The SIBO Doctor - Episode 11 - SIBO and Constipation

Today, Chris Gebhardt joins Dr Nirala Jacobi to speak about
constipation in SIBO.


Chris works at Resonance Complementary Therapies in Melbourne,
Australia, and has been working with SIBO for 3-4 years. 
Chris graduated as a Naturopath from the Southern School of
Natural Therapies in 1995, has done post graduate studies in
Japanese Acupuncture.


Chris works with his partner, Natalie Cruttenden, also a
Naturopath and SIBO practitioner.  Chris introduced Dr
Jacobi to the use of the herbal medicine, pomegranate, in SIBO
treatment, which is also touched on today.


Topics discussed in this episode include:


Chris’s journey to becoming a SIBO treating practitioner.

Methane dominant SIBO and the constipation relationship.

Chronic constipation beyond SIBO treatment - what is Chris
seeing in his clinic with constipated patients who remain
constipated even though methane levels are dropping?

Post SIBO treatment therapies to support healthy digestion
throughout the entire digestive tract.

Resetting and stimulating peristalsis in the large intestine.

The importance of supporting bowel movements during the
antimicrobial SIBO treatment phase .

The theory that high methane on baseline that remains
elevated throughout the test reflects IBS-C and not necessarily
SIBO (via SIBO breath testing).

Chris’s clinical pearls for treating constipation, and
supplemental supports:

Prescript Assist

Partially Hydrolysed Guar Gum (PHGG)

Herbal based laxatives

Metagenics laxatone

Mediherb cascara complex



Xymogen Probiomax Plus Sachets

Bioceuticals Ultra Biotic 500 in later phases of SIBO
treatment.



Dr Jacobi’s supplement supports for peristaltic action

Bifidobacterium Lactis HN019

Found in Probiomax, and Orthoplex Multigen Biotic.



Mutaflor - beneficial E.coli



Repair work to consider after Neomycin use.

Dr Jacobi’s bowel retraining techniques:

PHGG use

Flaxseeds, chia seeds, and dietary adjustment to support
bowel movements for patients with high methane production in
the large intestine.

Anatomical squatting position for best evacuation
alignment.

SIBOtest’s Resource - Retraining a Sluggish Colon



Coffee enemas - Chris and Dr Jacobi’s opinions for
therapeutic use.

Kinesiological testing for the function of sphincters of the
abdomen.

Sphincter work and what type of constipation patients may
respond better

Chris’s seed blend for moving the bowels - chia seeds,
linseeds, pumpkin seeds, sunflower seeds, almond.

Methanogen specific herbal support

Allisure

Bactrex

Atrantil



Removing Methanobrevibacter smithii by moving the bowels.

Testing available for high baseline methane and high methane
throughout, and when to use this test - Methane Spot Test.

Pomegranate - when to use it, what form to use, how often to
use it, and Chris’s results from using it.

Other herbs for treating SIBO and Small Intestinal Fungal
Overgrowth (SIFO), including Usnea and Horopito.

The Biphasic Diet and reintroducing FODMAP foods.

The damage to the villi in light of SIBO and repercussions of
this.

SIBO relapse, and how to integrate a repair phase to lessen
the occurrence of this, either post treatment, or pretreatment
(as indicated in the The Biphasic Diet)

Chris’s treatments for gut repair:

Prebiotic rotation.

Lactulose

Bimuno galacto-oligosaccharide (GOS)



Fibre integration.

Soluble

Insoluble



Probiotics

Colonic foods (polyphenols)

Green tea



How SIBO causes leaky gut and damage to the brush border
enzymes.

Chronic SIBO patients who relapse and why they may
relapse.

Dr Jason Hawrelak’s talk at the SIBO Summit 2016 on pre-
and probiotics.

Dr Jacobi’s gut repair program

Vitamin A

Zinc - 60mg

Bimuno GOS



Stress as a factor in sluggish bowels.

Supporting serotonin for gut motility.





Resources


Resonance Complementary Therapies

Melbourne, Ashburton, Australia.

(03) 9885 5964



SIBOtest practitioner education and patient handouts

Chris’s supplemental supports:

Prescript Assist

Partially Hydrolysed Guar Gum

Herbal based laxatives

Metagenics laxatone

Mediherb cascara complex



Xymogen Probiomax Plus Sachets

Bioceuticals Ultra Biotic 500 in later phases of SIBO
treatment.



Dr Jacobi’s supplement supports for peristaltic action:

Bifidobacterium Lactis HN019

Found in Probiomax, and Orthoplex Multigen Biotic



Mutaflor - beneficial E.coli



Squatty Potty

Easy Stool

Chris’s seed blend for moving the bowels - chia seeds,
linseeds, pumpkin seeds, sunflower seeds, almond.

Methanogen specific herbal support

Allisure

Bactrex

Atrantil



Methane Spot Testing

The Biphasic Diet

Bimuno

Dr Jason Hawrelak’s talk at the SIBO Summit 2016 on pre and
probiotics.

SIBOtest’s Resource - Retraining a Sluggish Colon