{"id":3667,"date":"2015-07-10T14:00:27","date_gmt":"2015-07-10T21:00:27","guid":{"rendered":"https:\/\/www.everywomanover29.com\/blog\/?p=3667"},"modified":"2017-06-02T17:17:44","modified_gmt":"2017-06-03T00:17:44","slug":"sibo-small-intestinal-bacterial-overgrowth-questionnaire","status":"publish","type":"post","link":"https:\/\/www.everywomanover29.com\/blog\/sibo-small-intestinal-bacterial-overgrowth-questionnaire\/","title":{"rendered":"SIBO \/ Small Intestinal Bacterial Overgrowth Questionnaire"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-3668\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2015\/07\/sibo-bacterial-overgrowth.png\" alt=\"sibo-bacterial-overgrowth\" width=\"480\" height=\"327\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2015\/07\/sibo-bacterial-overgrowth.png 480w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2015\/07\/sibo-bacterial-overgrowth-300x204.png 300w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/p>\n<p>During season 3 of <a href=\"https:\/\/www.theanxietysummit.com\" target=\"_blank\" rel=\"noopener noreferrer\">The Anxiety Summit<\/a>, I interviewed Dr. Allison Siebecker on Small Intestinal Bacterial Overgrowth and Anxiety.<\/p>\n<p>I talked about the SIBO Questionnaire I use with my clients and said I\u2019d share it (with her permission).<\/p>\n<p>There is a real SIBO-anxiety connection. I wrote about this in my book the <em><a href=\"http:\/\/www.amazon.com\/gp\/product\/1572249250\/ref=as_li_tf_tl?ie=UTF8&amp;tag=wwwantianxiet-20&amp;linkCode=as2&amp;camp=217145&amp;creative=399349&amp;creativeASIN=1572249250\" target=\"_blank\" rel=\"noopener noreferrer\">The Antianxiety Food Solution<\/a>.<\/em><\/p>\n<blockquote>\n<p><em>Studies have found that people with digestive complaints such IBS, food allergies and sensitivities, small intestinal bacterial overgrowth and ulcerative colitis frequently suffer from anxiety and, to a lesser extent, depression (<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18422970\" target=\"_blank\" rel=\"noopener noreferrer\">Addolorato, Mirijello, D\u2019Angelo, Leggio, Ferrulli, Abenavoli, et al. 2008<\/a>).<\/em><\/p>\n<p><em>One study (<\/em><em><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12108820\" target=\"_blank\" rel=\"noopener noreferrer\">Lydiard 2001<\/a><\/em><em>) found that 50 to 90 percent of people with IBS who visited a doctor for treatment also suffered from various anxiety disorders (panic disorder, generalized anxiety disorder, social phobia, and post-traumatic stress disorder) and major depression.<\/em><\/p>\n<\/blockquote>\n<p>I have all my clients who have any digestive issue (which is most of them), do the SIBO questionnaire and then talk to their doctor about doing the SIBO breath test\/ hydrogen breath test or SIBO test. Genova offers this or you can ask your conventional doctor to order this.<\/p>\n<p>Keep in mind that this is just one questionnaire\/test of many that can be used to try and figure out the root cause of your anxiety. (I write about this and other questionnaires\/testing here: <a href=\"https:\/\/www.everywomanover29.com\/blog\/nutritional-testing-find-cause-anxiety\/\" target=\"_blank\" rel=\"noopener noreferrer\">Nutritional testing for figuring out the root cause\/s of your anxiety<\/a>.)<\/p>\n<h2 style=\"text-align: center;\">SIBO Symptoms, Clues and Associated Conditions<\/h2>\n<p>The main symptoms of SIBO are those of Irritable Bowel Syndrome (IBS).\u00a0 SIBO has been shown to exist in up to <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12591062\" target=\"_blank\" rel=\"noopener noreferrer\">84% of IBS patients<\/a> and is therefore <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15316000\" target=\"_blank\" rel=\"noopener noreferrer\">theorized to be the underlying cause<\/a>.