SIBO treatment

SIBO Relapse After Treatment: What Causes Recurrence

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SIBO relapse after treatment can feel like a cruel joke: you finally get relief, then your bloating and gut symptoms start returning again.

If you've ever gone through a gut-healing process, felt proud of yourself, and thought you'd finally fixed your gut, only to feel bloated again, you're not alone.

For a lot of people dealing with chronic digestive issues, SIBO (Small Intestinal Bacterial Overgrowth) can feel like that one houseguest who swears they're leaving, and then you find them back on your couch two weeks later, eating your snacks and turning your belly into a balloon.

You follow the protocol, cut the foods, and take the antimicrobials (or antibiotics). You see improvement, and then, slowly, and in a sneaky way, the symptoms creep back in. That's the frustrating truth.

So, how to prevent SIBO from coming back? It's rarely about finding a stronger treatment. It's about understanding why SIBO showed up in the first place, and what your body still needs after the elimination phase is over.

Because SIBO isn't usually the root problem.

When you stop chasing SIBO as a random infection and start viewing it as a pattern, one that is driven by gut motility, inflammation, the nervous system, and sometimes structural issues, the whole conversation changes. Instead of bracing for the next flare, you start building a body that's less hospitable to overgrowth in the first place.

In this blog post, I'm going to unpack why SIBO so often returns, what most protocols miss, and the mistakes to achieve relapse-proof steps that make the biggest difference long-term.

What is SIBO about?

SIBO stands for Small Intestinal Bacterial Overgrowth.

To simply explain it, it happens when bacteria that are supposed to live mostly in your large intestine (colon) set up shop too high up, in your small intestine, where they don't belong in large numbers. Or it could also be an imbalance in the existing bacteria in the small intestine, since it is not fully sterile as previously thought.

And that matters because your small intestine is designed to be more like a fast-moving highway, not a parking lot. It's where you absorb nutrients. It's not meant to host a large number of microbes. When these bacteria hang out there too long, they start fermenting the carbohydrates you eat too early in the digestive process. Fermentation produces gas, irritation, and inflammation, often within a couple of hours after meals. (1)

Common SIBO symptoms

Most people associate SIBO with bloating, and yes, bloating is a big one, but it's rarely the only symptom.

SIBO can show a wide range of symptoms (2), including:

  • Bloating and distension (sometimes you wake up okay and look 6 months pregnant by dinner),
  • Gas, burping, and abdominal discomfort,
  • Constipation, diarrhea, or a mix of both,
  • Reflux or heartburn (especially if digestion is sluggish),
  • Nausea or feeling overly full quickly,
  • Food sensitivities that seem to multiply over time,
  • Fatigue and brain fog,
  • Weight changes (weight gain or weight loss)
  • Nutrient deficiencies (such as low iron, vitamin B12, or fat-soluble vitamins) occur because absorption is impaired.

For many, SIBO affects not only the gut but also confidence, energy, social life, and mood. When you're constantly wondering what food will set you off, eating stops feeling normal and becomes a gamble.

Types of SIBO and why gas pattern matters

SIBO isn't one single thing. Different gases can predominate, which changes symptoms and what tends to work best. (3)

1) Hydrogen-dominant SIBO
2) Methane-dominant overgrowth (now called IMO – Intestinal Methanogen Overgrowth)
3) Hydrogen Sulfide SIBO (now called ISO – Intestinal Sulfide Overproduction)

You can read more about the differences among the three gas patterns in my previous blog post.

If you've tried a protocol and it kind of helped, but didn't last, it may not be because you didn't try hard enough. It may be because you were treating the wrong pattern or treating the right pattern without addressing what caused it to take hold.

SIBO relapse rate: How common is it for symptoms to come back?

Here's the part no one really warns you about when you start treatment, especially antibiotic treatment: even when you do everything right, SIBO has a reputation for returning.

However, for many people, SIBO isn't the main problem; it's the result of an underlying breakdown in digestion, gut motility, gut structure, or immune function.

If those drivers aren't addressed, the terrain that allowed overgrowth in the first place remains, and bacteria thrive in familiar environments.

Research shows that approximately 45% of patients have recurrent SIBO 9 months after completing antibiotic therapy. (4)

SIBO relapse rate

In clinical practice, recurrence is common within months without a clear prevention plan. Different studies and patient groups report different numbers (depending on treatment type, follow-up time, and underlying conditions), but the overall takeaway is consistent: SIBO relapse isn't rare; it's unfortunately part of the typical story for many chronic gut cases.

Why does that matter? Because it changes the goal.

If the only goal is kill the overgrowth at all costs, you might feel better temporarily and still end up back at square one.

But if the goal is:

  • clear the overgrowth AND
  • restore proper movement of the small intestine (gut motility, namely the Migrating Motor Complex)
  • rebuild digestive function (acid, bile, enzymes)
  • reduce inflammation and support the gut lining
  • strengthen the gut microbiome and immune defenses
  • regulate the nervous system so that digestion can actually work,

then you're no longer just treating SIBO. You're reducing the odds that it can set up camp again.

Think of it like getting rid of mold. You can scrub the visible spots off the wall (that's treatment), but if you don't fix the leak and dry the room (that's prevention), the mold comes right back, usually more stubborn than before.

SIBO relapse after treatment: the real root causes

If SIBO feels like it's recurring out of nowhere, it usually isn't. Most of the time, the bacteria didn't magically return; your gut environment simply stayed (or became) the kind of place where overgrowth is likely to occur.

Here's the key idea: SIBO is often a consequence of a deeper imbalance or dysfunction.

Treating the overgrowth without fixing the cause is like mopping up water while the faucet is still running.

1) Structural or mechanical issues

Your small intestine relies on smooth flow like a moving walkway at the airport. But if there's a structural issue, bacteria can accumulate in pockets or slow zones where they aren't cleared properly.

Common structural or mechanical contributors include:

  • Abdominal adhesions, which are bands of scar‑like tissue that alter movement or create kinks (often after surgeries, including C-sections, appendectomy, gallbladder surgery)
  • Diverticula in the small intestine (less common but relevant)
  • Ileocecal valve dysfunction (the "gate" between the small and large intestine that can contribute to backflow)
  • Endometriosis involvement (can affect motility and create inflammation/adhesions)
  • Pelvic floor dysfunction (especially when constipation is present)

If you're treating SIBO repeatedly but constipation never truly resolves, or symptoms improve, then stall at 60–70%, it may be because there's a physical blockage that's not being addressed. (5) (6)

2) Low digestive secretions

Your digestive tract has built-in protection systems. Stomach acid, bile, and enzymes help break down food and reduce the chance that microbes survive where they shouldn't.

