If you've been diagnosed with Small Intestinal Bacterial Overgrowth (SIBO), you might be wondering about natural methods for healing SIBO without relying on antibiotics (pharmaceutical or herbal).
The prevailing belief is that you need to eliminate the overgrowth of bacteria in your small intestine, sometimes at all costs. This approach toward SIBO suggests a quick fix as if it is a sort of infection, which is not the case in most cases.
However, what if you could manage and overcome SIBO without engaging in this "killing" approach?
Let's explore how you can beat SIBO by focusing on building a healthier body and adopting specific lifestyle changes. By addressing the root causes and supporting your body's natural defense processes, you can create an environment where SIBO is less likely to thrive.
This approach isn't about quick fixes; it's about understanding your body, making informed choices, and fostering long-term health.
Whether you're newly diagnosed or have been battling SIBO for some time, this guide will offer you a new perspective to take control of your digestive health, all without relying on antibiotics or antimicrobial herbs.
First things first: what exactly is SIBO?
SIBO, or Small Intestinal Bacterial Overgrowth, is a condition where an excessive amount or abnormal type of bacteria are present in the small intestine, where their numbers should be relatively low compared to the large intestine. (The large intestine houses the highest number of bacteria).
These bacteria in the wrong place can interfere with normal digestion and absorption of food by fermenting carbohydrates and fibers and creating byproducts, like gases (methane, hydrogen, hydrogen sulfide). The overgrown bacteria can interfere with normal digestion and nutrient absorption.
This process can lead to symptoms like:
- Chronic bloating that tends to get worse by the end of the day,
- Changed bowel movements involving constipation and/or diarrhea or alternating bowel movements,
- Abdominal pain,
- Nausea,
- Burping,
- Fatigue,
- Brain fog,
- Muscle or joint pain,
but it can also impact your skin, hormones, and other areas of the body.
Intestinal Methanogen Overgrowth, IMO, also belongs to this category. In this case, we talk about another type of microorganism, archaea, that can also take residence in the small intestine besides bacteria. For simplicity, we will use the term SIBO in this article.
SIBO and IMO often masquerade as other digestive disorders, which makes them tricky to diagnose. (1)
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Traditional treatment methods and their drawbacks to healing SIBO
When it comes to treating SIBO, traditional methods often rely heavily on antibiotics, antimicrobial herbs, and dietary restrictions. However, while these approaches can provide relief, they come with significant drawbacks.
Antibiotics are the most commonly prescribed treatment for SIBO, with medications like rifaximin and metronidazole frequently used to reduce bacterial overgrowth in the small intestine. (2)
While antibiotics can be effective in the short term, they often fail to address the underlying causes of SIBO. This oversight can lead to a high relapse rate, with many individuals experiencing a return of symptoms once the course of antibiotics is completed. (3)
Furthermore, the overuse of antibiotics can contribute to antibiotic resistance, making future infections harder to treat. (4)
Additionally, antibiotics can disrupt the balance of healthy bacteria in the gut, potentially leading to other digestive issues and negatively impacting the gut microbiome. (5)
Antimicrobial herbs, such as oregano oil, berberine, and allicin, are often touted as natural alternatives to antibiotics. While these herbs can be effective for reducing the overgrowth of bacteria and less disruptive to the gut microbiome compared to antibiotics, they still share a similar limitation: they do not address the root causes of SIBO and may not work for everyone. (6)
Moreover, some individuals may experience side effects such as gastrointestinal discomfort, allergic reactions, or interactions with other medications, making this approach less than ideal for some.
Dietary restrictions are another common approach to managing SIBO symptoms. Various SIBO diets like the low-FODMAP diet, SIBO Specific Diet, Specific Carbohydrate Diet (SCD), and others aim to reduce symptoms by limiting foods that feed the bacteria in the small intestine.
Some may choose more extreme measures like the Carnivore diet to completely remove all carbohydrates from the diet to starve the bacteria or prolonged fasting but these routes are not without consequences.
While these diets can provide symptom relief, they can be challenging to maintain and may lead to nutritional deficiencies.
