Presenter: Kate Scarlata, RDN

Original Date: June 4, 2017

There is no evidence based nutritional therapy specific for SIBO. Many online nutrition “solutions” provide contradictory information leaving patients experiencing SIBO to be confused. This presentation reviews current nutritional therapies prescribed for SIBO, along with the pros and cons of each.

The low FODMAP diet is an evidence based nutritional therapy that can mitigate symptoms of IBS. IBS symptoms often mimic those seen in SIBO. In fact, SIBO was confirmed in 60 percent of IBS sufferers with predominant symptoms of diarrhea. A significant amount of data has now demonstrated the effectiveness of the low FODMAP diet in managing IBS, especially for bloating and pain, two key symptoms experienced with SIBO.

The emergence of nutritional interventions for complex GI disorders continues to evolve with the understanding of diet and gut microbial interactions. Food may elicit GI symptoms via osmotic, chemical, neuroendocrine, and prebiotic pathways or through changes via the microbiota due to impact on bile acid, pH, and fermentative end products (metabolites, short chain fatty acids and gas.) Gut barrier function, nature of gut flora, intestinal resection, gut inflammation, or disruption of the enterohepatic circulation, impairs normal digestion and requires a modified nutrition plan. The nutritional goal for those with SIBO is provide the most varied and least restrictive diet for symptom management to maintain quality of life, adequacy of nutrient intake and health of the gut microbiome.

1.5 General CEUs approved by OBNM

1.5 Category B credits approved by the California Board of Chiropractic Examiners