Treatment for SIBO Symptoms - What’s Missing From Your SIBO Treatment Plan?
You’ve completed a SIBO treatment, so why do your SIBO symptoms keep returning?
I see you, friend. For many years, you’ve had the IBS symptoms, the stomach bloating, the excess fullness, the sugar cravings, and the farts and burps.
You finally saw the doctor when you couldn’t bear it any longer, they sent you to a GI specialist, and you were put on a SIBO treatment with antibiotics.
Problem solved! - but not for long. Your SIBO symptoms have returned, and you are dreading another round of antibiotics, and wondering what it means that they came back. Did the SIBO antibiotics work?
Here’s the thing:
Antibiotics are only one piece of the SIBO treatment puzzle. Specialists are missing some important key factors in addressing your SIBO and candida symptoms. In this article, I will share my SIBO treatment techniques for long-term results.
Hi friends. I’m Hilary Beckwith, ex-dieter and holistic nutrition expert. Clients come to see me with signs of adrenal stress and inflammatory conditions, and my job is to find the root causes so we can address their symptoms more effectively, and fill in the gaps between what their doctor is saying and what their body is saying.
In this article, you’ll learn:
how to know if you have SIBO
conditions that can develop as a result of unaddressed SIBO
5 steps of SIBO treatment
what is SIBO?
SIBO is an acronym that stands for Small Intestinal Bacterial Overgrowth. Many clients who seek my help have digestive symptoms. Some refer to their symptoms as IBS symptoms or IBD. Some have even received a diagnosis of SIBO or IBS. Some might not think their digestive symptoms are of any consequence.
But all digestive symptoms are caused by some underlying issue, and when left unaddressed, have the potential to become something more severe than room-clearing farts a couple nights a week.
The problem starts when you tell your doctor you have IBS symptoms, and rather than digging for the root cause, they only tell you how to manage your SIBO symptoms.
SIBO symptoms often overlap with other pathogenic infections and are difficult to confirm without functional lab testing. I commonly find candida (a parasitic yeast) overgrowth, mold exposure, parasites, bacterial overgrowth, and viral infections when digging into root causes for clients’ symptoms.
And their symptoms improve when we eradicate these pathogens… However, as I mentioned earlier, SIBO treatment with antibiotics is not enough to improve your symptoms in the long term. In fact, this approach may leave your body more susceptible to other types of infection, leading to repeated use of antibiotics over the years.
EXAMPLES OF SIBO SYMPTOMS (AND OTHER PATHOGEN TYPES) INCLUDE:
bloating 1-2 hours after meals (bloating >2 hours may indicate a large intestine issue)
excess fullness after meals
craving carbs or sugar
excess appetite or need to snack throughout the day
chronic constipation or diarrhea (or alternating)
heartburn
“hangry” when meals are delayed
sleepy after meals
foul-smelling gas
skin conditions like acne, rosacea, or eczema
conditions related to SIBO
When left unaddressed, SIBO and other pathogenic infections become prolonged chronic stress, which triggers an inflammatory response from cells called a Cell Danger Response. The Cell Danger Response perpetuates the infection and causes your fight or flight response to be chronically activated as your body works to address the threat.
DISCLAIMER: Symptoms of pathogenic infection don’t look the same for everyone, and this article should not be construed as a diagnosis or medical advice. If you think you have SIBO or have similar symptoms, consult with a trusted physician or other qualified healthcare provider before making any changes. Read my full medical disclaimer here.
WHAT IS THE CELL DANGER RESPONSE?:
When the body detects a threat like candida, mitochondria initially ramp up energy and chemical production to fight it off. If the threat persists, energy production slows to conserve resources, digestion is deprioritized, and fatigue increases. Meanwhile, cells stiffen, immune signals are released, and the sympathetic nervous system stays activated—potentially long-term—if the issue remains unresolved.
Your body is doing what it is supposed to in this scenario. Your seemingly inconsequential digestive symptoms of bloating and burps are signs that something is not right in your gut.
This is an important reminder to trust your symptoms and not take them lightly - your farts contain wisdom (yep, I went there).
Once the Cell Danger Response is activated, the threat is already considered chronic. This constant flow of cortisol and immune signals causes systemic inflammation, which can activate autoimmune diseases and cause chronic pain and fatigue.
EXAMPLES OF WAYS CELL DANGER RESPONSE CAN SHOW UP IN YOUR BODY INCLUDE:
Alzheimer’s
fibromyalgia
Chronic Fatigue Syndrome
colitis
depression
PMS symptoms and irregular periods
Hashimotos thyroiditis
Multiple Sclerosis
Interstitial Cystitis
Irritable Bowel Syndrome or IBS symptoms
Cancer
5 steps to a successful SIBO treatment
As I mentioned earlier, many practitioners really miss the mark when treating SIBO symptoms. If you have a bacterial overgrowth, as you would with SIBO, it makes sense that we need to kill the bacteria, right?
Right. And this goes for other types of microbial pathogens as well, including fungi or yeast, mold, parasites, and viruses.
Your body has mechanisms for fighting these pathogens off before they become overgrown - if those mechanisms are working properly. If said systems are not working properly, and especially if the antibiotics remove part of that functionality (they will), using antibiotics alone for SIBO treatment is a recipe for future (and chronic) infections.