When these are low, it's easier for bacteria to linger and ferment food in the small intestine.

What can contribute?

  • Low stomach acid (common with chronic stress, aging, nutrient deficiencies, H. Pylori infection, or long-term acid blockers) (7)
  • Reduced bile flow (gallbladder issues, sluggish bile, post-gallbladder removal) (8)
  • Inadequate pancreatic enzymes (poor signaling, chronic inflammation, or other digestive dysfunction) (9)

Clues (1) this might be part of your picture:

  • feeling overly full quickly
  • heaviness, feeling like the food sits in the stomach after meals
  • Bloating and visible distension, often within 30–90 minutes after meals
  • reflux that worsens with larger meals
  • nausea, burping
  • greasy stools or trouble tolerating fats
  • undigested food particles in stool

If food isn't being broken down properly, it becomes a feast for bacteria, like tossing scraps into a room and wondering why pests keep showing up.

3) Impaired gut motility (MMC)

This is one of the biggest drivers of recurrence.

Between meals and overnight, during fasting periods, your small intestine uses a specific type of gut motility, called the Migrating Motor Complex (MMC). This rhythmic wave sweeps leftover food and bacteria into the colon. Think of it like the night-shift cleaning crew that clears the hallways after the restaurant closes. (10)

When the MMC is weak or disrupted, bacteria aren't moved along efficiently, so they accumulate, and overgrowth becomes much easier.

Common reasons the MMC gets impaired:

  • chronic constipation or slow transit (11)
  • post-infectious IBS (after food poisoning, which is a very common SIBO story) (12)
  • hypothyroid patterns (even subclinical low thyroid function can slow motility) (13)
  • diabetes and long‑term poorly controlled blood sugar (due to nerve damage) (14)
  • stress and nervous system dysregulation (can alter gut–brain and enteric nervous system signalling) (15)
  • certain conditions like connective tissue disorders, including Ehler-Danlos Syndrome, and systemic sclerosis (scleroderma)

This is why you can go through many rounds of SIBO treatments and still get SIBO relapse, because if gut motility doesn't improve, the terrain hasn't changed.

4) Medications that increase risk

This is not about blaming medications, as many are important and sometimes life-saving. But it is about understanding the downstream effects so you can create a prevention plan.

Some medications can increase SIBO risk by reducing stomach acid, slowing gut movement, or shifting the gut microbiome, including:

  • PPIs / acid blockers (lower stomach acid) (16)
  • opioid pain medications (slow motility dramatically) (17)
  • anticholinergic medications (can slow gut movement) (18)
  • frequent or repeated antibiotic use (19)
  • other drugs that may affect motility, depending on the person and dose

If you need these medications, the goal becomes: How do we support digestion and motility around them? That's where a smart long-term strategy makes all the difference.

How to prevent SIBO relapse

The #1 reason SIBO relapses: not supporting the MMC after treatment

If I could put one message on a billboard for anyone finishing a SIBO protocol, it would be this:

Clearing the overgrowth is only step one. Keeping things moving is step two.

Because the moment you stop treatment, your gut needs to do what it was always meant to do: move food and microbes downstream efficiently. And the system responsible for that self-cleaning function is the Migrating Motor Complex (MMC). (10)

Remember the MMC as your gut's cleaning crew. When it's working well, it sweeps out leftover debris and bacteria from the small intestine between meals and while you sleep. When it's sluggish, those leftovers sit there, and bacteria do what bacteria do: multiply.

This is a huge reason SIBO relapse happens even after a protocol that seemed successful on paper.

We already discussed the possible contributing factors to a dysfunctional MMC.

Now, let's look at the three pillars that make the biggest difference in MMC support:

1) Prokinetics

A prokinetic is something that supports gut motility, specifically, the movement patterns that help the small intestine clear itself. (11)

Some people need prokinetics short-term after treatment; others (especially with constipation, methane/IMO patterns, post-infectious IBS, or long-standing motility issues) may need longer support while you rebuild the bigger picture.

Prokinetics can be:

  • prescription options (your practitioner can determine appropriateness)
  • botanical/nutraceutical options (often used in functional care, ginger-based formulas are common)

Important note: Prokinetics aren't laxatives. They're not just about going to the bathroom. They're about restoring the rhythms that keep the small intestine from becoming a stagnant pond.

You can read more about the function of the MMC and strategies to support it, including prokinetics, in my previous blog post.

2) Meal spacing

This one is deceptively simple and wildly powerful, but also often overlooked.

The MMC only kicks in when you're not constantly eating. If you snack all day, your small intestine stays in digest mode, and the cleaning crew never gets a proper shift. (20)

A helpful guideline for many people:

  • Aim for 3,5–5 hours between meals
  • Avoid grazing/snacking (unless medically necessary)
  • Consider at least a 12-hour overnight fast (for example: finish dinner at 7 pm, eat breakfast at 7 am)

If that sounds intense, remember: you're not trying to starve yourself. You don't need to do long fasts, as they may not be suitable for everyone. You're just giving your gut the quiet time it needs to run its natural maintenance program.

And if you have blood sugar issues, adrenal symptoms, or a history of disordered eating, this should be personalized because for your nervous system safety comes first. But most people can find a version of meal spacing that feels supportive rather than stressful.

3) Diet after treatment

A very common pattern I see is this:

Someone treats SIBO, feels better, and then stays on a very restrictive diet (like low-FODMAP) for months because they're terrified of symptoms returning.

But here's the twist: long-term restriction can make the microbiome less diverse and more fragile, like stripping your garden down to bare soil and then wondering why weeds return. (21)

In many cases, prevention looks like:

  • a short-term, symptom-guided approach right after treatment
  • gradual reintroduction of tolerated fibers and FODMAPs
  • prioritizing meal structure (for MMC support) over endless avoidance
  • building a more diverse plate over time, so your gut becomes adaptable again

The goal isn't following a perfect diet. The goal is a gut that doesn't overreact to food.

