IS YOUR IBS ACTUALLY SIBO?

Have you been experiencing abdominal symptoms? Bloating? Cramping? Indigestion? Abdominal pain? Or maybe you are experiencing anxiety and depression? If so, you should know about small intestinal bacterial overgrowth (SIBO), and how it is most often under-diagnosed as a source of irritable bowel syndrome (IBS). Many individuals have a diagnosis of IBS that they have been given at some point in their lives by a doctor and they are just trying to manage it on their own with no real solution to addressing the root cause. In most cases, IBS is in fact SIBO.  SIBO is a serious condition affecting the small intestine and happens when bacteria that normally grow in other parts of the gut, grow in the small intestine.  When you are diagnosed with IBS it’s really important to make sure that you get the proper testing and determine if this is one of your root causes. Let’s now talk about how you can tell if your IBS is actually SIBO.

Symptoms:

If you’re experiencing anxiety, depression, bloating, digestive issues, constipation, diarrhea, abdominal pain, overall puffiness and discomfort around the abdomen, and even such symptoms as heartburn and acid reflux, it’s really important to get properly evaluated.

Testing:

You will have a breath test, which will determine if you have methane or hydrogen gas in your gut. The breath test will be over a series of a few hours.  After you ingest lactulose, depending on how it ferments in your gut, will determine what type of gas is produced and this will indicate whether or not you have SIBO.

Treatment:

If you have a diagnosis of SIBO or IBS, and you’re in the process of trying to determine how you can feel better, it’s highly recommended to go on a low FODMAP (fermentable oligosaccharides, disaccharides, and polyols) diet.  These are hard to digest fibers and sugars, and therefore do not pass through the small intestine well. In the colon, the high FODMAP foods will ferment and cause gas, and in the small intestine, they will pull water causing bloating and stretch in the intestinal area.

The first part of the low FODMAP plan a complete elimination of any moderate to high FODMAP foods. After the elimination phase, which can be anywhere from two to six weeks, then you can begin a reintroduction. You would reintroduce one FODMAP food at a time and see how your body tolerates it. After you’ve done that you can personalize your plan, and determine what foods are aggravating you and contributing to some kind of bloating, flatulence, abdominal pain, etc. The first goal of the program is to decrease inflammation and symptoms and try to settle your system down. Once you do that, you can begin to transition into a personalization of the food plan.

After you’ve determined you may have SIBO and you have initiated a low FODMAP plan, you want to follow a 5R protocol for restoration. So, that would be removing the inflammatory triggers, replacing the digestive enzymes, reinoculating with good bacteria, replacing any nutrients that you may be deficient in, and also rebalancing your lifestyle factors. After you have worked through a 5R protocol, there is a chance that you may need to take an antibiotic, whether that’s herbal or conventional. The research shows that both an herbal or conventional antibiotic can be equally effective. It does depend on if your body is ready to support it, and if you are well enough to be able to handle the antibiotic.

Summary:

If you are a person that has had a diagnosis of IBS, or you’re dealing with a lot of abdominal symptoms and you really want to get to the bottom of it; it’s really important to consider SIBO as one of the possibilities. You want to make sure that you’re using this as a possible diagnostic tool to rule in or rule out, and to treat the root cause, as opposed to just treating your symptoms.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule.

For more content, make sure to subscribe to my YouTube channel here.

COULD YOUR ANXIETY and DEPRESSION BE COMING FROM YOUR GUT? | SIBO

Did you ever wonder if anxiety and/or depression was caused purely by psychological reasons or possibly from other causes? It absolutely can be caused from many different things such as systemic inflammation, leaky gut, hormonal changes, and your gut, specifically SIBO (small intestinal bacterial overgrowth), which is what we’ll focus on today. Surprising I know! Let’s dive into the gut-brain connection, the bacteria and neurotransmitters in your gut, as well as what you can do to improve that neurotransmitter function in your gut and brain to really help you improve your mood, feel better, and move through your life with ease.

Other causes for anxiety and depression

Anxiety and depression can come from many other physical causes. It can come from systemic inflammation or leaky gut. Leaky gut is where we have endotoxins released into the bloodstream coming through the epithelial lining of the small intestine and that creates an immune reaction. This can also lead to leaky brain. This is where those endotoxins cross the blood brain barrier and can contribute to things like mood changes and brain fog, etc. We can also have anxiety/depression related to hormonal changes. Last but definitely not least, we can have it from small intestinal bacterial overgrowth (SIBO).  In essence, the altered microbiome can be one of the biggest contributors to anxiety and/or depression.