Furthermore, it is important to understand that these diets focus on symptom management rather than curing SIBO or addressing the underlying issues causing bacterial overgrowth.
Introduction to the concept of holistic healing for SIBO
In contrast to traditional methods, when it comes to healing SIBO, a comprehensive and holistic approach can be more effective in addressing the root causes of SIBO rather than merely alleviating symptoms.
This method views the body as an interconnected system, focusing on balanced nutrition, lifestyle modifications, digestive support, and addressing underlying causes.
By adopting this multifaceted strategy, individuals can achieve long-term relief, prevent recurrence, and improve overall health and well-being.
Let's have a look at these elements:
Establishing a strong foundation for healing SIBO
When it comes to beating SIBO, the key lies in establishing a strong foundation for overall health. This way, we strengthen the body to make it resilient to any challenges.
This means focusing on essential lifestyle factors like nutrition, quality sleep, stress management and nervous system support, physical activity, and more.
Nutrition
Healing SIBO isn't about following a strict SIBO-specific diet but ensuring that your body receives all the nutrients it needs to function optimally. It is crucial as SIBO can cause various nutrient deficiencies. (7)
Obviously, diets high in sugar, ultra-processed foods (packaged foods that are made through industrial processing), and unhealthy fats can feed harmful bacteria, promoting their growth, so you want to avoid or massively reduce those in the diet. Examples include fast food, cookies, cakes, chicken nuggets, breakfast cereal, protein bars, etc.
A balanced, whole-food diet includes the right amount of calories, macronutrients (proteins, fats, and carbohydrates), and micronutrients (vitamins and minerals).
Practical Tips:
- Track and assess your food intake: Use apps like Cronometer to monitor your daily food intake. This app can help you see how much you eat a day and if you're missing out on crucial nutrients. Even if you just do it for a few days, it could give you valuable data.
- Rotate your foods: I know it can be difficult to include a wide variety of foods in your meals with SIBO, but try to avoid eating the same type of food every day. Be creative and use different colors from the same vegetable, like multi-colored carrots.
- Cook your food: while raw foods are generally great, they might be harder for the gut to digest when you have a compromised digestive function. Eating cooked vegetables (and even sometimes fruits!) can be a game changer.
- Boost absorption of nutrients: Using healthy fats (like avocado, olive oil, coconut oil, flax seeds, fatty fish, and nuts) while eating vegetables can help boost the absorption of fat-soluble vitamins such as vitamins D, E, K, and A, which can commonly be deficient in SIBO.
- Stay hydrated at the right time: (Filtered) water is crucial for digestion, but drinking too much water during meals can dilute digestive enzymes. Aim to drink plenty of water throughout the day, but try to limit large amounts of water immediately before and during meals. Sipping water is fine, but focus on hydration between meals.
Mindful eating habits
To maximize nutrient absorption and promote better digestion, we can learn to practice mindful eating in our daily lives. (8)
Mindful eating involves paying full attention to the experience of eating and drinking, both inside and outside the body.
It means being present during meals, noticing the colors, smells, textures, flavors, temperatures, and even the sounds of your food. It's about tuning into your body's hunger and satiety cues and eating with the intention of nourishing your body.
Mindful eating can be particularly beneficial for individuals with SIBO for several reasons:
- By eating slowly and chewing thoroughly, you help break down food more efficiently, reducing the workload on your digestive system.
- Mindful eating helps prevent overeating and reduces the intake of excess air, which can contribute to bloating and gas.
- When you are relaxed and focused on your meal, your digestive system functions better, improving the absorption of nutrients.
Practical steps for mindful eating:
- Eat without distractions: Turn off the TV, put away your phone, and focus solely on your meal.
- Take small bites and chew thoroughly: Aim to chew each bite at least 20-30 times. This helps break down food and ease the digestive process.
- Savor your food and engage your senses: Notice the flavors, textures, and aromas of your food. Take the time to enjoy each bite.
- Listen to your body: Pay attention to your hunger and fullness cues. Eat when you're hungry and stop when you're satisfied.