Treatment mistakes that set you up for a SIBO relapse

1) Abandoning treatment because die-off feels scary (and no one prepared you for it)

One of the most common reasons a protocol doesn't stick isn't a lack of effort. It's quite the opposite: you start treatment, symptoms begin to flare, and you start panicking.

Bloating ramps up, you feel nauseous, get a headache, wired-but-tired, constipation gets worse, your skin breaks out, your anxiety spikes, and you might even start reacting to foods that were previously safe.

And in that moment, a very reasonable thought pops up in your mind: "This is making me feel worse. I should stop."

Sometimes that flare is a sign the plan needs adjusting. That is why it's important to work with a practitioner during that phase.

But often, it's a sign that the body is overwhelmed by the pace of the elimination without enough support for clearing and calming. When that happens, people get scared and abandon the protocol mid-way, which can leave the overgrowth partially suppressed, but not fully resolved, making SIBO relapse more likely.

What helps instead is having die-off supporting strategies built into the plan, such as:

  • keeping bowel movements moving (because stagnation amplifies symptoms)
  • supporting bile flow and gentle detox pathways
  • using binders strategically when appropriate
  • titrating dosage (starting low, ramping slowly) instead of going full throttle on day one
  • building in nervous system support (because stress chemistry worsens gut symptoms fast)

In other words, it's not that your body is failing the protocol; it's that the protocol may be moving faster than your body can process.

2) Treating the overgrowth while constipation is still unresolved

This is a huge one, especially if you tend toward constipation or methane/IMO patterns.

If you're not having consistent, complete bowel movements, bacteria, gas, and inflammatory byproducts aren't being cleared efficiently.

It's like taking out one bag of trash while the rest keeps piling up in the kitchen, and then eventually the whole house starts to smell, no matter how many candles you light.

It's often smarter to work on constipation before you start an elimination protocol. Why? Because bowel movements are one of your body's main detox channels. If things aren't moving, the body has nowhere to put the byproducts of treatment, which can intensify symptoms (bloating, headaches, nausea, fatigue, irritability, skin flares), and you're more likely to stop early or feel like treatment didn't work.

In methane/IMO cases, this matters even more because methane itself can slow motility, so constipation isn't just a symptom, it's part of the mechanism. Supporting gut motility and elimination first often makes the entire protocol more tolerable, more effective, and less likely to lead to SIBO relapse.

3) Treating the wrong type (or not understanding methane/IMO gas shifts)

Not all SIBO is created equal. Hydrogen-dominant, methane (often called IMO), and hydrogen sulfide patterns can look similar, but they don't always respond to the same approach or timeline.

A common mistake is using a standard SIBO protocol for a methane-dominant case and expecting the same speed and results.

Methane/IMO often requires:

  • a more targeted strategy
  • longer support
  • and a stronger emphasis on gut motility and constipation from day one

Here's an important factor I want you to know: methanogens feed on hydrogen. They basically eat hydrogen and convert it into methane. So when you successfully reduce methane, hydrogen may increase on a breath test, not necessarily because you caused a new problem, but because hydrogen is no longer being used up to make methane.

This is one reason people feel better after the first round (less constipation, less heaviness), but still have lingering bloating or symptom flares and may need a second, more strategic phase to fully stabilize the terrain and reduce the risk of SIBO relapse.

4) Die-off, drainage, and elimination issues

If the body can't move things out well, treatment can become a rough ride.

When bacteria die, they release inflammatory compounds.

If you don't support:

  • regular bowel movements
  • bile flow
  • hydration and minerals
  • liver detox pathways (in a practical, non-woo way)
  • gentle binders when appropriate

You can end up feeling worse, stopping too early, or swinging into inflammation that keeps the gut reactive.

And if constipation worsens during treatment, it can create a setting where bacterial debris lingers, further increasing the risk of recurrence.

5) Skipping follow-up tracking

Many people complete a protocol, experience improvement, and understandably want to move on with their lives. But without a follow-up plan, it's easy to miss the early warning signs that things are drifting again.

What helps prevent backsliding isn't obsession, it's simple tracking:

  • A short symptom log for 2–4 weeks post-treatment (bloating, pain, stool frequency/consistency, reflux, energy)
  • Noting food triggers and non-food triggers (stress, sleep, cycle timing, travel)
  • A clear maintenance plan (MMC support, meal spacing, gentle reintroductions)

And in some cases, a follow-up SIBO breath test can be useful, especially if symptoms persist, shift types (constipation → diarrhea), or you're trying to confirm whether you cleared methane/IMO vs simply reduced it.

When this step is skipped, many people don't realize they're headed toward SIBO relapse until symptoms are loud again, at which point it feels like starting over.

6) Missing other causes: co-infections, oral microbiome, and reinfection patterns

Sometimes SIBO keeps coming back because you're treating the overgrowth, but not addressing what's feeding it or what's reintroducing it.

A few commonly missed pieces:

Co-infections and gut neighbors

  • Parasites or protozoa can drive inflammation and gut motility disruption, making overgrowth easier to maintain (22)
  • In some cases, fungal overgrowth (SIFO) can be part of the picture too, especially when symptoms don't match typical SIBO patterns or relapse is rapid (23)

Oral microbiome
The digestive tract starts in the mouth. Gum disease, chronic tonsil issues, and poor oral microbial balance can continually seed the gut with less-than-ideal bacteria. It's not the first place we look, but in stubborn cases, it can be a missing link. (24)

Reinfection patterns (especially after food poisoning)
A surprising number of chronic SIBO cases start after a bout of food poisoning or traveller's diarrhea. In post-infectious cases, gut motility disruption can linger, so even after you clear overgrowth, you're still vulnerable unless the MMC is actively supported. And if you're frequently exposed to risky food/water (travel, certain workplaces), prevention strategies matter. (12)

This doesn't mean you need to test everything under the sun. It means that if you're stuck in repeat protocols, it may be time to widen the lens because preventing SIBO relapse sometimes requires finding the upstream driver you didn't know was there.

The repair phase that is often skipped

One reason people fall into repeat rounds of treatment is that they focus on getting rid of the bugs, but skip the part where the gut actually recovers.

Think of it like this: treatment is the renovation crew that clears out the damaged drywall. The repair phase is where you rebuild the walls, seal the cracks, and make the house livable again. If you don't do that second part, your gut stays reactive, and SIBO relapse becomes much easier.

