FAQs about small intestine bacterial overgrowth (SIBO) - Online interview

Dear Dr. Arnott,

Can I ask if you personally see certain specific food intolerances associated with diagnosed SIBO such as an intolerance to fermented foods or other foods which contain high amounts of biogenic mono- or diamines (hard cheeses, cured/smoked meat or fish, chocolate, tomato sauce, etc)? If so, does this improve upon treatment? I suffer from this and it’s completely ruining my life. It started after food poisoning, and I have anti-vinculin autoantibodies, which are a cause for the dysmotility in the small bowel, specifically the migrating motor complex, that you were talking about.

Thank you in advance.

I have been told that doctors don't use the breath test anymore as it wasn't very accurate??

With small microphones that we could attach to her shirt, no one should make a video without a small microphone attachment. Too much extraneous noise and echoing. Please invest in a good shirt attached microphone.

Isn't it done with lactulose, not lactose?

What should be recommended if Rifaximine don't work for SIBO ?