- Set a calm eating environment: Create a pleasant and calm environment for meals. This can help reduce stress and improve digestion.
Sleep
Your body needs adequate rest for repair and regeneration. Consistently missing out on restful sleep can weaken the immune system, making your body and gut more vulnerable to imbalances and infections.
Quality sleep is like the maintenance crew for your body. During sleep, your body repairs tissues, consolidates memories, and balances hormones. (9)
Tips for improving sleep quality:
- Have good sleep hygiene: Establish a routine.
- Go to bed and wake up at the same time every day.
- Make your bedroom a sanctuary—cool, dark, and quiet.
- Possibly leave your phone in another room and reduce your exposure to blue light that could disrupt your sleep-wake cycle.
- Address sleep disorders: If you suspect sleep apnea or insomnia, seek professional help.
- Practice relaxation techniques: It's important to give yourself time to wind down after a long day. Incorporate calming activities before bed, like:
- reading,
- journaling,
- taking a warm bath.
Stress management
Chronic stress affects your body in numerous ways; the gut is no exception. Persistent stress can weaken your gut lining, reduce stomach acid production, and alter gut motility, creating an environment for SIBO to flourish by impairing gut-brain axis communication. (10)
Techniques for managing stress:
- Mindfulness and meditation: Practices like deep belly breathing and meditation can calm your nervous system. Apps like Headspace or Calm can guide you through mindfulness exercises. Start with just a few minutes each day and gradually increase as you become more comfortable with the practice.
- Hobbies and joy: Engage in activities that bring you joy. Whether it's painting, gardening, or playing a musical instrument, find what lights you up. These activities can provide a creative outlet and a break from daily stressors.
- Social connections: Spend time with loved ones. Positive interactions boost oxytocin, which helps reduce stress. Make an effort to connect with friends and family, even if it's through a phone call or video chat. Plan regular social activities that you enjoy and that bring you closer to others.
- Spending time outside in nature: Nature has a calming effect on the mind and body. Spending time outdoors can lower cortisol levels, reduce blood pressure, and improve mood. Aim to spend at least 20-30 minutes outside each day. Whether it's a walk in the park, hiking in the woods, or simply sitting in your backyard, being in nature can provide a much-needed respite from the stresses of daily life.
- Addressing the real stressors: While stress management techniques are essential, it's also important to face and address the real stressors in your life. This means identifying the root causes of your stress and taking steps to manage or eliminate them.
- Take time to reflect on what is causing you the most stress. Is it work, relationships, financial concerns, or something else?
- Once you've identified your stressors, develop a plan to address them. This might involve setting boundaries at work, seeking financial advice, or improving communication in your relationships.
- Don't be afraid to seek help from a therapist, counselor, or support group. Talking through your stressors with a professional can provide new insights and coping strategies.
The impact of trauma and stored emotions on the body
Trauma and stored emotions can have profound effects on the body, often manifesting as physical symptoms and chronic health conditions. (10) When we experience trauma or intense emotional stress, our bodies can enter a state of heightened arousal or "fight or flight" mode.
Over time, if these emotions are not processed and released, they can become trapped in the body, leading to:
- Chronic stress and anxiety: Persistent tension and a heightened stress response.
- Digestive issues: Conditions like IBS or SIBO, as the gut is directly affected by our emotional state.
- Muscle tension and pain: Physical manifestations of unresolved emotional stress.
- Immune system dysregulation: Increased susceptibility to illness due to chronic stress.
Primal Trust Academy offers a comprehensive approach to help individuals release stuck emotions and regulate their nervous systems. This can be particularly beneficial for those dealing with the long-term effects of trauma. Here's how the academy can support you:
- Somatic practices: Techniques that focus on body awareness and movement to release stored tension and emotions.
- Mind-body integration: Programs that integrate mindfulness, meditation, and breathing exercises to calm the nervous system.
- Emotional processing: Guided exercises to help recognize, process, and release trapped emotions.
- Community support: Access to a supportive community where you can share experiences and gain insights from others on a similar journey.
