Small intestinal bacterial overgrowth (SIBO) is gut condition in which there are abnormally large numbers of gut bacteria in the terminal ileum of the small intestine (the end of the small intestine, just before the colon). SIBO is one form of dysbiosis, or gut imbalance. Normally, the colon is where gut bacteria greatly increase in number, with the small intestine housing smaller numbers of bacteria. In SIBO, the high amount of gut bacteria in the small intestine leads to excess gas and discomfort. The condition is common in people with irritable bowel syndrome (IBS).

It has been known for a while that SIBO is more common in alcoholics, but a recent study is the first to look at the relationship of SIBO in people with moderate alcohol consumption. As it turns out, the researchers, from the Mayo Clinic and Dartmouth-Hitchcock Medical Center, found that moderate alcohol consumption—one drink per day in women and two per day in men—could lead to SIBO.

Dr. Gabbard, the lead researcher, stated, “While typical treatment for SIBO has been antibiotics, probiotics or a combination of the two, the question now becomes what is the exact association between moderate alcohol consumption and SIBO and whether alcohol cessation can be used as a treatment for this potentially harmful condition.”

Certainly, the things we consume—food, drink and medication—affect our gut. If you have been considering decreasing your alcohol intake (there are many good reasons to do so), it may just help improve your gut balance.

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 Most people have a difficult time making the association between what is going on in the gut and health problems in other parts of the body. I help them connect the dots so that they can achieve better health. I help them get started on The Road to Perfect Health.

The Road to Perfect Health begins in the gut (your digestive system). If your digestive system is not healthy, the rest of you is typically unhealthy in some way.

Sure, you know that conditions like heartburn, gas, bloating and indigestion are related to your gut. But did you know that conditions like fibromyalgia, chronic fatigue, skin conditions, cardiovascular disease, diabetes and even arthritis are all related to the gut? It’s true. And I have seen it in so many people, including myself.

There are many different factors contributing to chronic illness that begin in the gut, but one primary factor is gut microbial balance. You need the proper balance of gut bacteria. I call it your “GPS”—your Gut Protection System. Your GPS is made up of 100 trillion bacterial cells. In fact, the bacterial cells in your gut outnumber the cells in your entire body by 10 to 1! That’s right, there are 10 times more gut bacteria than all the rest of the cells that make up your body.

The beneficial bacteria in your gut are known as probiotics. Probiotic means, literally, “for life.” Pro means “for” and biotic means “life.” This is in contrast to “antibiotic” (“against life”). The most common and most widely studied probiotic bacteria are what I call the L’s and the B’s—Lactobacillus and Bifidobacteria. Lactobacillus bacteria are most associated with the little (small) intestine, and the Bifidobacteria are mostly found in the big (large) intestine, or colon. Having the right balance of good bacteria (more good guys than bad guys) is essential on The Road to Perfect Health.

For more information on how your GPS can help you return to perfect health, check out my new PBS show, The Road To Perfect Health. Check your local PBS listings for show times.

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If I asked you what the connection was between the bacteria in your gut and the symptoms of irritable bowel, would you know? Okay, so those of you who’ve spent any time reading my books or listening to my Poop Scoop internet radio show probably would, but something this important is definitely worth repeating—especially during IBS Awareness Month!

The number of bacteria in your gut outnumbers the cells in your body twenty to one, which means these little guys are in control of your health whether you like it or not! So when we talk about a gut bacteria balance, we mean we want to keep the good guys (called probiotics) in control so they can help crowd out the bad bacteria before they can cause problems. Another term for unbalanced gut bacteria is dysbiosis.

And here’s where it gets interesting! In IBS patients, lower amounts have been found of the probiotics Lactobacilli and Bifidobacteria, but the potentially harmful bacteria like enterobacteriaceae, coliforms and bacteroides have been found in higher amounts. Interestingly, dysbiosis causes many of the same symptoms as IBS, and in fact one form of dysbiosis known as small intestinal bacterial overgrowth (SIBO) has been associated with IBS.

So can probiotics help bring balance back to your gut and possibly relieve IBS symptoms such as gas and bloating, occasional constipation and occasional diarrhea? Yes! Keep in mind however that for some people with more sensitive colons, it may be necessary to start with smaller amounts of probiotics, building up to a therapeutic dose gradually to avoid the over-fermentation that may occur.

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Notable News – I can’t tell you how many times I’ve heard that we don’t need our appendix and that it has no function. Now don’t get me wrong, I understand removing the appendix if someone has appendicitis (a potentially fatal inflammation of the appendix) but the appendix isn’t completely useless! Did you know that it actually plays an important role in digestive health?

Recently researchers have determined that the appendix acts as a safe storage area for good bacteria in the body—you know, the kinds that help with digestion and immune function? So after a case of diarrhea, or a bout of antibiotics, both of which wipe out populations of good bacteria, the bacteria hidden in the appendix can actually repopulate the colon and bring balance back to your digestive tract! 

It makes perfect sense, really. The appendix is a narrow tube that sits at the bottom of the first part of the large intestine (also called the cecum). A bacterial infection or antibiotics would easily bypass the appendix because of its small opening, so the beneficial bacteria inside would stay protected. But inside the appendix are still enough bacteria to repopulate the gut when needed… which is pretty important when you consider that chronic dysbiosis (or a lack of enough beneficial gut bacteria) can contribute to infection if bad bacteria reach the appendix and multiply. And what happens then? You guessed it! Appendicitis!

So take it from me, your appendix is important, and so is making sure you take probiotics every day to keep your digestive system in balance!

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