Small Bowel Bacterial Overgrowth
(SBBO; Bacterial Overgrowth, Small Bowel; Small Intestine Bacterial Overgrowth; SIBO; Bacterial Overgrowth, Small Intestine)
|The Small Intestines|
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- Birth defect
- Digestive disorders
- Crohn’s disease
- Irritable bowel syndrome (IBS)
- Short bowel syndrome
- Intestinal stricture (narrowing in the small intestine)
- Digestive disorders, such as celiac disease or lactose intolerance
- Blind loop syndrome (when part of the intestine is bypassed)
- Intestinal infections, such as food poisoning or traveler’s diarrhea
- Chronic pancreatitis
- End-stage kidney or liver disease
- Intestinal surgery
- An obstruction in the small intestine
- Weakened immune system
- Older age
- Blood tests
- Breath tests—to analyze certain gases that may be present after fasting and eating specific sugars
- Culture of intestinal fluid (aspirate)—a catheter is used to get a sample of fluid from the small bowel
- Reduce the levels of harmful bacteria in the small bowel
- Treat the underlying condition
- Work with a dietitian
- Follow a special diet, such as a carbohydrate-restricted diet
- Take vitamins and/or supplements
- Take probiotics
Gastro—American Gastroenterological Association http://www.gastro.org
National Digestive Diseases Information Clearinghouse http://digestive.niddk.nih.gov/index.htm
Canadian Association of Gastroenterology http://www.cag-acg.org
Canadian Digestive Health Foundation http://www.cdhf.ca
Bacterial overgrowth syndrome. The Merck Manual Professional Edition website. Available at: http://www.merckmanuals.com/professional/gastrointestinal%5Fdisorders/malabsorption%5Fsyndromes/bacterial%5Fovergrowth%5Fsyndrome.html. Updated May 2014. Accessed September 29, 2014.
Bures J, Cyrany J, Kohoutova D, et al. Small intestinal bacterial overgrowth syndrome. World J Gastroenterol. 2010;16(24):2978–2990.
Lactose and glucose hydrogen breath test. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/health/diagnostics/hic%5FLactose%5Fand%5FGlucose%5FHydrogen%5FBreath%5FTest. Accessed September 29, 2014.
Lin H. Small intestinal bacterial overgrowth. JAMA. 2004;292(7):852-858.
Parrish C. Nutritional consequences of small intestinal bacterial overgrowth. University of Virginia, School of Medicine website. Available at: http://www.medicine.virginia.edu/clinical/departments/medicine/divisions/digestive-health/nutrition-support-team/nutrition-articles/DiBaiseArticle.pdf. Published December 2008. Accessed September 29, 2014.
Short bowel syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 6, 2014. Accessed September 29, 2014.
Vanderhoof J, Young R. Bacterial overgrowth. The Oley Foundation website. Available at: http://www.oley.org/lifeline/bacter.html. Accessed September 29, 2014.
Vanderhoof J, Young R, Murray N, Kaufman SS. Treatment strategies for small bowel bacterial overgrowth in short bowel syndrome. J Pediatr Gastroenterol Nutr. 1998;27(2):155-160.
- Reviewer: Daus Mahnke, MD
- Review Date: 08/2014 -
- Update Date: 09/30/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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