Understanding SIBO: When Gut Bacteria Go Rogue

Did you know that the concentration of bacteria in your gut increases dramatically as you move from the stomach to the rectum?

Your digestive tract is home to trillions of microorganisms, and in a healthy gut, these bacteria play essential roles in nutrient absorption, immune function, and protection against harmful invaders.

But when this balance is disrupted, it can have far-reaching effects, from nutrient deficiencies to neurological symptoms.

How Your Gut Defends You

The stomach's low pH acts as a protective gate, killing off dangerous microbes in the food we eat. As we move into the small intestine, beneficial bacteria take on vital roles:

  • Supporting digestion and nutrient absorption

  • Producing essential vitamins

  • Providing immune defence against pathogens

What Happens When Things Go Wrong?

When harmful or non-commensal organisms (i.e. not naturally meant to be there) colonise the small intestine, they throw the system into chaos.

This can lead to:

  • Food allergies and sensitivities

  • Increased intestinal permeability (leaky gut)

  • Nutrient deficiencies (B12, iron, fat-soluble vitamins)

  • Bacterial toxaemia — toxic overload from bacterial waste

  • Chronic gut inflammation

  • Disrupted gut motility and slow digestion

What Is SIBO?

SIBO (Small Intestinal Bacterial Overgrowth) refers to the abnormal presence of bacteria in the small intestine, where levels should be relatively low compared to the colon.

SIBO isn’t just “bloating.” It’s a significant disruption of gut ecology, affecting digestion, nutrient uptake, and even brain function.

What Causes SIBO?

  • Impaired stomach acid (from medications or stress)

  • Poor gut motility

  • Post-infection changes

  • Structural issues or previous surgeries

  • Chronic stress or immune suppression

In SIBO, bacteria ferment food prematurely, producing gas in the upper gut and causing:

  • Bloating

  • Cramping

  • Distension

  • Constipation or diarrhoea (depending on the dominant gas: methane or hydrogen)

    Biofilms and Bacterial Protection

Bacteria involved in SIBO often build biofilms — protective layers that shield them from the immune system and antimicrobial treatments. This makes SIBO notoriously difficult to treat without a targeted approach.

SIBO and Mental Health

The effects of SIBO aren’t limited to digestion. Certain bacterial strains release toxic acids and gases (hydrogen, methane, hydrogen sulphide) that cross the intestinal barrier and enter the bloodstream.

This can lead to:

  • Brain fog

  • Anxiety

  • Depression

  • Fatigue

  • Neurological symptoms

It’s a stark reminder that gut health and brain health are deeply intertwined.

The Functional Medicine Approach

At Lantern Clinic, we don’t treat symptoms in isolation. We take a root-cause approach — looking at the whole system to understand why SIBO has occurred and how to rebalance the gut.

We use advanced testing, targeted antimicrobials, nutrition, and gut-healing protocols to restore balance.

Modern microbiome testing can provide valuable information about the pathogenic overgrowth.

Breath testing could be beneficial too.

Diet Tips

  • Wait for 3- 5 hours between meals for the food to be moved along correctly and digested. 

  • Avoid snacking in between meals. 

  • Avoid whole grains and beans 

  • Use nuts and seeds wisely

  • Lactose-free dairy if often well tolerated. 

  • Herbal therapies can be very beneficial: ginger supports gut motility and reduces spasms. 

Ready to Get to the Root?

If you suspect SIBO or struggle with persistent digestive or mental health symptoms, you're not alone — and there is hope.

 
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