It’s an antibiotic that has potential side effects like: Neomycin is commonly given to patients to decrease their risk of infection after intestinal surgery. It’s also why Rifaximin has fewer side effects compared to other antibiotic treatments.Ī second prescription antibiotic I commonly prescribe for patients with IMO is neomycin. That’s why I commonly prescribe Rifaximin for my patients dealing with SIBO and IMO as part of their protocol. However, the positive benefit of rifaximin is that it’s not absorbed systemically and only acts in your small and large intestines. Some people may hesitate to take prescription antibiotics because long-term use of prescription antibiotics for health conditions, like acne or sinus infections, may have contributed to SIBO/IMO in the first place. If symptoms don’t subside, you’ll repeat this treatment protocol one more time. You’ll take Rifaximin orally in a pill form three times a week for two weeks. It’s an FDA-approved antibiotic that’s commonly used to treat IBS-D in addition to SIBO. The most popular antibiotic is rifaximin (AKA Xifaxan). Prescription antibiotics can also reduce inflammation and overall symptoms in the small intestine. With SIBO, you want to remove the bacteria that are causing your symptoms. Antibiotics reduce bacterial overgrowth by destroying bacteria or stopping bacteria from replicating. ![]() The go-to treatment for SIBO/IMO is prescription antibiotics because they’re effective at reducing bacterial or methanogen overgrowth. So, what treatments do I use for my patients? Let’s dive into my top 10 key treatments. And unfortunately, a small percentage of my patients will have chronic SIBO that’s difficult to completely cure. In other words, we don’t know exactly what types of bacteria are causing problems, and the bacteria may be resistant to certain treatments.īecause of this, many of my patients have to follow more than one treatment protocol. And bacterial resistance to certain treatments is always a possibility. The current breath tests don’t tell us exactly what treatment will “kill” the overgrowing bacteria and/or archaea. ![]() ![]() This is because we don’t have a test that gives us “specific enough” results. In fact, most treatment protocols are only about 80% effective. Treatment protocols are not 100% effective. Top 10 Treatments for SIBO or IMO I Prescribe to My Patientsīefore I reveal the herbal antimicrobials, prescription antibiotics, supplements, and overall treatment protocols for SIBO or IMO I prescribe to my patients, I need to clear something up first. ![]() You can read more about SIBO/IMO in part 1 of this blog series. Note: For some portions of this blog post, I may use the term “SIBO” in a way that encompasses IMO. (Side note: you can check out a video I recorded explaining the difference between SIBO and IMO here.)ĭo you want to learn the basics of the treatment protocols for SIBO/IMO I use as a functional medicine doctor? Or maybe you’ve been experiencing these symptoms for a while, and you’re ready to finally find relief and get a proper diagnosis from your doctor.Īfter running tests, if you are lucky and seeing a functional medicine doc, they diagnose you with small intestinal bacterial overgrowth (SIBO) or intestinal methanogen overgrowth (IMO). Whether you’ve been indulging in delicious vacation foods, or have just gotten off track with your diet, you might be experiencing:
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