Small Intestine Bacterial Overgrowth (SIBO)

by Carlo Raj, MD

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    Bacterial Overgrowth Caused by stasis or impaired motility If your patient has some kind of nerve damage, you're worried about bacteria just, well, having a ball and proliferating. Mild steatorrhea as a result of bile acid deconjugation by bacteria. Clinical symptoms include, well, if there is going to be problems with your bile then steatorrhea. If you have certain bacteria that like to then consume your B12 then keep in mind that B12 deficiency is a possibility. Apart from having megaloblastic anemia and hypersegmented neutrophils, worst case scenario that you're worried about B12 deficiency would in fact be your subacute combined degeneration. Diagnosis by radio–labeled breath test or jejunal cultures and you're finding quite a bit of growth. You treat the underlying problem whatever that may be so if it's whatever is causing dysmotility or immobility then you try to correct it. And by doing so, you should be able to wash out meaning the bacteria. And also, rotate antibiotics. Why? There is every possibility that if you stick to one antibiotic and you give it over long period of time that your C. diff in fact might then proliferate and so therefore may result in Pseudomembranous colitis. And that is not a good thing....

    About the Lecture

    The lecture Small Intestine Bacterial Overgrowth (SIBO) by Carlo Raj, MD is from the course Small and Large Intestine Diseases.

    Included Quiz Questions

    1. Volvulus
    2. Steatorrhea
    3. Megaloblastic anemia
    4. Peripheral sensory neuropathy
    5. Subacute combined degeneration
    1. Bacterial overgrowth
    2. Intrinsic factor deficiency
    3. Pancreatic enzyme deficiency
    4. Idiopathic
    5. Mucosal atrophy

    Author of lecture Small Intestine Bacterial Overgrowth (SIBO)

     Carlo Raj, MD

    Carlo Raj, MD

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