What Causes SIBO?

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Today’s video is on Small Intestinal Bacterial Overgrowth, or SIBO, a condition that can cause a wide range of symptoms, from bloating and abdominal pain to diarrhea and constipation. SIBO occurs when there is an abnormal increase in the number or type of bacteria in the small intestine, which can interfere with the digestive process and lead to a variety of health problems. But what causes SIBO? In this video, we will explore the various factors that can contribute to the development of SIBO, including diet, stress, medication use, and underlying medical conditions.

Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402

#drmartinrutherford #sibo #autoimmunity

Power Health Rehab & Wellness
1175 Harvard Way
Reno, NV 89502

Power Health Chiropractic
1175 Harvard Way
Reno, NV 89502


This Video Content has been made available for informational and educational purposes only. This Video is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen online.

Okay, the presentation today is What Causes SIBO. 
I do so much SIBO, I didn't even think that this   Was a mystery. But it is. It seems to be a mystery 
among the patients that I've been treating. And   Then looking online, there's a lot 
of interesting suppositions as to   What causes small intestinal bacterial growth.
It's not rocket science. It's a lot of things   In some ways, and in other ways, it's not. 
Basically small intestinal bacterial growth   Is an overgrowth of bad bacteria, frankly, 
first and primarily in your large intestine.   And then it's caused by a breakdown 
of your digestive process. To digest,   You have to have proper stomach function. There's 
a lot of digestive juices in there. Their primary   Job is to break down your proteins in the 
stomach, cause your food to become alkaline   Instead of acidic. Your intestines is alkaline, 
doesn't really like acidic stuff going into it.  And the stomach acids are supposed to sterilize 
your food. Sterilize. Everybody's got candida,   Everybody's got yeast, everybody's got fungus, 
everybody's got h pylori. When I say everybody,   90, 95% of the human race has h pylori. 
Everybody's got candida, everybody's   Got fungi. But they don't express themselves 
because the physiology of our body neutralizes.   And this is where it starts, by you having enough 
hydrochloric acid in your stomach and sterilizing   This food and keeping the stomach sterile.
If that doesn't happen, it sets off a whole   Lot of bad stuff. It tells your gallbladder not to 
work right. Your gallbladder does way, way, way,   Way more than just digest fat. It has lot do with 
your immune system, has a lot to do with dampening   Inflammation. It has antimicrobials in there. And 
then there's signals that are sent out to your   Pancreas. Now your pancreas doesn't work, as far 
as digestion goes. And the next thing you know,   You have undigested food particles sitting 
there. All of that's causing a leaky gut.   All of that's causing inflammation. All 
of that's causing food sensitivities.  For those of you who believe 
in food sensitivities, I had   A patient yesterday who says they don't 
exist. That was interesting. They exist,   And they are a big problem because when you eat 
those foods, they create inflammatory processes.   That causes something called cortisol to go 
up. That causes blood sugar to go out into   Your system. All of that causes stress on the 
system. And all of those things cause leaky gut.  But what they cause before they cause leaky gut 
is they cause gas, bloating, and distension.   That's what they cause. When you start getting 
the bloating, and the bloating is after you eat   Starches or fibers or sugars, you have now made 
a lot of bad bacteria because of the improper   Environment in your intestines. And there's a lot 
of theories on bacteria, and this bacteria strain,   And that bacteria. It's not about all that. It's 
about imbalance between good and bad bacteria.  And so what happens is your good bacteria start 
turning bad, you start making more bad bacteria   In your colon, in your large intestines. You 
now start getting bloating and distension.  

And there's a valve between your large 
intestines and your small intestines. And   The food's moving this way, goes through 
the valve, goes in here, sits here.   And now you start getting gas, and you 
start getting bloating. That opens the valve   In between, and now these bad bacteria that 
everything's supposed to be moving this way,   Small intestines, valve, large intestines toilet,   Everything's supposed to be moving into 
the toilet. Once you start getting the gas,   It opens that valve, and now those little, bad 
bacteria start crawling up your small intestine.  And they can crawl literally all 
the way back up to your stomach.   How large is your large intestines? It's 24 
feet on average, something like that. So it   Crawls all the way back up there, screws up your 
gallbladder, screws up your pancreas, screws up   Your stomach. This is the very thing that caused 
[inaudible 00:04:43]. Now you have this vicious   Cycle of small intestinal bacterial overgrowth.
So the question really is, what caused small   Intestinal bacterial overgrowth? Was it that, or 
was it what caused that whole process to begin,   What caused the stomach to stop digesting? And 
that's really where people, I think, miss out on   Treating small intestinal bacterial overgrowth.
Not to mention any names, but we have colleagues   Online that have their small intestinal bacterial 
overgrowth, supplements and diet and so on and   So forth. And a lot of you may have tried 
them, and a lot of you may have said, "Ooh,   I felt good." And then two weeks, two, three, 
four, five, six, seven weeks later, it came back.   All right. And it came back because you didn't 
really get to the ultimate cause. And the ultimate   Cause is whatever caused the stomach to shut down 
or whatever slowed down the stomach, the pancreas,   And the gallbladder, that's the ultimate cause. 
Number one cause of that is chronic stress.   And there's a lot of SIBO in this 
country because I treat a lot of it.  I treat a lot of Hashimoto's patients. Just a 
interesting fact. 70% of Hashimoto's patients   Are deemed to have small intestinal bacterial 
overgrowth. So what's one of the causes? One   The causes is hypothyroidism. One of the causes 
is the hypothyroid aspect of Hashimoto's because   It slows down your stomach, and it slows down 
your gallbladder and your pancreas from doing   Their job and digesting your food and sterilizing 
your food and alkalizing your food. And then that   Sets off all these mechanisms that ultimately 
create the small intestine bacterial overgrowth.   That's the number two cause: hypothyroidism, 
Hashimoto's, hypothyroidism. We now   Know that most hypothyroid is actually 
Hashimoto's. Number one cause is stress.  The number one cause in this country, 
by far, is stress. Why is that?   It's because stress is a primal mechanism. 
The stress response is in our brainstem. Lot   Of people call that a reptile brain, or our old 
brain. And it's just the basic survival mechanism.   You look around, you see something that that's 
dangerous, and you go into fight-flight. Stress  

