Small bowel bacterial overgrowth (SBBO) occurs when there is a build-up of too much bacteria in the small bowel.
The Small Intestines
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SBBO is often caused by an abnormality in the small bowel. Food is not able to flow properly though the intestines. Conditions that may cause this include: Birth defectInjurySurgeryDigestive disorders
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include
Blood testsBreath tests—to analyze certain gases that may be present after fasting and eating specific sugarsCulture of intestinal fluid (aspirate)—a catheter is used to get a sample of fluid from the small bowel
The goals are to: Reduce the levels of harmful bacteria in the small bowelTreat the underlying condition
Antibiotics are often prescribed to treat SBBO. Usually treatment is temporary, but in some cases you may need to take antibiotics for a longer period.
To make sure that you get the proper nutrients, you may need to: Work with a dietitianFollow a special diet, such as a carbohydrate-restricted diet
Take vitamins and/or supplements
In some cases,
is needed with a special formula.
For severe cases, surgery may be needed. This is done to correct an abnormality in the small bowel.
If you have any of the conditions that are linked to SBBO, get proper treatment. This may reduce your chance of having a build-up of bacteria in the small bowel.
Bacterial overgrowth syndrome. Merck Manual Professional Version website. Available at:
http://www.merckmanuals.com/professional/gastrointestinal-disorders/malabsorption-syndromes/bacterial-overgrowth-syndrome. Updated May 2014. Accessed September 29, 2014.
Bures J, Cyrany J, Kohoutova D, et al. Small intestinal bacterial overgrowth syndrome.
World J Gastroenterol.
Lactose and glucose hydrogen breath test. Cleveland Clinic website. Available at:
http://my.clevelandclinic.org/health/diagnostics/hic_Lactose_and_Glucose_Hydrogen_Breath_Test. Accessed September 29, 2014.
Lin H. Small intestinal bacterial overgrowth.
Parrish C. Nutritional consequences of small intestinal bacterial overgrowth. University of Virginia, School of Medicine website. Available at:
http://www.medicine.virginia.edu/clinical/departments/medicine/divisions/digestive-health/nutrition-support-team/nutrition-articles/DiBaiseArticle.pdf. Accessed September 29, 2014.
Vanderhoof J, Young R. Bacterial overgrowth. The Oley Foundation website. Available at:
http://www.oley.org/lifeline/bacter.html. Accessed September 29, 2014.
Vanderhoof J, Young R, Murray N, Kaufman SS. Treatment strategies for small bowel bacterial overgrowth in short bowel syndrome.
J Pediatr Gastroenterol Nutr.
Last reviewed August 2015 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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