I often see this when clients come from a conventional doctor's office: they have received treatment and were sent on their way, hoping for the best.

Here are the three essential factors:

1) Calm inflammation

When your gut lining is irritated, it becomes more permeable and reactive, so normal foods can feel like threats, digestion gets more sensitive, and gut motility can slow down.

Common inflammation drivers after SIBO treatment include:

  • a stressed gut barrier (often called "leaky gut")
  • histamine overload (reacting to leftovers, fermented foods, wine, aged cheeses)
  • bile irritation (especially if stools burn, urgency is high, or fats feel difficult to digest)

The goal here is to create a calmer internal environment so your gut can digest, move, and rebuild.

2) Rebuild the gut microbiome

A big mistake is staying in avoid everything mode for too long. Yes, symptom-friendly eating can help in the short term, but in the long term, your gut needs diversity to be resilient.

What rebuilding (although I don't like this word, as you can't really "rebuild" but rather support your gut environment) often looks like:

  • food-first variety (slowly expanding tolerated plants)
  • using prebiotics carefully (helpful for some, too gassy for others at first)
  • probiotics based on your pattern and tolerance (not random mega-dosing; it is better to start with strain-specific products first, which are backed up by research)
  • polyphenol-rich foods (berries, herbs, green tea, colorful plants)
  • fermented foods only if they work for your body (not if histamine intolerance is still present)

This is where many people finally stop feeling like their gut is one wrong bite away from chaos.

3) Replenish the basics

SIBO can quietly drain nutrients by compromising absorption (25), and deficiencies make it harder to rebuild the gut lining and support motility.

Common ones to check:

  • iron/ferritin (energy, oxygenation, thyroid function)
  • vitamin B12 and folate (nerves, energy, digestion signaling)
  • vitamin D (immune balance) and other fat‑soluble vitamins (A, E) (gut lining, immunity)
  • magnesium and zinc (motility, tissue repair)

You don't need to supplement everything; just identify what's low and replete strategically.

The role of lifestyle & the nervous system in the SIBO plan

If you've ever been told it's just stress and wanted to scream into a pillow, well, same. Stress is not a personality flaw, and it's not a useful explanation unless it comes with a plan.

But here's what is true: your digestion doesn't run on willpower. It runs on your nervous system.

Your gut and brain are in constant conversation through the gut–brain axis, and the vagus nerve is basically the main "cable" connecting them. When your system feels safe and regulated, digestion flows: acid, enzymes, bile, and motility. When your system is stuck in fight-or-flight, digestion gets deprioritized because your body thinks survival comes first. (26)

What stress physiology actually does to digestion

When cortisol and adrenaline run the show, a few very real things can happen:

  • stomach acid and enzyme output can drop (food sits longer, fermentation increases)
  • gut motility can slow (hello constipation, or incomplete elimination)
  • gut permeability can increase (more reactivity, more inflammation)
  • pain sensitivity increases (you feel everything more)

This is why you can do the perfect protocol and still struggle with SIBO relapse if your system is constantly running on high alert.

Sleep is the most underrated prokinetic

I say this lovingly: your MMC loves a bedtime.

Poor sleep and irregular schedules can throw off circadian rhythms that support digestion and motility. (27)

If you're going to bed at 11 one night, 1 am the next, eating late, waking up wired, the gut often follows that chaos.

Even small improvements, such as consistent sleep/wake times, earlier dinners, and dimming lights at night, can make motility more reliable over time.

Practical tools that actually help (no 60-minute morning routine required)

This isn't about adding more to-dos. It's about giving your body small daily signals of safety.

A few options that are simple but powerful:

  • 2–5 minutes of slow breathing before meals (longer exhales cue "rest and digest")
  • walking 10 minutes after meals to support motility and blood sugar
  • heat on the belly or a gentle abdominal massage for some constipation patterns
  • daily downshifts: sunlight in the morning, brief stretch breaks, less multitasking while eating
  • if your history includes chronic anxiety, trauma, or high vigilance: trauma-informed support can be a game changer for gut healing (because the gut doesn't heal well in survival mode)

How to know if this is your missing piece

Lifestyle and nervous system work matter most when:

  • symptoms flare during stress, travel, conflict, deadlines, or poor sleep
  • you feel worse when you eat on the run (even your safe foods that normally don't trigger any symptoms)
  • constipation or diarrhea gets worse when you're anxious
  • you're stuck in a cycle of restriction and fear around food
  • you've treated everything and still feel reactive

 

The bottom line for SIBO relapse

If SIBO has come back more than once, it can feel like your body is betraying you, or you just haven't tried hard enough.

But SIBO relapse is common for a reason: most approaches focus solely on clearing bacteria without addressing the conditions that let them thrive, or following an incomplete treatment sequence.

The empowering flip side? When you follow the right sequence: clearing overgrowth, restoring gut motility, supporting digestion, calming inflammation, rebuilding the microbiome, and regulating the nervous system, prevention becomes realistic.

SIBO relapse is often a sign that one key piece of the puzzle was missed.

And that's the reframe I want you to keep: SIBO isn't a life sentence.

It's your gut's way of saying: "something upstream needs attention." When you learn to read that signal (instead of just chasing symptoms), you stop living in fear of the next flare and start building real stability.

 

 

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. 

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Hydrogen Dominant SIBO vs Methane or Hydrogen Sulfide?

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2025 Updated version

Understanding the key differences between hydrogen-dominant SIBO vs. methanogens and hydrogen sulfide

If you've been struggling with chronic bloating, unpredictable bowel movements, and a gut that seems to react to every food, you're not alone. Millions of people struggle with mysterious gut symptoms that don't improve with generic advice of eating more fiber or taking probiotics.

It might be that you are already diagnosed with IBS (Irritable Bowel Syndrome), but you know there is something deeper going on, and you don't want to accept IBS as a life sentence, as you shouldn't.

Chances are you've come across the term SIBO or Small Intestinal Bacterial Overgrowth.

SIBO isn't just one condition. It's a spectrum of imbalances, each with distinct causes, symptoms, and treatment responses. I've seen firsthand how identifying the type of SIBO someone has is the game-changing first step in actually getting better.