Is fight-flight. Stress puts you in fight-flight. 
And then it gets you in a physiological situation   Of where you're putting out adrenaline, you're 
putting out something called aldosterone, so your   Bronchials are dilating. So you got to get enough 
oxygen in, you have to get enough blood from your   Gut all the way up to here. Adrenaline's pumping 
you up, and now you're ready to fight or flee.  Life today is pretty stressful apparently, at 
least according to my patient population. And   There's very few of my patients ever come 
in here without some sort of anxiety.   Sometimes it reaches panic attacks. 
Emotional traumas. It blows me away,   The amount of emotional trauma that people go 
through today. And then just society and the   Speeding up of society, the whole thing, the cell 
phones, the whole thing. It's all real. It's real.  And it's killing us. It's actually really wearing 
us down at the very least. Maybe it's not killing   Us. Maybe better if it killed us. Otherwise, 
we actually just slowly get worse. We slowly   Deteriorate, was the word I was looking for. So 
basically what happens is, the stress response   Puts you in fight-flight. And it doesn't put 
you in full bore flight-fight like, "Oh my God,   There's the bear. I got to run, or I got to 
fight." Let's say that's a 10 or a 12. So it   Puts you in a three or a four or a five or a six 
or a seven. And so when you go into fight-flight,   And you're running from the bear, and you're at 
full 10, it shuts down your digestive system,   And it shuts down your urinary bladder.
Why? Nature seems to know you don't need   To be peeing or pooping or sitting at the dinner 
table eating while you're running from the bear   Or fighting the bear, whichever choice you make. 
So it shuts it down. But when you're at a four,   It still shuts it down, but it only shuts it down 
at a four. But then maybe that paralyzes your   Stomach, so the digestive juices can't be produced 
properly. It definitely slows your gallbladder   Down. The number one cause of gallbladder out 
is stress, and the number two cause is thyroid.   And then the number three cause of 
shutting your stomach down to SIBO,   After all of that has been done. So that's 
really what caused it. Really in the end, I think   The correct answer to that question is chronic 
stress. Secondarily, Hashimoto's hypothyroidism,   Or if there is still such thing as 
hypothyroidism, then hypothyroidism.  And then the third most common thing is once 
you've done all of that, and once all that   Has occurred, and once all of that has had its 
effects and you develop small intestinal bacterial   Overgrowth, then that actually perpetuates 
upon itself by crawling the way back up there,   Creating this vicious cycle. And then that 
perpetuates itself as far as SIBO goes.  So to me, that's the physiology of SIBO. To me, 
that's the physiology. And it's a big reason   Why a lot of you out there will do, "I did the 
FODMAP diet, and I felt better. But do I have to   Go on that for the rest of my life?" Yeah, if you 
don't fix any of that or stuff. And then you're   Going to develop new food sensitivities to the 
FODMAPS. And so then you have food sensitivities  

To the FODMAPS that you're eating because you 
haven't fixed the broken-down digestive system   That's causing the small intestinal bacterial 
overgrowth. So you have this whole mess going on.  And so that's part of the issue. I have a chart 
here called The Brain-Gut, Gut-Brain Axis where   The brain screws up the gut, and then the gut 
gets leaky gut, and then things leak out, and then   They all go back up the brain. But essentially, 
that same mechanism is really what causes SIBO.   So I think that pretty well covers it. There's 
a lot of nuances to getting that better. There's   Certain things that you have to do at the same 
time and so on and so forth. But for many of   You watching this, if you've tried a lot of those 
things that work, you might be going, "Oh, well,   I didn't know that. I didn't know it had 
anything to do with my stomach," or "I didn't   Know it had anything to do with my stress."
And I have had people that took Xanax,   And "my SIBO seemed to get better" because it 
calmed down their digestive system, and it wasn't   Bad enough yet. And so it self-corrected, and 
their SIBO was able to resolve. But they were in   The early stages, and they were mild cases. But 
nevertheless, it gives you the illustration of   How much dampening a stress response can actually 
help your SIBO. In most cases, it's not going to   Completely get rid of it like that. But if you're 
not treating that while you're treating the other   Things, it's not going away. So anyway, that's 
what causes SIBO. That's he mechanics of it.   That's how we address it. And it's very important 
for us to address it because a huge part of my   Practice is Hashimoto's, and I just stated 
70% of them have SIBO. I can attest to that.   At least 70% of them have SIBO. And if you don't 
get that under control, it's a problem. So that is   My description of what I have come to 
embrace as the cause of small intestinal   Bacterial overgrowth, or the causes of 
small intestinal bacterial overgrowth

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