Typical course of action in America

The typical course of action in America is that when you present with anxiety and/or depression, you are prescribed a selective serotonin reuptake inhibitor (SRRI). This can be something like Prozac, Paxil, or Lexapro. The reason these are prescribed is for low serotonin, our feel good neurotransmitter. Serotonin is one of our key chemical messenger that signals to the brain. This is formed by the bacteria in the gut, and guess what, 90 percent of our serotonin is in our gut! So, now we want to ask ourselves, why is our serotonin low? We may want to dive into what may be happening in the gut that could be contributing to this.

SIBO

SIBO, once again small intestinal bacterial overgrowth, can be one of the huge underlying factors in anxiety and/or depression. This is something that is definitely not looked at as frequently, and if you are experiencing something like bloating and other digestive symptoms, then this would be something to look into as one of the potential causes of your anxiety and/or depression. This happens when we have an overgrowth of the normal bacteria in the gut, and it creates a dysbiosis which means just an imbalance in the bacteria of the gut. This in turn will lead to things like nutrient deficiencies, malabsorption, and imbalances in the neurotransmitters. The gut-brain connection is a bidirectional communication between our gut and our brain. Our gut is our second nervous system. The bacteria in the gut is essentially what’s forming these neurotransmitters, our chemical messengers and communicators to the brain.

Testing for SIBO

Why is it so important to look at possible bacterial overgrowth in the gut and test it appropriately? When you are having any digestive issues like bloating, abdominal pain, any type of diarrhea, constipation, etc and it’s coupled with anxiety and/or depression, then you should absolutely be tested for SIBO. SIBO is tested using a breath test which is going to assess either hydrogen or methane gas. You ingest something called lactulose, and because it cannot be absorbed, it will be present in the small intestine. If it ferments with the bacteria in your gut, then you will exhale either a methane or hydrogen gas. If you’d like to order a test, click HERE.

Irritable bowel syndrome has been used as a diagnosis for many years, and now what we’re finding out is that IBS diagnosis is really SIBO in most cases. When you have this diagnosis, and you are experiencing anxiety and/or depression, it is going to be imperative that you address this as one of the potential root causes of your anxiety or depression because there’s no way that you can have the appropriate amount of serotonin, and even elements of dopamine if you are experiencing SIBO.

So what do you do about it?

1) The first thing is to make sure you get properly tested and evaluated.

2) Include a low FODMAP diet.

It is important to remove any type of inflammatory foods or triggers that could be aggravating this condition. FODMAP stands for “fermentable oligo-, di-, mono-saccharides and polyols. Low fodmap foods are easily digested carbohydrates which is a really important aspect of a SIBO protocol. Also eliminate things like gluten which is found in wheat, a high FODMAP food, a big driver in leaky gut, a common complaint or comorbidity along with SIBO.

3) Supplementation.

Typically, supplementation is going to be required because you will likely have malabsorption issues. It doesn’t mean that you definitely will, but there is a strong possibility, especially is this has been going on for quite some time. You may have to take specific highly bioavailable nutrient supplements until your body can absorb a more effectively and be able to repair the gut lining in cases of leaky gut. Glutamine is one of the most abundant amino acids in the body for immune health and intestinal health. This will be one of the very important nutrients that you will want to ingest if you are diagnosed with SIBO. The recommendation is 15 to 21 grams a day.

4) You want to reinoculate with probiotics.

It is important to recognize that not all probiotics will work for every SIBO patient. Most commonly, spore-based probiotics seem to be best as some other probiotics could make you worse.

5) Antibiotics

Antibiotics are typically used to treat the SIBO. There are different protocols and philosophies on when the appropriate time is to give the antibiotic. However, it is going to be necessary in most cases, whether it’s an herbal antibiotic or a conventional antibiotic to kill the bacteria.

In summary, hopefully you can appreciate that there’s way more to anxiety and depression, then simply only psychological reasons. We’ve only scratched the surface of just one part aspect of this, but I wanted share with you about neurotransmitters, introduce the gut-brain connection, and hopefully just have you think a little bit deeper about how can you begin to address some of the root causes of why this could be happening to you or someone you love.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule.

For more content, make sure to subscribe to my YouTube channel here.

Disclaimer: This is not intended to treat or diagnose. Please check with your physican or functional medicine practitioner to determine a specific plan.

7 Ways to Improve Your Lymphatic System I Beginner Lymph Drainage

Let’s discuss one of the most powerful and most neglected systems in the body, the lymphatic system. The lymphatic system is a critical part of the immune system and is vital for protecting us from illness and chronic disease.