In this post, I'll break down the three main types of SIBO:

  • Hydrogen-dominant SIBO
  • Methane-dominant overgrowth/methanogens (now more accurately termed IMO, or Intestinal Methanogen Overgrowth)
  • Hydrogen sulfide-dominant SIBO (which is now named ISO, Intestinal Sulfide Overproduction)

I'll go over their differences in symptoms, underlying microbes, testing options, and treatment strategies so you can feel empowered to take the next right step on your gut healing journey.

What is SIBO?

SIBO occurs when bacteria (or archaea, more on that in a second) start growing excessively in the small intestine. This region of the gut isn't built to handle large populations of gas-producing microbes. When overgrowth occurs, those microbes ferment carbohydrates and fibers in your food, producing gas byproducts.

These gases—hydrogen, methane, or hydrogen sulfide—can inflame the intestinal lining, trigger food sensitivities, and slow or speed up gut motility. (1)

But the type of gas produced gives us important clues about:

  • What symptoms you're likely to experience
  • Which organisms are overgrowing
  • How best to test and treat

Let's break down the three subtypes.

 

Hydrogen-dominant SIBO

Hydrogen-dominant SIBO is the most commonly diagnosed form. It's caused by an overgrowth of two predominantly Proteobacteria species: Klebsiella pneumoniae and Escherichia coli, which can comprise 46% of the duodenal microbiome in SIBO cases, while Firmicutes are decreased. These bacteria ferment carbs and produce hydrogen gas as a byproduct. (2)

So the species associated with SIBO are:

  • Escherichia coli
  • Streptococcus spp.
  • Klebsiella
  • Enterococcus
  • Bacteroides,
  • Staphylococcus,
  • Clostridium,
  • Peptostreptococcus (3)

Hydrogen isn't inherently toxic, but when it's produced in excess in the small intestine, it can disrupt normal digestion and trigger diarrhea, bloating, and abdominal cramping. Studies confirm that hydrogen-dominant SIBO is specifically linked to IBS-D (diarrhea-predominant type). (4)

Hydrogen levels can also be consumed by methanogens (producing methane) or sulfate-reducing bacteria (producing hydrogen sulfide), which is why measuring hydrogen alone may not fully reflect the extent of hydrogen-producing bacteria. (2)

The most common symptoms of the hydrogen-dominant SIBO (5) are:

  • Diarrhea or loose stools,
  • Abdominal cramping, pain,
  • Frequent bloating or visible distension,
  • Belching or flatulence,
  • Fatigue and brain fog,
  • Weight loss,
  • food sensitivities, especially to fermentable carbohydrates (FODMAPs) or high-fiber foods.

Hydrogen-dominant SIBO is often associated with faster intestinal transit and diarrhea. Excess bacterial fermentation in the small intestine increases osmotic load and irritates the mucosa, which can accelerate motility and reduce nutrient absorption.

This malabsorption and ongoing immune/gut–brain activation may contribute to fatigue, brain fog, and increased food sensitivities in some patients, underscoring that these are downstream effects of maldigestion/malabsorption and gut–brain interactions.

Symptom severity in hydrogen-dominant SIBO often depends on underlying motility disorders (e.g., impaired migrating motor complex), structural issues, and coexisting IBS, not just the gas profile.​

Addressing root causes (gut motility, diet, nervous system, and micronutrient status) is important to prevent relapse. (6)

 

How do we test for hydrogen-dominant SIBO?

The most commonly used non-invasive test is the 3-hour lactulose or glucose breath test. This test measures hydrogen and methane gas levels in the breath at regular intervals after ingestion of a sugar substrate. (7)

The North American consensus defines a positive SIBO breath test as a rise of 20 parts per million (ppm) or more of hydrogen within the first 90 minutes. (8)

Breath testing is a helpful diagnostic tool, but not perfect. Many factors may influence the accuracy of the test results:

  • Preparation mistakes (not following the prep diet before testing) (9)
  • Mistakes during performing the test (9)
  • Rapid transit time (false positives) (10)
  • Poor oral hygiene
  • Carbohydrate malabsorption (11)
  • Individual differences in substrate metabolism, colonic fermentation (11)

Some people with hydrogen-dominant SIBO may also have "flatline" results if hydrogen is rapidly converted to other gases (such as methane or hydrogen sulfide), which is why multi-gas testing and clinical context always matter. (12)

Treatment options for hydrogen-dominant SIBO

Conventional treatment:

  • Rifaximin (Xifaxan) – a non-systemic antibiotic that targets the small intestine with minimal effect on the rest of the body. Often used for 2–4 weeks. (13) However, relapse is common, and underlying motility and dietary factors must be addressed. (14)

Commonly used herbal antimicrobials:

  • Berberine-containing herbs
  • Oregano oil
  • Neem

One study in Global Advances in Health and Medicine (2014) found that herbal therapy was as effective as Rifaximin in eradicating SIBO. (15)

Elemental diet:

This is a short-term liquid nutrition protocol that starves bacteria while nourishing the host. It can be very effective (up to an 85% success rate in hydrogen SIBO when used for 3 weeks) and is especially useful for those with severe symptoms or treatment resistance. (16)

It may be most useful for:

  • Patients with severe symptoms and high gas levels
  • Those who haven't responded to herbs or antibiotics
  • Those with multiple gas types or relapsing SIBO
SIBO types, Hydrogen-Dominant SIBO vs Methane or Hydrogen Sulfide

Intestinal Methanogen Overgrowth (IMO)

Here's where it gets interesting: methane overgrowth isn't technically caused by bacteria; it's caused by methanogenic archaea, particularly Methanobrevibacter smithii (or other methanogens). (17)

Unlike hydrogen SIBO, which involves bacteria, methanogen overgrowth reflects a shift in the overall gut ecosystem. It is sometimes seen in cases with higher Firmicutes and lower Bacteroidetes ratios on stool testing.

Methanogens consume hydrogen and carbon dioxide to produce methane and often coexist with hydrogen-producing bacteria, creating mixed-gas patterns.

Common symptoms associated with methanogen overgrowth (18):

  • Chronic constipation
  • Incomplete bowel movements
  • Weight gain
  • Gas, bloating, and sluggish digestion
  • Nausea and early satiety
  • Reflux symptoms (heartburn)

Methane slows gut motility, the way the food passes through the intestines, and can disrupt normal peristalsis, contributing to constipation and sometimes a sense of incomplete evacuation. It has also been associated with IBS-C (constipation-predominant IBS). (19)

Some experimental research suggests that methane may have anti-inflammatory or antioxidant properties (20), leading to the hypothesis that methane-dominant patients may experience fewer overt food reactions than hydrogen-dominant patients.

