Small Intestinal Bacterial Overgrowth: SIBO

Are you frustrated with your medical team and their lack of solutions?

Do you feel like a crazy pill popper from taking so many supplements?

Are you beginning to wonder if you'll ever be SIBO free?

You deserve to work with someone who knows SIBO inside and out.

Hi, I'm Dr. DiNezza.

Over the last ten years, I have had the pleasure of helping hundreds of people defeat SIBO. When I'm not working with patients, I continue to produce videos for my IBS and SIBO channel on YouTube- be sure to subscribe for notifications about new videos. I have also had the privilege of being interviewed for the

IBS and SIBO SOS Summit in 2018.

Below is one video from my "SIBO Mistakes" Series on YouTube.

Oh- and I'm 99% sure I had SIBO (and successfully treated it) before I knew what SIBO was! More about my story here.

But Don't Take It From Me!

Below are just a few reviews from former SIBO-ers.

If they can beat SIBO you can do it, too!

Want to hear more of what my patients have to say? Click here for more testimonials.

What are the symptoms of SIBO?

Common symptoms of SIBO include:

  • Diarrhea

  • Constipation

    • (Or both diarrhea and constipation)

  • Abdominal/stomach bloating after meals

    • Particularly after eating carbohydrates and fiber (FODMAPs)​

  • Abdominal/stomach pain

    • Particularly after eating carbohydrates and fiber (FODMAPs)​​

  • Abdominal cramping

  • Nausea

  • Indigestion

  • Intolerance to probiotics

  • Intolerance to prebiotic (fiber) supplements

  • FODMAP intolerance

You may have all of these symptoms or only a few.

What are the causes of SIBO?

Common causes of SIBO include:

  • Proton Pump Inhibitor (PPI) use

    • Nexium, Prilosec, Omeprazole​, Protonix, Prevacid

  • Food poisoning

  • Abdominal surgery

  • Hypothyroidism (low thyroid)

  • Autoimmunity

    • Proposed link​

  • Motility problems

Sometimes you can figure out the cause of SIBO, while others never figure it out. What's most important is properly treating the condition.

Can a diet control SIBO?

Yes, but I rarely recommend the diets below. I believe that the low FODMAP diet and these other diets are incredibly pro-inflammatory if done for more than a few weeks. Furthermore, research has shown that these diets do not decrease bacterial counts in the small intestine/ treat the real problem (they are only a bandaid). I discuss this controversial (but effective) stance in my ebook, available on this page.

That being said, these diets can be used to manage symptoms in the begining. Diets that can help decrease SIBO symptoms (and that I have worked with) include:

  • Low FODMAP diet

  • Specific Carbohydrate Diet (SCD)

  • The Bi-phasic Diet

  • Combination FODMAP/SCD (recommended by Allison Siebecker, ND)

Can SIBO be helped naturally or cured?

Absolutely. SIBO often responds very well to dietary changes, herbal medicine, supplements, vitamins, and life coaching. I feel very lucky to be able to help people with this condition every day at my office in Chapel Hill.

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