Are you SIBO Savvy? How do you score? Answer these 10 questions to test your knowledge about the fundamentals of SIBO. SIBO Savvy Quiz SIFO is Commonly present with SIBO. Rarely present with SIBO. Usually responsive to conventional antibiotics. Easily distinguished from SIBO because it presents with completely different symptoms. None SIBO-C (constipation dominant SIBO) is: Usually easier to treat Usually caused by Klebsiella pneumoniae Usually caused by methanogens producing methane Diagnosed by a rise in hydrogen on a breath test None Hydrogen and methane breath testing for patients with IBS symptoms: Is not necessary, the practitioner should be guided by symptoms alone. Used to see if the patient has SIFO (small intestinal fungal overgrowth). Knowing if hydrogen or methane are dominant will help diagnose SIBO and guide treatment for the practitioner. Can also be used to diagnose parasitic infections. None SIBO is often a chronic relapsing condition, and: Patients should remain on antibiotics long term Prokinetics may have to be used long term Prokinetics should not be used long term None The Elemental diet: Is an antimicrobial treatment on par with antibiotics or herbal antimicrobials Is used as a maintenance diet to prevent SIBO relapse Is best suggested alongside herbal or conventional treatment Is a fibre-rich diet None Treatment for SIBO can include: Rifaximin Berberine containing herbs Prokinetics All of these None The following is true about a positive lactulose breath test: Hydrogen will rise by 12ppm by 90-100min. Any rise of hydrogen is considered positive. Hydrogen will rise by 20ppm by 90-100min. In the absence of hydrogen, methane must rise by 20ppm. None Common risk factors for SIBO include all of the following, except: Gout Food poisoning Diabetes Abdominal surgery None The following is NOT considered to be a causative factor for SIBO: Restless leg syndrome An impaired migrating motor complex Deficient hydrochloric acid Abdominal adhesions None SIBO is best described as An overgrowth of normal commensals in the small intestine. An overgrowth of pathogenic bacteria in the small intestine. An overgrowth of pathogenic organisms in the large intestine. An overgrowth of normal commensals in the large intestine. None Email Time's up
