Small Intestinal Bacterial Overgrowth (SIBO)

Small intestinal bacterial overgrowth is a condition in which excessive bacteria accumulate in the small intestine, where bacterial levels are normally low. This overgrowth can disrupt digestion, impair nutrient absorption, and lead to persistent gastrointestinal symptoms. In an integrative medicine model, SIBO is viewed not simply as bacterial overgrowth, but as a reflection of underlying dysfunction in gut motility, digestive capacity, and microbiome balance.

Rather than focusing solely on bacterial eradication, an integrative approach combines conventional medical care with evidence-based complementary therapies to identify and address root contributors. These may include impaired gut motility, low stomach acid, enzyme deficiencies, prior infections, chronic stress, and structural or functional digestive issues.

Symptoms can vary depending on the type of gas produced (hydrogen, methane, or hydrogen sulfide) and may fluctuate over time.

Common Symptoms May Include:

Bloating or abdominal distention (often worse after meals)
Gas or excessive burping
Abdominal discomfort or cramping
Diarrhea, constipation, or alternating bowel patterns
Food intolerances (especially to fermentable carbohydrates)
Brain fog or fatigue
Nutrient deficiencies

An Integrative Medicine Approach

At our clinic, we take a personalized, integrative approach to SIBO, blending traditional medical evaluation with comprehensive strategies to reduce bacterial overgrowth, restore digestive function, and prevent recurrence.

Care plans may include:

Comprehensive digestive, metabolic, and lifestyle assessment
Targeted testing (including breath testing when appropriate)
Personalized antimicrobial protocols (conventional and/or herbal approaches when appropriate)
Nutritional optimization and structured dietary strategies (such as low-FODMAP or phased protocols)
Support for gut motility and digestive function
Microbiome restoration and relapse prevention strategies
Gut lining repair and anti-inflammatory support
Stress management and nervous system regulation

When appropriate, we incorporate conventional treatments alongside integrative therapies to create a balanced, individualized plan tailored to each patient’s needs.

Our Goal

We aim to reduce bacterial overgrowth, relieve symptoms, restore healthy digestion, and support long-term gut balance, empowering each patient to feel comfortable, energized, and well.

Take the First Step Toward Restoring Digestive Balance

Schedule your comprehensive digestive evaluation today and begin a personalized, integrative plan designed to address SIBO, improve gut function, and support lasting health.