Listener Questions: Testing, Treating, and Healing SIBO

Dr. Ruscio Radio, DC: Health, Nutrition and Functional Healthcare

Dr. Michael Ruscio, DC

Alternative Health, Health & Fitness

4.6 • 804 Ratings

🗓️ 23 November 2022

⏱️ 56 minutes

🔗️ Recording | iTunes | RSS

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Summary

For optimal healing, a patient needs their symptoms, not their lab test results, to be treated. In this episode, I offer dietary and lifestyle solutions for people looking to improve their gut microbiome and overcome digestive and non-digestive symptoms caused by small intestinal bacterial overgrowth (SIBO) and gut dysbiosis.

Listen in to hear the answers to these specific questions:

What test do you recommend for gut dysbiosis, even if you've already been tested for SIBO and it was negative?
I have SIBO-related symptoms. Can I do treatments without getting tested for SIBO?
What are your thoughts on using the Food Marble for monitoring the efficacy of SIBO treatment and food intolerances?
I have had chronic SIBO for 10 years which was not diagnosed until approximately 4 years ago. I feel like I have to stay on antimicrobials indefinitely. I react to most foods when I add them in, therefore my diet is extremely limited. Why am I so reactive to food?
I understand that Dr. Ruscio likes to try the triple probiotic therapy first with SIBO before trying antibiotics or antimicrobials. However, from what I learned you want to avoid lactobacillus species since they are hydrogen-producing and like to live in the small intestine. For that reason, should I just try S. boulardii, bifidobacterium, and soil based?
How long should I take herbal antimicrobials when treating SIBO?
I have tested positive for SIBO, methane predominant, and I tried Rifaximin and neomycin. These improved my SIBO breath test but had major gas and belching, brain fog, and fatigue after treatment. I then tried antimicrobial herbs, and SIBO test results were much worse. However, since I've stopped herbals, my brain fog and fatigue are much better, but I'm having indigestion/belching with really smelly stools. What is going on?
I'm currently experiencing symptoms of dysbiosis and leaky gut, and I'm not entirely sure if herbal antimicrobials would help my dysbiosis or make it worse. Do antimicrobial herbs kill good bacteria as well? My goal is to rebalance my microbiome in favor of the beneficial bacteria.

https://www.drruscio.com/listener-questions-healing-sibo-dysbiosis-food-reactions

My book Healthy Gut, Healthy You is available at https://drruscio.com/getgutbook

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Transcript

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0:00.0	Welcome to Dr. Rousho Radio, providing practical and science-based solutions to feeling your best.
0:15.4	To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player.
0:22.9	For weekly updates, visit Dr.ru Shoe.com. That's d r-R-R-U-S-C-I-O.com.
0:30.6	The following discussion is for educational purposes only and is not intended to diagnose or treat any disease.
0:39.7	Please do not apply any of this information without first speaking with your doctor. Now, let's head to the show. Hey, everyone. Today we took
0:45.5	listener questions all on the topic of gut health and gut healing. And what I really enjoy
0:51.9	about this format is when you hear multiple questions about
0:55.9	gut health that are similar but different, you get a reiteration of some of the important
1:01.5	principles that inform how we think about gut health and gut healing. Some of the questions
1:08.2	that we fielded today are what test I recommend for gut dysbiosis,
1:14.4	even if a SIBO breath test has been negative. If you can treat SIBO or SIBO-related symptoms
1:22.7	without getting tested for it, what my thoughts are on food marble, the food marble test.
1:30.6	Some advice for a chronic case of SIBO who feels like he or she needs to be on antimicrobials
1:39.3	indefinitely, and also how to use probiotics along with antimicrobials, or if you should or should not,
1:50.6	how long to use antimicrobial therapy for, why someone might have negative symptomatic reactions
1:58.7	when treating SIBO with either antibiotics or with herbal antimicrobials.
2:05.8	And what to do when someone's experiencing symptoms of dysbiosis and leaky gut,
2:12.3	but they're not sure if antimicrobials would be a good idea or might kill healthy bacteria.
2:21.5	And that takes us through an overview of the questions.
2:25.2	And now we'll go to the conversation with myself and Dr. Scott Spirdigliosi and unpack how we think about these things and what we recommend to do to address
2:36.8	them and to improve your gut health.
2:40.6	Hey, everyone.
	...

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