Small intestinal bacterial overgrowth (SIBO) — and its fungal cousin SIFO — happens when microbes that belong in the colon colonize the small intestine, fermenting food into gas and inflaming the gut lining. It's one of the most common findable causes of IBS, and one of the most relapse-prone when treated superficially.
Proper breath testing, then treatment matched to your gas type — herbal antimicrobials, prescription options when warranted, biofilm strategies for stubborn cases, and crucially: addressing the reason overgrowth happened, from motility to structural issues. I've taught SIBO management to practitioners for years.
New patient visits in person in Portland or by telehealth. I've spent 18 years on complex GI cases — including my own.
