He small intestinal bacterial overgrowth (SIBO) occurs when there is an abnormal increase in the entire bacterial population in the small intestinein particular of the types of bacteria They are not commonly found in that part of the digestive tract. This condition is sometimes called blind loop syndrome.
It’s been several days since Lola Latorre He has been telling his followers how he feels. The influencer, who has almost a million followers, is very active on her Instagram and interacts a lot with her audience.
Between Wednesday and Thursday, Lola told her fans that she went to take a test to assess if she had SIBO, while she was returning in her car, the influencer recounted: “I just went out and I did it because it’sI am having a lot of belly pain, it swells a lot, I don’t like everything I eat and I’m having a hard time. I don’t know what I have or what I like like this, but literally everything hurts me. This study detects a bacterial overgrowth.”
The doctor Louis Caro, President of Gedyt Foundationleading gastroenterologist and international speaker, general director of GEDYT, explained to Infobae: “It is a bacterial overgrowth, this overgrowth of bacteria is generated at the expense of the intestinal flora that is normal throughout the digestive tract, a slight distension or almost normal or normal gas can be found in the large intestine, not well in the small intestine. When this progresses to the small intestine, it is also called SIBO and it means that, an excessive development of the number of bacteria ”.
“It is an excess of colonic-type bacteria in the small intestine that ferment carbohydrates, leading to increased gas production. It is caused by abnormalities in anatomy, motility, pH, and/or immunity,” he told infobae for his part, the gastroenterologist, Carlos Waldbaum.
In the large intestine, as Caro indicated, some remains of gases can be found as a result of the combustion by the intestinal flora of some nutritional elements, mainly those that have sugars and in particular also with some other fibers or vegetables that can cause this fermentation.
“In this case, in general, both the large and small intestines can tolerate any other painful stimulus, but not the distension stimulus. When there is an increase in pressure within the intestinal lumen, the pain becomes more and more untenable. So the symptoms are bloating and obviously followed by pain. This can go independently with diarrhea or constipationdepending on what types of bacteria and how they developed”, adds Caro.
“Now in this case then the bacterial overgrowth is expressed through swelling that does not subside many times with a bowel movement. It does get better but it doesn’t heal,” says Caro.
The gastroenterologist Waldbaum maintains that in the most severe cases, patients “may experience malabsorption leading to weight loss and malnutrition with the risk of various deficiencies, especially those of vitamins A, D, E, B12 and iron that can cause anemia, pulmonary disorders, and metabolic bone disease.”
Caro says that what you have to do is, in principle, make an accurate diagnosis. “There is a tympanism that is the percussion of the abdomen, it is heard as a void. And then you have to treat them with some antibiotics that are very specific and apart from these antibiotics that are treated according to the criteria of the clinician’s gastroenterologist, then you have to repopulate it with appropriate probiotics. In general, particularly what we do is that with antibiotics the bacteria are eliminated in number, quality and quantity. There are some bacteria that are methanogenic or hydrogen generating. These are the ones that then cause the great distension of the intestine and the abdomen in general. So these are the ones that must be eradicated and there are antibiotics that are specific to eradicate bacteria that are not typical of the intestinal flora and in fact bother the internal environment and yet preserve the persistence of the usual and normal bacteria ”, says dear.
“For the diagnosis of SIBO we have several options such as therapeutic trials with antibiotics, aspiration and small intestine and culture and, the test of expired air and it is always necessary to evaluate the underlying causes that produce it. The management of SIBO, by Just like its diagnosis and the causes that produce it can be difficult. The use of certain antibiotics and the modification of the factors that favor their development are the therapeutic pillars”, explains Waldbaum.
Renata Spiazzi, Gastroenterologist, supported infobae that in terms of treatment, more than important, first, is the diagnosis. “The diagnosis is made with a test called the expired air test and it is measured in the air that one expires. At the moment, only hydrogenogenic and methanogenic flowers can be measured, which characterizes the type of imbalance, whether it is towards a flora or towards the other. And that establishes the treatment that one will follow. As for the treatments, it is very specific, that is why it is important to make the diagnosis correctly, because it is used with antibiotic treatments, which generally have local action, at the level of the gastrointestinal tract and probiotics are used after the treatment. The most important thing is to be able to think about it, diagnose it and treat it. And carry out a corresponding control and follow-up, ”he explained.
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