On the flip side, methanogen patients respond to treatment much more slowly and often require longer treatment timelines.

How to test for methane overgrowth

Same as hydrogen: via the breath test. A methane level ≥10 ppm at any point is considered a positive result. (8)

In some cases, stool PCR tests like GI-MAP can sometimes reveal methanogen overgrowth when breath tests are negative or inconclusive.

Treatment options for methanogen overgrowth

Conventional approach:

  • Rifaximin + Neomycin (or Metronidazole) – combo therapy shown to be more effective than monotherapy. (21)

Natural alternatives:

  • Atrantil – blend of peppermint, quebracho, and horse chestnut extract
  • Allicin (stabilized garlic)
  • Berberine
  • Neem
  • Oregano oil

Methane overgrowth typically responds more slowly to treatment than hydrogen SIBO. Patients may need 8–12 weeks of antimicrobial protocols, sometimes in repeated cycles, and are more likely to benefit from prokinetic support during and after treatment to prevent relapse.

Intestinal Sulfide Overproduction (ISO)

Formerly known as "hydrogen sulfide SIBO," ISO reflects an overproduction of hydrogen sulfide gas, commonly caused by sulfur-reducing bacteria such as Desulfovibrio spp. and Bilophila wadsworthia. These microbes use hydrogen and sulfur-containing compounds to generate hydrogen sulfide, which can be toxic at high levels. (22)

Common symptoms include (23):

  • Flatulence, often with rotten egg–smelling gas or stools (although this is not always present)
  • Diarrhea or alternating diarrhea and constipation
  • Belching
  • Abdominal pain
  • Nausea, fatigue, headaches
  • Joint or bladder pain
  • Food sensitivities, especially to sulfur-containing foods

Many ISO patients often feel worse with protein-rich foods, high-sulfur foods (e.g., eggs, garlic, onions, brassicas), and may react negatively to herbs such as Allicin (garlic extract) or sulfur‑donating supplements (NAC, glucosamine, MSM, glutathione).

Hydrogen sulfide in small amounts is used by the body for signaling and vascular function, but in excess, it becomes toxic to epithelial cells. ISO is also associated with symptoms beyond digestion, such as fatigue, brain fog, bladder irritation, and systemic inflammation.

In chronic or treatment-resistant cases of ISO, excess hydrogen sulfide may impair mitochondrial function, increase oxidative stress, and damage the gut lining, creating a vicious cycle where healing becomes difficult without addressing deeper sulfur detoxification pathways and redox balance. (24) It's not just about "too many bacteria",  it's also about an inflamed, disrupted mucosal and redox environment that encourages sulfur-reducing microbes like Desulfovibrio to thrive.

How to test for hydrogen sulfide

H2S SIBO is not reliably detected by standard breath tests, making diagnosis tricky.

The only test that can detect hydrogen, methane, and hydrogen sulfide is the TrioSmart test, which is currently only available in the USA.

In the absence of the TrioSmart test, if you have used the standard 3-hour breath test and the result shows a flatline (little to no rise in hydrogen or methane since H₂S producers can consume hydrogen and keep measured hydrogen low), and you also have the typical symptoms, then hydrogen sulfide-dominant SIBO can be suspected. (25)

However, while a flatline on a breath test can point toward ISO, recent research suggests this isn't always the case. Some hydrogen sulfide producers still show hydrogen spikes, while others may not produce enough gas to be detected. A flatline result may also reflect issues with gas diffusion or absorption. (7) Following up with a stool test can also be helpful.

TrioSmart test result pattern

TrioSmart breath test sample indicating Intestinal Methanogenic Overgrowth

Treatment for H2S SIBO

Because of its toxicity and complexity, treatment should be approached carefully.

Conventional approach:

  • Bismuth (to bind and reduce hydrogen sulfide)+ Rifaximin + Metronidazole – combo therapy helps bind hydrogen sulfide and reduce microbial load. (23).

Nutritional strategies:

  • Short-term low-sulfur diet: reducing high-sulfur foods like eggs, cruciferous vegetables, garlic, onions, and red meat.
  • Targeted cofactors: molybdenum and vitamin B6 are cofactors to support sulfur metabolism and transsulfuration pathways.

For more details, check out my previous post on Hydrogen Sulfide SIBO.

Mixed type of SIBO: when two (or all three) gases coexist

It's possible and common to have more than one gas present simultaneously.

For example:

  • Hydrogen + methane is extremely common, since methanogens need hydrogen.
  • Hydrogen + hydrogen sulfide often co-occur due to substrate sharing.

In these cases, treatment plans must address both organisms and carefully sequence therapies.

Choosing the right treatment approach

Choosing between antibiotics, herbal antimicrobials, or the elemental diet depends on:

  • Gas type(s)
  • Severity of symptoms
  • Coexisting conditions (e.g., Candida, parasites, mold toxicity)
  • Personal preferences and medication tolerance

How each gas affects gut motility and digestion

Understanding how each gas affects gut motility helps explain why symptoms and treatment responses vary:

  • Hydrogen: increased intestinal transit and looser stools, which helps explain diarrhea-predominant presentations in many hydrogen-dominant cases.
  • Methane: Slows motility significantly, contributing to constipation, gas retention, and a feeling of incomplete evacuation.
  • Hydrogen sulfide / ISO: Acts as a biphasic regulator of gut function. At physiological levels, it supports normal motility and mucosal signaling, but in excess, it can disrupt motility patterns, impair epithelial energy metabolism, and damage the gut lining.

Because all three gas patterns are closely linked to gut motility disturbances, targeted antimicrobial treatment is often followed by prokinetic and motility-supportive strategies to maintain results and reduce relapse risk.

Knowing your SIBO type is the first step to healing

If you're still guessing whether you have hydrogen-dominant SIBO or something else, don't. Proper, thorough testing is key to finding a treatment that actually works.

I've worked with many clients who were labeled with "IBS" for years before identifying their SIBO type and finally getting relief. Your healing path depends on personalized care, clear diagnostics, and a step-by-step strategy.

Dealing with SIBO requires a holistic approach, supplements and sometimes medication, and customized nutrition and lifestyle changes.

