an elimination diet or taking medication to remove pathogenic bacteria.
- Replace digestive secretions: bringing back proper digestive function may lead to the use of digestive enzymes, promote adequate hydrochloric acid production and bile acid secretion.
- Reinoculate: Replenishing the beneficial bacteria may need the supplementation of probiotics and prebiotics.
- Repair: detecting and treating the gut lining is crucial for the absorption of essential nutrients. Therefore, the proper nourishment of this tissue might benefit from L-glutamine supplementation to maintain the rapid enterocyte turnover.
- Rebalance: having good lifestyle choices that promote stress relief and balance can promote a sense of well-being. Reducing stress is a crucial part of gut health.
Disease progression is something that we can modulate by resetting our gut health. Resetting is the first step. However, to promote better gut health, we need to provide our beneficial bacteria with the proper prebiotics to flourish. Our nutritional decisions influence our microbiome variety and balance. – Ana Paola RodrÃguez Arciniega, MS
Thompson, John Richard. “Is irritable bowel syndrome an infectious disease?.”Â World journal of gastroenterologyÂ vol. 22,4 (2016): 1331-4. doi:10.3748/wjg.v22.i4.1331
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The information herein on "Treating SIBO and IBS with the 5R's Framework" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*
Our office has reasonably attempted to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.
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Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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