As part of my medical disclaimer referred to earlier in this post, please remember the following SIBO treatment methods are meant for informational use only, and treatment for SIBO or any other pathogenic infection should only be provided by a qualified healthcare practitioner, and based on proper assessment of the individual.
That said, my holistic techniques for a successful SIBO treatment typically include:
Address upper digestion
Optimize elimination pathways
Eradicate the pathogens, including
eradication agents (such as antibiotics, antimicrobials, antifungals, etc., specific to the type of pathogens found in lab testing)
biofilm disrupters
binders (specific to the pathogens being targeted)
Re-test to confirm eradication
If eradication is confirmed, rebuild the microbiome
Let’s get into the specifics of each of these below.
HOLISTIC METHODS FOR TREATING SIBO SYMPTOMS AND SIMILAR PATHOGENS:
#1 ADDRESS UPPER DIGESTION
Digestion is the first mechanism your body has to fighting off pathogens that are ingested through food or water. The very first thing I address in clients with pathogenic infections is to optimize their digestive health, including digestive enzymes production, stomach acid (known as HCl) production, motility, and restoration and healing to damaged and inflamed mucosal tissue that lines the digestive tract. Addressing digestion is pertinent to making sure you get long-lasting results without having to repeat antibiotics.
Techniques for supporting digestive health may include mindful eating practices (really!), chewing your food adequately (again, really!), nervous system regulation, minimizing beverages with meals, and temporary supplemental support for bile flow, digestive juices, and tissue healing. CLICK HERE TO DOWNLOAD MY FREE DIGESTION TROUBLESHOOTING GUIDE.
#2 OPTIMIZE ELIMINATION PATHWAYS
Elimination pathways, also known as drainage pathways, refers to your body’s mechanisms for eliminating waste and toxins. If your elimination pathways are not clear, the toxic byproducts from live and dead pathogens will be reabsorbed by your body, continuing the cycle and effects of chronic stress.
In order to effectively remove toxins and die-off as you work to kill the pathogens, it’s important to get your elimination pathways working well before you start the eradication process. Skipping this step ensures you will feel like garbage during the eradication phase.
Elimination pathways include:
skin (through sweat)
urine
feces
lymph
lungs
Supporting elimination pathways may entail a focus on optimal hydration, sauna use, nutrient support for constipation relief, and intentional movement throughout the day.
#3 ERADICATE PATHOGENS
In addition to eradication agents, such as antibiotics, two important eradication factors are often missed by many practitioners:
biofilm disrupters, and
binders
BIOFILM DISRUPTERS: Just as important as the antibiotics themselves, biofilm disrupters are needed to destroy the sticky film that many pathogens build for themselves in your body tissues. This sticky film allows them to evade the immune system, as well as create a symbiotic relationship with other microbes, allowing them to survive and multiply. Biofilm is also used by “good” bacteria, but in order to effectively kill off harmful microbes, we must destroy their home (don’t worry, we’ll build it back up later).
BINDERS: Binders used must be specific to the type of pathogen being targeted (binders for bacteria are different than those used for mold toxins, for instance). They generally consist of specific types of clay, algae, or fibers, and bind to die-off debris in order to be escorted from the body (through your elimination pathways). Without binders, your body cannot eliminate the die-off.
In many cases, it is also essential to remove or minimize starches, sugars, and other carbohydrates from the diet, as this is what many pathogens feed off of. By eliminating these foods, you essentially “starve” the pathogens, increasing the efficacy of the eradication treatment.
#4 RE-TEST TO CONFIRM ERADICATION
Functional lab testing (and a practitioner trained to interpret the results) is essential to knowing what type of eradication agents and binders are needed for the most effective SIBO treatment. Without functional lab testing, you might as well throw spaghetti at the wall while blindfolded.
The duration for the kill-off (eradication) phase looks different for every individual. Sometimes it can be as little as two weeks, other times it takes 6 months - it depends on the severity of infection, the digestive health and elimination pathways of the individual, as well as their lifestyle.
I recommend re-testing as symptoms begin to improve steadily for at least 4 weeks. Before moving on to the next step in SIBO treatment, it’s important to confirm that you’ve successfully killed off everything you want to.
#5 REBUILD THE MICROBIOME
You’ve just killed off those harmful pathogens that were causing so many SIBO symptoms and IBS symptoms - but chances are, you’ve also killed all the “good” bacteria that are supposed to live in your gut, as well. It’s difficult not to during that process.
Your body needs those “good” bacteria to act as a defense against future infections, and so it is crucial to rebuild your microbiome after a treatment like this. Effectively rebuilding a healthy microbiome entails the use of a variety of high-potency probiotic supplements, adding more prebiotic foods or supplements to the diet (specific types of fiber that feed “good” bacteria), and continuing with your digestive health tools.
It’s not enough to just “eat more probiotic foods” during this phase. Without a healthy microbiome, you may find yourself repeating the treatment again in the next 1-2 years.
was this helpful?
Have you completed a SIBO treatment or other type of pathogenic infection (yeast, candida, H. pylori, mold, parasites) in the past? How did it go?
Share your thoughts and questions in the comments below!
