011-Ask Dr Soram-Irritable Bowel Syndrome, Gas, Bloating and SIBO-Part 2

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Ask Dr Soram Pimental part 2This is part two of my interview with Dr. Mark Pimentel, an Associate Professor of Medicine at Cedars-Sinai Medical Center in Los Angeles California. Dr. Pimentel is the Director of the Gastrointestinal Motility Program and Laboratory at Cedars-Sinai medical center.

In the last podcast I talked with Dr. Pimentel about the diagnosis and treatment aspects of Irritable Bowel Syndrome and our current understanding of Small Intestinal Bacterial Overgrowth as its cause.

In this part two of my interview, I talk with him about the causative factors in this condition, additional aspects of treatment, and the direction that Dr. Pimental's research is taking him to get a deeper understanding of Irritable Bowel Syndrome.

You can buy Dr Pimental’s book here.

Do you have friends and relatives with Irritable Bowel Syndrome? Are they aware that SIBO appears to be the cause? What symptoms do they have? How are they treated for their symptoms? Have you made them aware that SIBO is the most likely cause and is relatively easy to treat? Please let me know in your comments below or email questions to me at questions@askdrsoram.com.

About Dr. Soram Khalsa

As an MD, Dr Soram specializes in Integrative Medicine combining diet, nutrition, acupuncture, herbs and nutrition. Visit Dr Soram’s Healthy Living Store where you’ll find high-quality nutritional supplements:

  • Can you comment on the probiotics discussion. I am going to see the IBS Specialist Professor Eamonn Quigley, here in Ireland. He is following the route of treating with a specific probiotic, which is completely opposite to what Dr. Pimental is recommending. http://www.probioticsanddigestivehealth.com/ How does someone like me figure out who is right or what works when the professionals are contradicting each other? Colleen

  • I am going to see the IBS Specialist, Professor Eamonn Quigley, here in Ireland. He is apparently a big proponent of treating IBS with probiotics. http://www.probioticsanddigestivehealth.com/

    That is completely opposite to Dr. Pimentel. How am I supposed to know what’s the right treatment if the experts are contradicting each other!

    My IBS just keeps getting worse and has spread from just being in my bowels to my stomach (gastritis) and upper GI with SoD Type III. I have gall stone like pain but all tests are normal (gall bladder removed in 2006) so I’m told it’s all IBS and stress-related. I have changed my diet and lifestyle and taken up yoga and meditation to try to reduce my stress, but I don’t see any improvements. I refuse to take more pills for the pain as it’s masking the symptoms. I’m very frustrated as I’m sure lots of people are.

    Thanks for any insights you can offer.

  • Colleen I will answer your questions on my podcast soon. Dr Soram

  • Clark

    Firstly, THANK YOU Dr Soram! These two podcasts have been very useful and interesting to hear.

    Im constantly bloated and have been for the past year now, I feel very heavy and weighted even though im skinny, the heavy motion makes me feel rather sick which leads to me also suffering from acid reflux and vomiting and just a generally poor digestive system.

    The Dr just says its IBS and leaves it at that, in a book called IBS for Dummies it highlights the fact severe and regular/constant bloating is more likely to be linked to SIBO as opposed to IBS but highlights that this theory is “controversial”. 

    My question is here in the UK I cant seem to find any official recognition of SIBO and its not listed on the NHS website fact sheet which features things such as IBS, Chrones and Gastritis. Should I mention SIBO to my Dr or will they look at my strange, also the antibiotic recommended  doesn’t seem to be available in the UK anyway.

  • Clark

    Firstly, THANK YOU Dr Soram! These two podcasts have been very useful and interesting to hear.

    Im constantly bloated and have been for the past year now, I feel very heavy and weighted even though im skinny, the heavy motion makes me feel rather sick which leads to me also suffering from acid reflux and vomiting and just a generally poor digestive system.

    The Dr just says its IBS and leaves it at that, in a book called IBS for Dummies it highlights the fact severe and regular/constant bloating is more likely to be linked to SIBO as opposed to IBS but highlights that this theory is “controversial”. 

    My question is here in the UK I cant seem to find any official recognition of SIBO and its not listed on the NHS website fact sheet which features things such as IBS, Chrones and Gastritis. Should I mention SIBO to my Dr or will they look at my strange, also the antibiotic recommended  doesn’t seem to be available in the UK anyway.

  • Hi Clark
    SIBO is thought to be a common Cause of what was and still is called IBS. I would refer you to some of the links in my podcasts about this and to Dr Pimental’s book which I am sure you can get in the UK. Maybe bring that to your doctor and show it to them.
    There are several protocols for treatment of SIBO that do not require Xifaxin.
    I hope that helps
    Dr Soram

  • Hi Clark
    SIBO is thought to be a common Cause of what was and still is called IBS. I would refer you to some of the links in my podcasts about this and to Dr Pimental’s book which I am sure you can get in the UK. Maybe bring that to your doctor and show it to them.
    There are several protocols for treatment of SIBO that do not require Xifaxin.
    I hope that helps
    Dr Soram

  • Hi Clark
    SIBO is thought to be a common Cause of what was and still is called IBS. I would refer you to some of the links in my podcasts about this and to Dr Pimental’s book which I am sure you can get in the UK. Maybe bring that to your doctor and show it to them.
    There are several protocols for treatment of SIBO that do not require Xifaxin.
    I hope that helps
    Dr Soram

  • Thanks for your comment Clark
    SIBO is now known to be a major cause of what has been called IBS. Many things contribute to IBS and increasingly high regard IBS as a diagnosis when the Dr. does not know what else to do.

    I definitely think you should mention SIBO to your Dr. and refer him or her to Dr. Pimental’s book that I mentioned in my interview.

    There are many treatment protocols other than Xifaxan for this condition.

  • Thanks for your comment Clark
    SIBO is now known to be a major cause of what has been called IBS. Many things contribute to IBS and increasingly high regard IBS as a diagnosis when the Dr. does not know what else to do.

    I definitely think you should mention SIBO to your Dr. and refer him or her to Dr. Pimental’s book that I mentioned in my interview.

    There are many treatment protocols other than Xifaxan for this condition.