\u00a0 It is associated with many other disorders as well, as an underlying cause or as an after effect of the pre-existing disease.<\/p>\n<p>In particular, if the symptoms of IBS are present, or one of the associated diseases along with digestive symptoms is present, consider SIBO.<\/p>\n<p>According to <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2890937\/\" target=\"_blank\" rel=\"noopener noreferrer\">Bures et al<\/a>, &#8220;It is mandatory to consider SIBO in all cases of complex non-specific dyspeptic complaints (bloating, abdominal discomfort, diarrhea, abdominal pain), in motility disorders, anatomical abnormalities of the small bowel and in all malassimilation syndromes (malabsorption, maldigestion).&#8221;<\/p>\n<p>Check off or highlight all that apply:<\/p>\n<p><strong>IBS Symptoms<br \/>\n <\/strong>Abdominal bloating (gas)<br \/>\n \u00a0\u00a0\u00a0 \u2013 belching, flatulence <br \/>\n Abdominal pain, cramps<br \/>\n Constipation, Diarrhea, both<\/p>\n<p><strong>Other symptoms<\/strong><br \/>\n Heartburn (Reflux or GERD)<br \/>\n Nausea<\/p>\n<p><strong>Leaky Gut Symptoms <\/strong>(Leaky Small Intestine)<br \/>\n Food Sensitivities<br \/>\n Headaches<br \/>\n Joint Pain<br \/>\n Fatigue<br \/>\n Skin symptoms (such as eczema or rashes)<br \/>\n Respiratory symptoms (such as asthma)<br \/>\n Mood symptoms (depression\/anxiety\/OCD)<br \/>\n Brain symptoms (such as in autism)<\/p>\n<p><strong>Malabsorption Symptoms<\/strong><br \/>\n Steatorrhea (fatty stool \u2013 stool that floats)<br \/>\n Anemia (Iron or B12)<\/p>\n<p><strong>Associated Conditions<\/strong>&#8211; see <a href=\"http:\/\/www.siboinfo.com\/associated-diseases.html\">SIBO Diseases<\/a> for Study links<br \/>\n Acne Roseacea<br \/>\n Acromegaly (excess growth hormone)<br \/>\n Age: Elderly<br \/>\n Alcohol Consumption (moderate intake)<br \/>\n Anemia<br \/>\n Autism<br \/>\n Celiac Disease<br \/>\n Chronic Fatigue Syndrome<br \/>\n CLL (Chronic Lymphocytic Leukemia)<br \/>\n Cystic Fibrosis<br \/>\n Diabetes<br \/>\n Diverticulitis<br \/>\n Erosive Esophagitis<br \/>\n Fibromyalgia<br \/>\n GERD (Gastroesophageal Reflux Disease) <br \/>\n H pylori Infection<br \/>\n Hyprochlorhydria\/low HCl<br \/>\n Hypothyroid\/ Hashimoto&#8217;s Thyroiditis<br \/>\n IBD (Inflammatory Bowel Disease)<br \/>\n \u00a0\u00a0\u00a0 -Crohn&#8217;s<br \/>\n \u00a0\u00a0\u00a0 -Ulcerative Colitis<br \/>\n IBS (Irritable Bowel Syndrome)<br \/>\n Interstitial Cystitis<br \/>\n Lactose Intolerance<br \/>\n Leaky Gut<br \/>\n Liver cirrhosis<br \/>\n Lyme<br \/>\n Muscular Dystrophy (myotonic Type 1)<br \/>\n NASH\/NAFLD (non-alcoholic: steatohepatitis\/fatty liver disease)<br \/>\n Obesity<br \/>\n Pancreatitis<br \/>\n Parasites<br \/>\n Parkinson&#8217;s <br \/>\n Prostatitis (chronic)<br \/>\n Restless Leg Syndrome<br \/>\n Rheumatoid Arthritis<br \/>\n Scleroderma<br \/>\n Surgery:\u00a0 Post-Gastrectomy<\/p>\n<p>The above list of <a href=\"http:\/\/www.siboinfo.com\/symptoms.html\" target=\"_blank\" rel=\"noopener noreferrer\">SIBO symptoms<\/a> has been adapted from the site of Dr Allison Siebecker and used with permission here on the blog. Please check out Dr. Siebecker\u2019s site <a href=\"http:\/\/www.siboinfo.com\" target=\"_blank\" rel=\"noopener noreferrer\">siboinfo.com<\/a> for a wealth of information about SIBO.<\/p>\n<p><strong>Risk factors\/other possible clues*: <\/strong>(* all the following added by Trudy Scott, based on what I see with clients)<br \/>\n C-section birth (yours)<br \/>\n Not breast-fed<br \/>\n Probiotics cause digestive distress<br \/>\n Prebiotics (such as inulin) cause digestive distress<br \/>\n Have seen some symptom relief after a course of antibiotics<br \/>\n Symptoms appeared after a bad bout of gastroenteritis<br \/>\n Low triglycerides<br \/>\n Digestive enzymes help<br \/>\n Markers of poor enzyme status on a stool test<br \/>\n Pyroluria (see the <a