I know from my own experience that SIBO can be a super frustrating condition and, in some cases, may require a longer journey, but it is possible to get rid of it as I did.

 

* This post is for informational purposes only and not intended to diagnose, treat, or cure any medical condition. Please consult your healthcare provider before making any medical or dietary changes.

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How to deal with Hydrogen Sulfide SIBO (H2S)

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Have you heard of the third type of Small Intestinal Bacterial Overgrowth (SIBO): Hydrogen Sulfide (H2S) SIBO? Hydrogen sulfide SIBO has unique characteristics and treatment approaches that are pivotal for those suffering from gut health issues.

What 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,
  • Muscle or joint pain,

but it can also impact your skin, hormones, and other areas of the body. (1)

SIBO is a complex condition with various root causes, including impaired gut motility, anatomical abnormalities, and a compromised immune system.

What about Hydrogen Sulfide SIBO?

Hydrogen sulfide SIBO occurs when an overgrowth of bacteria in the small intestine produces excessive amounts of hydrogen sulfide gas. This type of gas can have unique and potentially more severe impacts on the body's systems.

This type of SIBO is notorious for:

  • rotten egg smelly gas,
  • diarrhea or constipation,
  • bloating,
  • belching, acid reflux,
  • brain fog,
  • body pain (mostly abdominal pain, bladder, and joint pain),

significantly impacting gut health and overall well-being.

The production of hydrogen sulfide in the gut is a natural process. Still, the excess is often due to a combination of dietary choices, slow intestinal motility, impaired detoxification pathways, and an imbalance in gut flora. These factors create an environment where sulfur-reducing bacteria thrive, leading to Hydrogen sulfide SIBO.

The research found that Fusobacterium and Desulfovibrio spp are two predominant hydrogen sulfide-producing bacteria. (2)

Hydrogen sulfide gas can cause inflammation and interfere with mitochondrial function in excess. This type of gas has been associated with gastrointestinal disorders such as ulcerative colitis, Crohn's disease, and irritable bowel syndrome. (3)

Testing for Hydrogen Sulfide SIBO

Diagnosing Hydrogen sulfide SIBO has historically been challenging due to limitations in testing for hydrogen sulfide. However, advancements have led to the development of specific tests, namely the TrioSmart breath test, at least in the United States, that can directly measure hydrogen sulfide levels in the breath, offering a more accurate diagnostic tool for identifying this subtype of SIBO. The TrioSmart test can measure all three types of gases: hydrogen, methane, and hydrogen sulfide. (4)

Hydrogen sulfide SIBO signs, causes, treatment options

Reducing Hydrogen sulfide in the gut

The treatment for Hydrogen Sulfide SIBO may involve conventional and natural strategies to reduce hydrogen sulfide production and address the root causes of overgrowth.

The conventional approach for Hydrogen sulfide SIBO

The conventional approach often includes antibiotics (Rifaximin with Flagyl or Neomycin) specifically targeted to reduce bacteria that produce hydrogen sulfide. (5)

Natural approaches for Hydrogen sulfide SIBO

Hydrogen Sulfide SIBO Diet

Generally, a low-sulfur diet is recommended, although it is still questionable whether it truly helps this condition as the research is currently limited. The low-sulfur diet means a reduced intake of foods high in sulfur, such as:

  • eggs,
  • dairy products (cow/ sheep/goat milk, cheese, yogurt, cottage cheese, etc.)
  • red meat,
  • dried fruits,
  • legumes (beans, lentils, soy)
  • Vegetables: cruciferous vegetables like broccoli, cauliflower, cabbage, arugula, daikon radish, horseradish, spinach, split peas, turnip, watercress, etc.
  • Certain fruits: grapes, papaya, and pineapple
  • garlic, onion, leek

You can always try a low-sulfur diet for a short period, 1-2 weeks, to see if it reduces your symptoms, but it is not a long-term approach.

Supplements and nutrients:

Herbal antimicrobials like oil of oregano may work to help reduce the overgrowth. Oregano oil contains compounds such as carvacrol and thymol, which have been shown to possess broad-spectrum antibacterial activities. These compounds can disrupt the cell membranes of bacteria, leading to their death or inhibition of growth. In the context of Hydrogen sulfide SIBO, oregano oil could potentially help by targeting the specific bacteria responsible for producing hydrogen sulfide gas. By reducing the population of these bacteria in the small intestine, oregano oil may help decrease hydrogen sulfide production, thereby alleviating some of the symptoms associated with H2S SIBO. (6)

It's important to note that while oregano oil has promising antibacterial effects, its use should be cautiously approached. High doses can irritate the gut lining, and it should not be taken for prolonged periods without the supervision of a healthcare provider.

Another great herb is Uva Ursi (bearberry leaf), well-known for its antiseptic and antibacterial properties, particularly in treating urinary tract infections. Its primary active component, arbutin, is metabolized into hydroquinone, a compound with antimicrobial effects. Uva Ursi can exert antibacterial effects and possibly help modulate bacterial populations in the gut, potentially impacting the bacteria responsible for hydrogen sulfide production.

However, it's important to approach Uva Ursi cautiously due to its potent effects and potential toxicity at high doses. Specifically, the hydroquinone produced from arbutin can be toxic, necessitating careful dosing and, ideally, supervision by a healthcare provider. Its use is typically recommended for a short period of time. (7)

Supplements such as bismuth subsalicylate (the active ingredient in Pepto Bismol) can bind to hydrogen sulfide, reducing its presence in the gut. It has antimicrobial and anti-inflammatory properties, making it effective in combating certain types of bacterial infections in the gastrointestinal tract. (8) (9)

Molybdenum is an essential trace mineral that also acts as a cofactor for enzymatic reactions and may help break down sulfites into sulfates. Many patients reported their brain fog disappearing. Dr. Greg Nigh recommends Mo-Zyme (from Biotics)—it is best to chew it.

Many people fear prebiotics in SIBO, but galacto-oligosaccharides (GOS) may benefit SIBO warriors by stimulating the growth of beneficial bacteria in the gut. Prebiotics like GOS support a healthy microbiome by providing food for probiotic bacteria, such as Bifidobacteria and Lactobacilli, which can enhance gut health and function. In the context of hydrogen sulfide SIBO, the potential effects of GOS could be beneficial; by promoting the growth of beneficial bacteria, GOS might help outcompete sulfur-producing bacteria, potentially reducing hydrogen sulfide production. It can also be a great addition if you are working on eliminating harmful bacteria with antibiotics or antimicrobials so you can help preserve the presence of beneficial gut flora.

