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Joseph Sunny Jr MD
175 SW 7th Street Suite 1600, Miami, FL 33130

Dr. Joseph K. Sunny, Jr. MD. Gastroenterologist in Miami, Florida.

Small Intestinal Bacterial Overgrowth

Small intestinal bacterial overgrowth (SIBO) is a condition in which there is an excessive amount of bacteria in the small intestine. This can lead to a variety of symptoms, including bloating, diarrhea, gas, abdominal pain, and weight loss.

There are a number of factors that can contribute to SIBO, including:

  • Reduced stomach acid production
  • Slowed small bowel motility
  • Inflammatory bowel disease
  • Celiac disease
  • Pancreatic insufficiency
  • Post-surgical conditions
  • Gastroparesis

SIBO is often diagnosed with a breath test, which measures the levels of hydrogen and methane in the breath after a patient drinks a sugar solution. Other diagnostic tests may include a small bowel aspirate or a capsule endoscopy.

Treatment for SIBO typically involves antibiotics, which are used to kill the excess bacteria. Other treatments may include probiotics, enzyme supplements, and dietary changes.

If you are experiencing symptoms of SIBO, it is important to see a doctor for diagnosis and treatment.

For more information about SIBO, please visit the following websites:

If you have persistent bloating after an EGD and your H. pylori test is negative, small intestinal bacterial overgrowth testing can be considered. A home breath test for SIBO can be ordered from the clinic.

Bloating for SIBO can also be managed with probiotics. Below are a range of probiotics available for SIBO. VSL #3 can also be used for ulcerative colitis.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please schedule an appointment.