SIBO with Tracey Randell
In this first episode of The Alex Manos Podcast Alex speaks with Tracey Randell, a Functional Medicine practitioner (IFMCP) who specialises in gut health and SIBO – small intestine bacterial overgrowth.
We discuss the three types of SIBO, the most common causes Tracy sees in her clinic, other functional lab tests that may be of value, and the role probiotics may play in eradicating SIBO.
The 3 types of SIBO:
- Hydrogen dominant SIBO which correlates with diarrhoea
- Methane dominant SIBO which correlates with constipation
- Hydrogen Sulfide SIBO which correlates with sulphur smelling flatulence (eggy smelling wind!)
Common Causes Of SIBO:
- One of the most common causes of SIBO (according to Dr. Mark Pimentel) is a bout of food poisoning. This may be up to 40% of cases. Tracey has seen in clinic that often it seems her clients have been in a group, perhaps on holiday or at a special event, whereby many fell down ill with food poisoning, but her client didn’t. They didn’t have the traditional symptoms of diarrhoea or vomiting. Her theory is that they didn’t effectively expel the bug, for reasons perhaps related to the health and diversity of their gut microbiome, and through mechanisms discussed in the literature (related to damage occurring to cells that regulate motility in the small intestine) went on to develop a small intestine bacterial overgrowth.
- The use of antibiotics
The two probiotics Tracey mentioned are:
- Lactobacillus Retueri which is available from Amazon: click here
- Bifobacteria Lactis HN109 which is available from Amrita: click here
These may be more appropriate for those with methane dominant SIBO.
Tracey can be contacted via her website: www.ibsclinics.co.uk/about-us-new/