href=\"https:\/\/www.everywomanover29.com\/blog\/pyroluria-questionnaire-from-the-antianxiety-food-solution\/\">Pyroluria Questionnaire here<\/a>)<br \/>\n Low niacinamide<br \/>\n Low ferritin<br \/>\n Low vitamin D<br \/>\n Carb intolerance<br \/>\n Fat intolerance<br \/>\n Markers of fat malabsorption on a stool test<br \/>\n Low fatty acid levels on a fatty acid test<br \/>\n Have done well on gluten-free diet<br \/>\n Have done well on GAPs\/Paleo diets (no grains, no starchy vegetables, no legumes)<br \/>\n Carb\/sugar craving\/addiction<br \/>\n Other addictions<br \/>\n Low zinc<br \/>\n Low GABA<br \/>\n Low serotonin<br \/>\n Low endorphins<br \/>\n Low catecholamines<br \/>\n Blood sugar issues (for low GABA\/serotonin\/endorphins\/catecholamines and low blood sugar see <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-mood-questionnaire-from-the-antianxiety-food-solution\/\" target=\"_blank\" rel=\"noopener noreferrer\">Amino Acid Questionnaire here<\/a>)<br \/>\n Stressed<br \/>\n Eat on the run i.e. not sitting down<br \/>\n Low secretary IgA (stool or saliva)<br \/>\n Adrenal fatigue<br \/>\n Heavy metals\/environmental toxins<br \/>\n Appendix has been removed (it stores bacteria needed for motility motor complex)<\/p>\n<p><strong>Other possible causal factors **<\/strong>:\u00a0 (** added June 2017 after the MINDD 2017 practitioner conference, courtesy of the <a href=\"http:\/\/www.everywomanover29.com\/blog\/anxiety-ibs-sibo-breath-antibody-testing-mindd-2017\/\" target=\"_blank\" rel=\"noopener noreferrer\">SIBO presentation by Dr. Nirala Jacobi ND<\/a>)\u00a0<\/p>\n<p>Medications:\u00a0 Proton Pump Inhibitors, Opiates\/pain meds, possibly calcium channel blockers <br \/>\n Endometrial surgeries, C-section, and\/or gallbladder removal (cholecystectomy) and other pelvic surgeries (such as a hip replacement)<\/p>\n<p><strong>Testing:\u00a0<\/strong><\/p>\n<p>Positive SIBO breath test (methane, hydrogen and a 3rd gas that can&#8217;t yet be measured)<\/p>\n<p>Positive anti-Cdtb and anti-vinculin antibodies indicating post-infectious cause (<a href=\"http:\/\/www.everywomanover29.com\/blog\/anxiety-ibs-sibo-breath-antibody-testing-mindd-2017\/\" target=\"_blank\" rel=\"noopener noreferrer\">details here<\/a>) <\/p>\n<p>Also, here is a more recent blog post on this topic:\u00a0<a href=\"http:\/\/www.everywomanover29.com\/blog\/anxiety-ibs-sibo-breath-antibody-testing-mindd-2017\/\" target=\"_blank\" rel=\"noopener noreferrer\">MINDD 2017 practitioner conference, courtesy of the SIBO presentation by Dr. Nirala Jacobi ND<\/a>\u00a0<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"padding: 5px; text-align: left; font-family: Verdana,Geneva,Tahoma,sans-serif; color: #333333; font-size: 12px;\">\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>During season 3 of The Anxiety Summit, I interviewed Dr. Allison Siebecker on Small Intestinal Bacterial Overgrowth and Anxiety. I talked about the SIBO Questionnaire I use with my clients and said I\u2019d share it (with her permission). There is a real SIBO-anxiety connection. I wrote about this in my book the The Antianxiety Food [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[7,517],"tags":[519,1099,1100,1098,474,551],"class_list":["post-3667","post","type-post","status-publish","format-standard","category-anxiety-and-panic","category-sibo","tag-allison-siebecker","tag-anti-cdtb","tag-anti-vinculin","tag-dr-nirala-jacobi","tag-sibo","tag-small-intestinal-bacterial-overgrowth","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>SIBO \/ Small Intestinal Bacterial Overgrowth Questionnaire - everywomanover29 blog<\/title>\n<meta name=\"description\" content=\"During season 3 of The Anxiety Summit, I interviewed Dr. Allison Siebecker on Small Intestinal Bacterial Overgrowth and Anxiety. 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