Small Intestine Bacterial Overgrowth (SIBO)

00:01 Back to overgrowth caused by stasis or impaired motility.

00:06 If your patient has some kind of nerve damage or worried about bacteria, just having a bowel and proliferating.

00:16 Mild steatorrhea as a result of bile-acid deconjugation by bacteria.

00:20 Clinical symptoms include: If there is going to be problems with your bile then steatorrhea.

00:28 If you have certain bacteria that like to then consume your B12, then keep in mind that B12 deficiency is a possibility.

00:39 Apart from having megablastic anemia and hypersegmented neutrophils.

00:44 Worst case scenario that you're worried about, B12 deficiency would in fact be your subacute combined degeneration.

00:52 Diagnosis by radio labeled breath test or jejunal cultures and your finding quite a bit of growth.

01:02 You treat down the line problem whatever that may be so if it´s whatever that's causing dismotility or immobility then you try to correct it and by doing so you should be able to wash it 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.

01:27 And so therefore, may result in pseudomembranous colitis and that is not a good thing.