Seventy to 90 percent of all chronic disease is linked to inflammation. How do we get rid of inflammation? Primarily through our lymphatic system or other detoxification systems or organs including our liver, kidney, lungs, skin, GI system, tongue and fat.

We are made up of 80 percent water. Let’s compare the lymphatic system to an aquarium. We can appreciate that if the aquarium has clean, filtered water everything in the aquarium (the fish, algae, etc) is going to not only survive but thrive.  However, if that tank is unfiltered, becomes toxic and infected, everything in the tank is also going to become toxic and have a lack of oxygen and nutrients.  Therefore, it cannot survive, let alone thrive in that toxic environment.

As one of my mentors Dr. Perry Nicholson says, “you cannot get well in the environment that you got ill  in.”

Symptoms of a Poor Lymphatic System

If you’re experiencing these symptoms, then you most likely have a lymphatic issue but truthfully if you’re living in modern society, you most likely have a lymphatic issue anyway because of how toxic our environment is. With that said, if you had things like morning stiffness, chronic pain or fatigue or stiffness, bloating in your face in your abdomen, varicose veins, brain fog, poor sleep, acne, bad breath poor capillary refill, and painful lymph nodes, then most likely you are dealing with some kind of lymphatic issue.

Amazing Facts About the Lymphatic System

The lymph system is pretty darn amazing. There’s over 700 lymph nodes in the body and over one third of them are in the neck. There’s 15 liters of lymph in our body. All of the lymph is pumping in one direction, the direction of the heart, and it’s deeply connected to the gut.  It is connected through the Gut Associated Lymphoid Tissue (GALT), specifically the Peyer’s patches. Remember that 70 to 80 percent of our immune system is in our gut! Now you can appreciate this deep connection of the lymphatic system to the gut. If there is a gut issue, there is a lymph issue!

7 Ways to Improve Your Lymphatic System

What can you do if you have a lymphatic issue? What you can you do to help optimize your immune system? Here are seven key ways that are very easy things to integrate into your life and should be foundational.

  1. Diaphragmatic breathing

The two key ways to improve your lymphatic system are movement and breath. Let’s speak about breath first. When I refer to breath, I really mean diaphragmatic breath.  You are using the diaphragm to actually create a pumping mechanism that is going to pump the lymph to the cisterna chyli, which is one of your main lymph drainage points in the center of your abdomen.

Breathing diaphragmatically is going to improve the chances of having a healthy lymph system.  We breathe 20 to 25,000 times a day. If we have stress breathing, however, and the diaphragm is very restricted, that is going to significantly impact the function lymphatic system. Breathing is your superpower!

Try taking at least three diaphragmatic breaths every hour and breathe for five min in the morning and at night before bed.

2. Movement

Once again, movement is one of the most important things to do to improve your lymphatic system.  We want to think of hydrating the tissue and moving the lymph system.

Try to move frequently throughout the day, not just for one hour and then sitting the remaining part of the day.  Think about movement snacks. As Gray Cook says, “move well and then often.”

3. Staying Hydrated

It seems very simple, but also very challenging for many people. Remember, we are 80 percent water so it is very important for the lymphatic system to be well hydrated.

Make sure to that you’re drinking at minimum, eight, eight-ounce glasses of water a day, and always making sure that your urine is yellow is pale yellow to clear.

4. Anti-inflammatory nutrition

The more inflammation that we have, the more toxic our environment is. We cannot get well in the environment that we got ill in. Focusing on an anti-inflammatory diet, getting rid of any gut infections anything like yeast overgrowth or SIBO (small intestinal bacterial overgrowth) that you recognize is contributing to a poor lymphatic system is essential.  

All of these systems work together, so it’s really important to address any underlying condition and really focus on a well-balanced whole food natural diet.

5. One-minute lymphatic drainage.

This is the most basic version and is for beginners. It’s a great starting point for many people.  If you go  too fast too soon with the lymphatic system, you can actually cause a huge detoxification reaction and it can make you feel very ill. This is a great way to simply start the process, and if you have any negative symptoms, you would wait until those symptoms resolved for you progress.  Ultimately the goal is to do this daily. You could do it in the shower, before you work out, or any consistent and convenient time. Always make sure to follow with movement.

Watch the lymph drainage HERE.

Remember that for the lymph drainage the order is very important, you’re always starting on the left side and then moving to the right, and you start with above the collarbone area, move up to the jaw under the jaw, and then go into the pec, then the abdomen, then the inguinal area, and then behind the knees. The order is very important and perform five pats in each place.

