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Re: Probiotics May Make SIBO Worse

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Hveragerthi Views: 21,835
Published: 13 years ago
This is a reply to # 1,707,980

Re: Probiotics May Make SIBO Worse

What is most funny about this is that in your previous post it was claimed that probiotics don't even survive the digestive system to make it in to the intestines.  So if this is the case then how could taking probiotics even lead or contribute to SIBO?

Antibodies that fight infection live in the fragile lining of your intestines.

There are more than antibodies involved in the immune system.  All the antibodies do is to tag antigens for destruction by white blood cells.  But probiotics do not rely on antibodies to destroy dangerous bacteria.  They produce beneficial acids, bacteriocides and peroxides that all help destroy dangerous pathogens.

Television, Marketing & advertising for yoghurts, actimel, yakult....etc.etc. Lead us to believe that 'Friendly bacteria', 'probiotics', 'yoghurt', 'probiotic drinks', 'probiotic supplements' are essential for digestion. The truth is that bacteria actually play a minor role in the digestive process. 

Not necessarily.  The acids generated by the bacteria have been shown to help with mineral absorption.  And an often overlooked factor is the B vitamins generated by the flora aid in the formation of stomach acid also needed for digestion.  And the bacteria help to ferment long chain carbohydrates forming short chain fatty acids that provide energy for the body among other benefits.  For example propionic acid that helps the liver generate ATP.

The first 24 feet of the intestines (the small intestine)contains no bacteria 

Again not true.  There is a lower number of bacteria, but the small intestines does contain some beneficial bacteria, including some lactobacilli.

If there was one piece of advice that I can give you to prevent your SIBO from relapsing it is this: THROW AWAY YOUR PROBIOTICS.

Bad advice.  The flora help to control the pathogens that can lead to SIBO.  And a simple fact that the author is overlooking is that most of the flora have specific colonization sites and cannot take hold in other parts of the body.  So to think that probiotics are going to cause SIBO is ridiculous.  If this were the case then we would all be in trouble since we are always being exposed to these bacteria from different sources.  And imagine babies who are ingesting these bacteria during the birthing process or during breast feeding.  All these babies should have SIBO according to the author's claims.

good bacteria can overgrow just as much as bad.

Again this contradicts the claims in your previous post.  According to that author he claimed that the acids formed by the bacteria would kill the bacteria.  Therefore the good bacteria would be self limiting so they cannot overgrow based on that hypothesis.  Which shows the problem.  A lot of contradictory hypotheses not based on any real facts.

Another problem with probiotic supplementation is that the cleansing waves in the small intestines of IBS patients are inadequate.

IBS, which has been linked to inadequate flora is characterized by alternating diarrhea and constipation.  So how are those cleansing waves inadequate at the times of diarrhea?  The constipation occurs from the lack of serotonin generated by the flora, which controls peristalsis.  The diarrhea can occur in large part from the lack of flora leading to unfermented carbohydrates absorbing large amounts of water in to intestines leading to diarrhea.

 But bacteria aren't supposed to digest food in the small intestine - so although things are somewhat improved (no toxins) you still get the bloating (bacteria produce gas) and you still get hungry all the time (the bacteria are eating your food, not you).

This is really a ridiculous claim.  The flora primarily feed on cellulose that our bodies CANNOT digest and therefore are not food for the body.  And let's not forget that this same author just got done saying earlier that the flora only play a "minor role in digestion".  So which is it and what food is he claiming the bacteria are eating causing you to starve?

 It is when these strains of bacteria leave the areas of the gastro-intestinal tract in which they properly belong the problems occur.

I would love to see proof of this since as I pointed out the bacteria are only able to colonize specific areas of the body.  And as I pointed out we are consuming these bacteria all the time so why isn't everyone getting sick, especially babies being breast fed?

These antibiotics act only in the small intestines and are not absorbed into the blood stream.

Antibiotics kill off the beneficial bacteria in the body leading to all sorts of problems including overgrowth of Candida and diarrhea:

Antibiotic-associated diarrhoea




Most cases of antibiotic-associated diarrhoea (AAD) are directly or indirectly due to the alteration of gut microflora by antibiotics. ‘Functional’ diarrhoea, usually limited to a mild and brief change in stool frequency, is considered as the most frequent pattern of AAD. Reduced carbohydrate fermentation and impaired metabolism of bile acids have been claimed as the potential causes of this transient digestive discomfort but a critical analysis of the data supporting these theories is necessary. Alternatively, changes in the gut flora ecosystem allow pathogens to proliferate.Clostridium difficile is responsible for approximately 10% of cases of AAD and almost all cases of antibiotic-associated pseudomembranous colitis. The level of evidence which supports the potential responsibility of other candidate pathogens (Klebsiella oxytoca, enterotoxin-producing Clostridium perfringens and Staphylococcus aureus, Candida) needs to be appreciated according to the updated postulates of causality relationships between a bacterium and a disease.


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