I am currently participating in this program, learning to regulate my nervous system better, process and release stored emotions, and ultimately cultivate a sense of peace and resilience in my life. This is also something I regularly recommend to my clients.
Affiliate Disclaimer:
This blog post contains affiliate links to products and services, such as the Primal Trust Academy. If you click on these links and make a purchase, I may receive a small commission at no extra cost to you. This helps support my website and allows me to continue providing valuable content. I only recommend products and services that I believe will be helpful to my readers.
Physical activity
Sedentary lifestyles can slow down gut motility, creating an environment where bacteria can overgrow.
Exercise is like a daily tune-up for your body. It improves circulation, boosts mood and metabolism, and aids digestion. Regular movement ensures that food and waste move smoothly through your digestive tract. (11)
Finding a balanced exercise routine:
- Aim for at least 150 minutes of moderate or low-impact exercise per week. Mix in activities you enjoy—walking, swimming, yoga, or pilates. Strength training is also beneficial.
Creating a healthy (toxin-free) environment
Our environment can significantly impact our health. Toxins from plastics, household cleaners, and even personal care products can disrupt our delicate hormonal balance and affect our gut health.
Practical steps:
- Natural products: Choose natural cleaning and personal care products. Look for labels that say "non-toxic" or "organic." The Environmental Working Group's website is a great resource to look for non-toxic alternatives.
- Air quality: Improve indoor air quality with plants, air purifiers, and regular ventilation. It's crucial to live and work in a clean environment, free from mold and other toxins.
- Water quality: Drink filtered water to avoid contaminants.
Supporting digestive juice production for healing SIBO
Your body produces various digestive juices, from stomach acid to bile and digestive enzymes. These juices help break down food and also play a role in keeping bacterial growth in check, acting as a defense mechanism.
Factors like aging, certain medications, or other conditions can reduce the production of these juices, facilitating bacterial overgrowth.
Here is a short breakdown for you:
Hydrochloric acid (HCl) (frequently referred to as stomach acid) in the stomach breaks down food, activates digestive enzymes, and helps kill harmful bacteria and pathogens.
-
- A tablespoon of apple cider vinegar in a glass of water before meals can stimulate stomach acid production.
- Ginger can help increase HCl production. Try incorporating fresh ginger into your meals or drinking ginger tea.
- For some, supplementation may bring the desired outcomes. Betaine HCl supplements increase stomach acid levels, aiding in the digestion of proteins and absorption of nutrients. Pepsin is an enzyme that helps break down proteins in the stomach. You shouldn't take it if you suffer from gastritis or ulcers or experience any adverse effects like a burning sensation in the stomach.
Bile is produced by the liver and stored in the gallbladder, which helps emulsify fats, making them easier to digest and absorb. Furthermore, bile acids have antimicrobial properties that help control bacterial overgrowth.
-
- You can improve bile flow by consuming bitter foods like dandelion greens, arugula, and bitter melon to stimulate bile production.
- Incorporate healthy fats like olive oil, flaxseed oil, and avocado, which can support bile secretion.
- Some may need more support, and using supplements can be helpful, such as ox bile, which supports fat digestion and improves bile flow, which is especially useful for those with gallbladder issues or after gallbladder removal.
- Milk thistle is another great herb that supports liver health and bile production. It contains silymarin, which helps protect liver cells and promote bile flow.
Digestive Enzymes are crucial for breaking down food into absorbable nutrients. Different enzymes target specific macronutrients: proteases for proteins, lipases for fats, and amylases for carbohydrates.
Encouraging enzyme production:
-
- Certain raw foods like pineapple (bromelain) and papaya (papain) are rich in natural enzymes.
- Chewing your food thoroughly initiates the enzymatic process in the mouth and signals the stomach and pancreas to release digestive enzymes.