6. Vagus nerve stimulation

The vagus nerve is the longest nerve in the body, one of our cranial nerves that regulates our parasympathetic nervous system. We can stimulate the vagus nerve in many ways; through breathing and meditation, specific cranial nerve exercises, humming, chanting, yoga and more. Because we can improve that parasympathetic system (rest and digest state), we can impact our impact our breathing, and therefore our pumping action of the lymphatics. 

You’ll want to make sure that you one of more of these practices in your daily life.

7. Decreasing Stress

When the HPA axis (hypothalamic pituitary adrenal axis) is activated, our stress pathway in our body, we’re ultimately going to release cortisol. Cortisol can break down proteins. More specifically, it can break down collagen. Collagen is the main structural protein in the extracellular matrix of connective tissue in the body and is the most abundant protein in our body. Therefore, the breakdown can impact the structure of the cells in the lymphatic system, which therefore can cause blockages and decreased blood flow, which ultimately in turn means that there will be more congestion and a more toxic environment.

Please find the things that help YOU manage stress! Please see how to map your nervous system.

So there you have it, seven different ways to improve your lymphatic system, and hopefully with a little background information to help you on your healing journey.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule.

For more content, make sure to subscribe to my YouTube channel here.

Source: Dr. Perry Nichelston, Stop Chasing Pain

Disclaimer: This is not intended to treat or diagnose. Please check with your physican or functional medicine practitioner to determine a specific plan.

What do NSAID’s do to your gut?

Are you a person that takes Advil or Aleve for any common cold symptoms, aches or pains, or headaches that you experience? If you do, you are like most Americans. These are some of the most widely taken drugs in America. In fact, we have 16,000 deaths per year just from non-steroidal anti-inflammatories.

In case you’re wondering what falls into this category, here’s a list of common NSAIDs:

  • Advil / Motrin (ibuprofen)
  • Aspirin
  • Aleve (naproxen sodium)
  • Celebrex
  • Naprosyn (naproxen)
  • Lodine (etodolac)
  • Mobic
  • Nalfon (fenoprofen)
  • Daypro (oxaprozin)
  • Ansaid (flurbiprofen)
  • Cambia / Cataflam / Voltaren (diclofenac)
  • COX-2 Inhibitors

Impact of NSAIDs

Not only do we have 16,000 deaths a year, but we also have well recognized side effects that sometimes people ignore, damage to your gut lining. According to a study done by the National Institute of Health (NIH), all of the conventional NSAID’s were shown to affect small intestinal inflammation. This is one of the common findings with NSAID use, especially chronic NSAID use. It is affecting the integrity of the gut mucosa. This can contribute to a condition called leaky gut, or intestinal permeability. Please make sure that you check out my YouTube video on leaky gut here to understand more and how it can impact a whole host of conditions and symptoms that you may be experiencing.

Rather watch or listen than read? Click here

Leaky Gut

Leaky gut or intestinal permeability allows undigested food particles, viruses, and pathogens to enter the bloodstream, which in turn causes an immune reaction and inflammation in our body. This can again contribute to many different symptoms from headaches to digestive issues to chronic pain, and so on. In addition to damaging the gut lining, it can also exacerbate symptoms of inflammatory bowel disease, and can contribute to colitis which can resemble inflammatory bowel disease. Older individuals are at higher risk, but it can affect anyone.

But, is Tylenol okay?

Although current guidelines suggest taking no more than 4,000 milligrams of acetaminophen daily, a study published in 2006 by the American Medical Association, stated that this dose for four or more days frequently causes elevated ALT, a liver enzyme and marker for injury. This continued even after it was discontinued.

There is a 3.7 times increased risk of bleeding in the upper GI tract with chronic consumption of acetaminophen of doses greater than 2000 milligrams. Overdose of this can also continue to leaky gut. Lastly, it can deplete one of your master antioxidants, glutathione.

Summary

Figure out why you’re having pain, headaches, or any other symptoms. I would recommend seeking out a rehabilitation professional, functional medicine practitioner, or dietitian to determine why you’re having headaches, chronic pain, or chronic sickness. This will help you address the root of the problem, the chronic injury cycle, and the chronic medical cycle that you’re going through, so that you don’t need to mask it with something that is negatively impacting your gut health, i.e. your immune health. Remember, 70 to 80 percent of our immune system is in your gut, so every time you take an NSAID, you can be impacting your immune system and your ability to regulate your mood and emotions. Ninety percent of our serotonin, “our feel-good neurotransmitter” is in our gut.

So, next time you want to take an NSAID think about all this information and how it could make your health worse, not better. You might feel better in that moment, but overtime it can take a huge toll on your body. There are many other options to getting yourself back to a pain-free, healthy life.

Are you ready to feel great again? Reach out to schedule an evaluation.

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