Medications such as opiates or antibiotics (especially for C Difficile infections). Certain underlying conditions can slow gut motility and these include: The lack of muscular activity also may allow bacteria to spread backwards from the colon and into the small intestine. Poor gut motility – Simply stated, any condition that interferes with muscular activity in the small intestine allows the bacteria to stay longer and multiply. Stress – stress has profound effects on gut motility. Hypochlorhydria (low stomach acid) – a side-effect of using of Proton-pump Inhibitors (PPIs) such as Omeprazole or Lansoprazole (prescribed to reduce the secretion of stomach acid) and gastritis (inflammation of the stomach lining). Structural issues – an effect of surgery (blind loop or ileocecal valve removal), appendectomy, endometriosis, cancer and Inflammatory Bowel Disease. But it can also be associated with the following risk factors: We now know that in many cases SIBO is a result of acute gastroenteritis or food poisoning. For many people, this is caused by an overgrowth of a variety of bacteria that should be in the colon. When there are changes in the number or type of bacteria present in the small intestine, SIBO occurs. So when bacteria moves and overgrows in the small intestine, it causes problems. The small intestine is relatively sterile (compared to the large intestine). Within the gastrointestinal tract the large intestine contains most of the digestive system’s bacteria. If you’ve lost that amount or more than that, it could be because of SIBO. How do you know if the amount of weight you’re losing is cause for concern? Well, unexplained weight loss is defined as the unintended loss of at least 10 pounds or 5% body weight over 6 to 12 months. That said, weight fluctuations are normal. Now, add poor fat absorption to the mix, and what do you get? That’s right: malabsorption of all 3 primary macro-nutrients in your diet. This results in decreased absorption of carbohydrates and proteins. That’s because the bacterial products–from the digestion of food and waste material–can damage the mucous lining of the small intestine. So, you know what to do the next time you visit the toilet, right? #3 – Unintentional weight lossĪre you dropping pounds unexpectedly–even though you haven’t done anything different with your diet or exercise regimen? While you might have welcomed this unexpected weight loss, bear in mind that it could also be one of the symptoms of SIBO. Thus, leading to oily, smelly, and floating stools. 
Instead, they also break down bile salts, which are normally needed to digest dietary fat. That’s where looking out for, or, rather, smelling, the next of the symptoms of SIBO comes in handy when it comes to answering the question: ‘Do I have SIBO?’ And that is oily, foul-smelling stools.Īs it turns out, the excess bacteria found in the small intestine don’t only ferment carbohydrates and sugars to produce gas. And it isn’t difficult to see why – especially if you were to judge based on the previous symptoms (i.e. SIBO is typically mistaken as irritable bowel syndrome (IBS). To be sure, continue reading: #2 – Oily, foul-smelling stools So, if you feel like you’re desperately holding back your gas more than you should be, SIBO is a real possibility. A tiny part of it is absorbed into your bloodstream, sure, but most of it needs to be passed out of your body. Thus, bloating, one of the key symptoms of SIBO.Īnd of course, all that gas has to go somewhere. This in turn, feeds single-celled organisms (known as archaea) which then produce methane. That’s because the fermentation of sugars and carbohydrates produces hydrogen. By now, you must have an inkling of what happens when the excess bacteria feed on undigested food: yes, gas.
This in effect creates a ‘buffet line’ for the bacterial overgrowth present in the small intestine. SIBO results when a circumstance – such as surgery, certain medications, and disease – slow the passage of food and waste products in the digestive tract.
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