- Pancreatic enzyme supplements contain a blend of enzymes like amylase, lipase, and protease that help break down carbohydrates, fats, and proteins. Taking enzymes with meals can aid digestion, particularly if you experience bloating or discomfort after eating. (12)(13)
The role of gut motility in SIBO
One of the key root causes of SIBO is issues with gut motility. The movement of the digestive system is crucial in maintaining a healthy balance of bacteria in the gut. When this movement is disrupted, it can lead to an overgrowth of bacteria in the small intestine.
This issue revolves around the role of the Migrating Motor Complex (MMC). The MMC is a pattern of electrical activity that occurs in the smooth muscle of the gastrointestinal tract during the periods between meals.
It's often referred to as the "housekeeper" of our gut because its function is to sweep residual undigested material through the digestive tract. The MMC operates cyclically, approximately every 90-120 minutes during fasting periods.
When the MMC is functioning correctly, it helps control the bacterial population in the small intestine by regularly clearing it out, pushing bacteria into the large intestine, and preventing any significant accumulation.
However, certain conditions like chronic stress, medications (especially opioids), certain diseases (like Scleroderma), infections, or other root causes can disrupt the MMC's functioning, leading to a slowdown or stoppage of this cleaning wave. This disruption can allow bacteria to multiply excessively in the small intestine, leading to SIBO.
You can support your MMC by limiting snacking and spacing out your meals so that you are waiting 3-5 hours after you eat until you eat again. This time is important because it gives the migrating motor complex (MMC) in your digestive system time to work. (14)
Furthermore, you can support your gut motility by switching to a relaxed state, practicing Vagus nerve-stimulating activities, and exercising.
Prokinetics are another great tool. These are medications or supplements designed to stimulate gut motility and support the MMC. They can be particularly beneficial for individuals with SIBO by enhancing the natural cleansing waves of the MMC reducing the risk of bacterial overgrowth.
Commonly used prokinetics include natural options like ginger (15), Iberogast (16), or Motility Activator by Integrative Therapeutics and medications like low-dose erythromycin (17) or LDN (low-dose naltrexone)(18). Incorporating prokinetics into a comprehensive treatment plan can help maintain healthy gut motility, contributing to long-term SIBO management and prevention.
Addressing the root causes for healing SIBO
To effectively manage SIBO without antibiotics, it's essential to address the root causes that contribute to its development and persistence. By identifying and tackling these underlying issues, you can create a sustainable, long-term solution that promotes overall gut health and prevents recurrence.
While nutrition, stress management, sleep, and exercise are crucial components of a holistic approach to healing SIBO, other underlying factors often play a significant role.
Here are some additional root causes to consider:
- Structural abnormalities
- Conditions like adhesions from surgery, strictures, diverticula, or ileocecal valve impairment can physically obstruct the small intestine, leading to bacterial overgrowth. (19)
- Chronic infections
- Persistent infections such as parasites, Lyme disease, or viral infections can disrupt gut health and lead to SIBO.
- Hormonal imbalances
- Conditions like hypothyroidism, diabetes, or adrenal insufficiency can impact gut motility and overall digestive health. (20)
- Medication side effects
- Certain medications, including proton pump inhibitors (PPIs), antibiotics, and opioids, can alter gut flora and motility. (19)
- Immune system dysfunction
- Autoimmune diseases and immune deficiencies can disrupt the balance of bacteria in the gut. (21)
And more.
The importance of a comprehensive approach for healing SIBO
Taking a comprehensive approach to healing SIBO means looking beyond the immediate symptoms and addressing all potential contributing factors. This strategy ensures that you are not just masking the symptoms but genuinely healing your gut and preventing future occurrences.
By addressing multiple facets of health—diet, lifestyle, structural issues, infections, and more—you promote overall well-being and create an environment where healthy gut flora can thrive.
A multifaceted approach reduces the likelihood of recurrence. When all contributing factors are managed, the gut environment becomes less hospitable to bacterial overgrowth.
Addressing root causes can prevent secondary health issues that often arise from untreated SIBO, such as nutrient deficiencies, chronic inflammation, and immune dysfunction.
Looking for the complete roadmap so you don't have to rely on antibiotics? Check out the SIBO Free Life Method.
