Presenter: Lisa Shaver, ND, LAc

Original Date: March 16, 2019

In this overview of Small Intestinal Bacterial Overgrowth Dr. Shaver outlines the various signs and symptoms, their causes as well as the underlying causes of SIBO. The breath and serum testing options are discussed as well as the analyses thereof. Treatment option include pharmaceuticals such as rifaximin, metronidazole and neomycin, as well as antibiotics which do not seem to fully address SIBO such as amoxicillin, and ciprofloxacin. The many herbal antibiotics are reviewed as will be the elemental diet, with attention to when to prescribe such antifungals as nystatin and fluconazole, or herbal equivalents. When to use prokinetics such as prucalopride, erythromycin and naltrexone will is also discussed. Foods that play a role and various diets are reviewed. There are various associated diseases and syndromes linked to SIBO as well as obstacles to successful treatment and when to prescribe medications such as nitazoxanide, tinidazole, albendazole, mebendazole, metronidazole.

0.5 Pharmacology and 1.0 General (Total 1.5 CEUs) approved by OBNM