If you are a tea drinker, I have good news! Research has shown green tea extract can help reduce levels of hydrogen sulfide because green tea polyphenolic antioxidants can oxidize hydrogen sulfide. (10) (11) Other polyphenols like resveratrol, quercetin, and curcumin may also help inhibit these bacteria.

As with all types of SIBO, it is crucial to support gut motility. Prokinetics are medications or supplements that can help stimulate the muscles of the gastrointestinal tract to move contents along more efficiently. (12) Natural prokinetics include ginger and artichoke, while prescription options might include low-dose naltrexone or prucalopride. (13) (14)

Conclusion

The treatment for hydrogen sulfide SIBO quite differs from other types due to its unique cause and effect on the body. Successfully managing SIBO, including its hydrogen sulfide variant, necessitates a comprehensive, individualized strategy that addresses the condition's multifaceted nature. Dietary adjustments, lifestyle changes, addressing the root causes, targeted supplementation, gut motility support, and bacterial balance are essential for effective management.

Remember, healing your gut is a journey. Incorporating these recommendations can significantly reduce hydrogen sulfide levels, improve symptoms, and enhance your quality of life. Always consult a healthcare professional to tailor these suggestions to your health needs.

 

This post is only for informational purposes and is not meant to diagnose, treat, or cure any disease. I recommend always consulting your healthcare practitioner before trying any treatment or dietary changes.

 

How to deal with Hydrogen Sulfide SIBO (H2S) Read More »

Can Helicobacter pylori infection be the root cause of SIBO?

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Helicobacter pylori infection cause SIBO

Can Helicobacter pylori infection be the root cause of SIBO?

My short answer is yes.

When you are diagnosed with SIBO (Small Intestinal Bacterial Overgrowth), this is just one step closer to healing. It might not be enough to treat only SIBO but dig deeper to discover any underlying causes of SIBO. One of the root causes can be Helicobacter Pylori infection.

What is Helicobacter Pylori (or shortly H. Pylori)?

Helicobacter Pylori is a gram-negative bacterium that resided in the stomach that may attack the stomach lining. H. pylori infection doesn't necessarily cause symptoms, but when it does, especially during acute infection, it can cause gastritis (inflammation of the stomach lining), or gastric/duodenal ulcers, and other symptoms such as pain (especially when the stomach is empty), bloating, frequent burping, nausea, and appetite loss. (1)

Some studies suggested that H. pylori infection is responsible for causing a wide range of other diseases; for example, it is also associated with stomach cancer. (2) However, according to Dr. Martin Blaser, a researcher in microbiology and infectious diseases, H. pylori's non-pathogenic strains also have protective effects against some diseases like asthma (3)

How can Helicobacter Pylori infection lead to SIBO?

H. pylori can lead to SIBO by lowering stomach acid levels. It produces urease, an enzyme to neutralize stomach acid. (4) Some say that it can develop because of the low stomach acid level. It can be a chicken and egg scenario. While many people believe it is a good thing because too much acid causes their reflux symptoms (heartburn, burping, indigestion), but in reality, on the contrary. We need an adequate stomach acid level to kill pathogens (so we don't end up with food poisoning) and prevent overgrowth of bacteria in the small intestines and ensure a good digestive process. Stomach acid is also needed for enzyme activation and mineral absorption. (5)

How is Helicobacter Pylori infection diagnosed?

There are some noninvasive tests:

  • stool tests that can determine if you have H. pylori, some of the advanced tests can also check for virulence factors,
  • a urea breath test,
  • a blood test to look for antibodies.

An invasive test can be when your GI doctor performs an endoscopy with biopsy, so they take several samples and send them to the lab. (6)

What happens when you are tested positive for H. pylori?

The most common conventional treatment is "Triple therapy," including antibiotics and Proton Pump Inhibitors (PPIs). This method's problem is that H. pylori has high resistance rates to some commonly used antibiotics (7). Using antibiotics can also lead to dysbiosis (by killing the good gut bugs) and potentially to SIBO. However, H. pylori need to be addressed when a person has a gastric ulcer or a higher risk for gastric cancer.

Restoring your gut microbiome is essential after treatment through diet and lifestyle changes and the right supplements. Probiotics could also be a great help with balancing gut bacteria. A study showed that probiotics used before or after the triple therapy significantly increased the eradication rate of H. pylori. (8)

Natural approaches for Helicobacter pylori infection

Natural methods can also support the elimination of H. Pylori. Before starting a natural treatment program, be sure to consult with your doctor.

Green tea

Research conducted on mice indicated that green tea might have antibacterial properties that help prevent and delay the development of Helicobacter bacteria. Consumption of green tea could prevent Helicobacter-induced gastritis. (9)

Licorice root extract

A study found that Licorice root cannot eliminate H.pylori by itself but may help prevent H. pylori from adhering to the stomach cell membranes. (10)

Probiotics

A study was done to analyze the effectiveness of probiotics used in H. Pylori treatments. "Lactobacillus casei was identified the best for H. pylori eradication rates," and multi-strains of Lactobacillus and Bifidobacteria probiotics were successfully used for reducing side effects of treatment such as diarrhea; constipation; taste disturbance, nausea/vomiting. (11)

Saccharomyces Boulardii

It is a beneficial yeast that has many positive effects on the body. It has been shown to be effective in the antibiotic therapy of H. pylori and reduce side effects such as bloating. (11)

Summary

Not everyone who is infected with Helicobacter pylori will ever experience symptoms. But in case you have digestive symptoms and a family history of stomach cancer, it is favorable to reach out to your medical provider and get tested and treated. The traditional way to eliminate H. pylori is through antibiotics. Although a huge concern is that H. pylori has antibiotic resistance, and the therapy has side effects. However, the usage of probiotics and other natural remedies may also help fight against H. pylori. Before trying more traditional treatment, see whether you can successfully cure your H. pylori infection with natural approaches.

 

*This post is only for informational purposes and is not meant to diagnose, treat or cure any disease. I recommend consulting with your healthcare practitioner always before trying any treatment or dietary changes.

Can Helicobacter pylori infection be the root cause of SIBO? Read More »