Disclaimer:
The information provided on this site is for educational purposes only, is not intended as medical advice, and does not claim to diagnose, heal, treat, or cure any conditions. Always consult with a healthcare professional before starting any dietary regimen, supplement, or lifestyle changes, especially if you have underlying health conditions or are taking medication.
- Bures, J., Cyrany, J., Kohoutova, D., Förstl, M., Rejchrt, S., Kvetina, J., Vorisek, V., & Kopacova, M. (2010). Small intestinal bacterial overgrowth syndrome. World journal of gastroenterology, 16(24), 2978–2990. https://doi.org/10.3748/wjg.v16.i24.2978
- Sachdev, A. H., & Pimentel, M. (2013). Gastrointestinal bacterial overgrowth: pathogenesis and clinical significance. Therapeutic advances in chronic disease, 4(5), 223–231. https://doi.org/10.1177/2040622313496126
- Lauritano, E. C., Gabrielli, M., Scarpellini, E., Lupascu, A., Novi, M., Sottili, S., Vitale, G., Cesario, V., Serricchio, M., Cammarota, G., Gasbarrini, G., & Gasbarrini, A. (2008). Small intestinal bacterial overgrowth recurrence after antibiotic therapy. The American journal of gastroenterology, 103(8), 2031–2035. https://doi.org/10.1111/j.1572-0241.2008.02030.x
- Giacomini, E., Perrone, V., Alessandrini, D., Paoli, D., Nappi, C., & Degli Esposti, L. (2021). Evidence of Antibiotic Resistance from Population-Based Studies: A Narrative Review. Infection and drug resistance, 14, 849–858. https://doi.org/10.2147/IDR.S289741
- Dahiya, D., & Nigam, P. S. (2023). Antibiotic-Therapy-Induced Gut Dysbiosis Affecting Gut Microbiota-Brain Axis and Cognition: Restoration by Intake of Probiotics and Synbiotics. International journal of molecular sciences, 24(4), 3074. https://doi.org/10.3390/ijms24043074
- Chedid V, Dhalia S, Clarke JO, et al. Herbal therapy is equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth. Glob Adv Health Med. 2014;3(3):16-24.
- Quigley, E. M. M., Murray, J. A., & Pimentel, M. (2020). AGA Clinical Practice Update on Small Intestinal Bacterial Overgrowth: Expert Review. Gastroenterology, 159(4), 1526–1532. https://doi.org/10.1053/j.gastro.2020.06.090
- Cherpak C. E. (2019). Mindful Eating: A Review Of How The Stress-Digestion-Mindfulness Triad May Modulate And Improve Gastrointestinal And Digestive Function. Integrative medicine (Encinitas, Calif.), 18(4), 48–53.
- Duncan MJ, Veasey SC and Zee P (2021) Editorial: Roles of Sleep Disruption and Circadian Rhythm Alterations on Neurodegeneration and Alzheimer's Disease. Neurosci.15:737895. doi: 10.3389/fnins.2021.737895
- Leigh, S., Uhlig, F., Wilmes, L., Sanchez‐Diaz, P., Gheorghe, C. E., Goodson, M. S., … & Clarke, G. (2023). The impact of acute and chronic stress on gastrointestinal physiology and function: a microbiota–gut–brain axis perspective. The Journal of Physiology, 601(20), 4491-4538. https://doi.org/10.1113/jp281951
- Kim, Y. S., Song, B. K., Oh, J. S., & Woo, S. S. (2014). Aerobic exercise improves gastrointestinal motility in psychiatric inpatients. World journal of gastroenterology, 20(30), 10577–10584. https://doi.org/10.3748/wjg.v20.i30.10577
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Alexandra is a Functional Medicine Certified Health Coach & Holistic Nutritionist specializing in IBS, SIBO, and Gut Health. She helps her clients identify the root causes of their chronic gut issues with functional testing, supporting their bodies holistically and implementing the necessary lifestyle changes long-term to regain control of their bodies and enjoy food freedom. Book your FREE SIBO Assessment call now >>>
