Small Intestine Bacterial Overgrowth

In this video, Dr. Kaufman discusses Small Intestine Bacterial Overgrowth (SIBO), a condition wherein bacteria from the colon migrate to the small intestine, often due to motility issues, and can lead to symptoms such as bloating, gas, and diarrhea. There is a significant overlap of SIBO with ME/CFS, with over 80% of patients affected, even if they don't have GI symptoms. Diagnosis is typically through a breath test using lactulose. Treatment involves antibiotics like rifaximin for hydrogen-producing bacteria and lovastatin for methane-producing archaea, alongside possible herbal treatments. Complications of SIBO include leaky gut, where bacterial toxins enter the bloodstream, potentially causing systemic inflammation and linking to conditions such as POTS and MCAS. Management focuses on treating the overgrowth and addressing underlying motility issues, alongside strategies for healing the gut lining and dietary modifications. SIBO is a major symptom driver in complex illnesses and should be considered for testing, given its treatability and significant impact on patient health.