SIBO Pt 4 - Treatment: Prevention, Diet: SCD

Question 1

Which 2 preventions are essential?

Answer 1

Prokinetics & Diet

Question 2

Why use a prokinetic for prevention?

Answer 2

(+) MMC to prevent recurrence – Sweep bacteria down into LI out of SI
• High relapse rates without prokinetic

Question 3

When is a prokinetic started?

Answer 3

Soon after finishing Tx

1) Day after finish Tx to prevent rapid relapse (hard to assess Tx effect when starting new rx)
2) Wait a bit to assess Tx result on it’s own, then start Pk- Few days (2-5) or 1-2 weeks (may relapse)

Question 4

Why use diet for SIBO?

Answer 4

Prevention (along with prokinetic): essential
Manage symptoms while treatment is in progress
Decrease systemic sx & improve overall health

Question 5

How do you find the perfect diet for a patient with SIBO?

Answer 5

Trial and error?

Trends: – SCD better for IBD – LFD better for IBS – SSFG better for SIBO

Question 6

Which macronutrient is the primary food for bacteria?

Answer 6

CHO, specifically fiber (exclusive bacterial food)

Question 7

Fiber directly feeds?

Answer 7

Bacteria

Question 8

The two forms of fiber are?

Answer 8

Polysaccharide (long chain)

Oligosaccharide (short chain)

Question 9

What foods does SCD avoid?

Answer 9

Grains, Starchy Veggies, Starch itself, some Beans, Lactose, gums/thickeners, Sucrose and sweeteners (besides Honey and Saccharine)
Also, processed foods: polysacc/disacc contamination

Question 10

Is die off something to expect during the SCD Intro diet?

Answer 10

yes, its likely.