SIBO Treatment with Herbs Is as Effective as Antibiotics

Get even better results from SIBO treatment—small intestine bacterial overgrowth—by combining herbal remedies with a SIBO diet.

SIBO treatment

Natural SIBO treatment is available that is just as effective (or more) than a conventional SIBO cure with antibiotics

SIBO treatment (small intestinal bacterial overgrowth) is often needed for many people with chronic gas, bloating, and abdominal pain. (Find a full discussion of SIBO symptoms here.)

An increasingly recognized problem, SIBO occurs when bacteria that normally occupy the colon migrate to the small intestine, feast on carbohydrates, and multiply. This causes inflammation in the gut as well as a diverse range of symptoms all over the body, most commonly in the digestive tract. This article focuses on how to cure SIBO and natural treatment for SIBO.

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Treatment for SIBO

Fortunately, natural SIBO treatment is available that is just as effective (or more) than a conventional SIBO cure with antibiotics, according to the results of a new study.[1] Physicians at John’s Hopkins and the University of Pittsburgh showed that natural treatment for SIBO using herbal antimicrobial supplements was as effective as rifaximin, one of the conventional SIBO antibiotics.[1]

A group of 104 patients who tested positive for newly diagnosed SIBO took either a standard, high dose of rifaximin (1200 mg daily) or two capsules twice daily of each of the two supplements in one of the two following herbal protocols:

The products were specifically chosen because they contained antimicrobial herbs, such as oil of oregano, thyme, berberine extracts, and wormwood, shown to provide broad-spectrum coverage against the types of bacteria most commonly involved in SIBO.

How To Treat SIBO Naturally

Of the patients who received herbal therapy, 46 percent showed no evidence of SIBO on follow up testing compared to 34 percent of rifaximin users. Those using a natural SIBO treatment were significantly more likely to test negative for SIBO at follow up than those taking rifaximin.

The participants who did not improve on the rifaximin were then prescribed either one of the herbal protocols or triple antibiotics (clindamycin, metronidazole, neomycin) for four additional weeks. Of the 31.8 percent of rifaximin non-responders that then took the herbal therapy, 57.1 percent tested negative for SIBO compared to 60% of those taking the triple antibiotic therapy.

Adverse effects reported among those taking rifaximin included anaphylaxis, hives, diarrhea, and Clostridium difficile, while only one case of diarrhea and no other side effects were reported in the herbal therapy group.

“Herbal therapies are at least as effective as rifaximin for resolution of SIBO …” concluded the study authors.

Combining the SIBO Diet with Herbal Antimicrobials

Naturopathic doctors and integrative physicians often advise that patients follow a SIBO diet along with antimicrobial therapy for best results. A SIBO diet is primarily a low-carbohydrate diet, since bacteria use carbohydrates as their energy source and ferment them to gas. The SIBO diet can directly reduce symptoms by decreasing the amount of gas produced and possibly by reducing the overall bacterial load as the food supply shrinks.[2]

The SIBO diet is a combination of either the specific carbohydrate diet (SCD) or the gut and psychology syndrome diet (GAPS) with parts of the low FODMAP diet (the FODMAP fruit and vegetable recommendations). With both the SCD and GAPS diets, all grains, starchy vegetables, lactose, sweeteners other than honey, and beans are eliminated. Eliminating these normally well-absorbed carbohydrates is essential in SIBO because these polysaccharide and disaccharide sources feed the inappropriate bacteria in the small intestine, creating symptoms and worsening the problem. The exact protocols for the SCD and GAPS diets can be found in the links above.

By further eliminating the highly fermentable fruits and vegetables recommended in the low FODMAP diet, even more of the bacteria’s food source is reduced. The low FODMAP diet is an irritable bowel syndrome treatment diet and was not specifically designed for SIBO; therefore, it does not eliminate all polysaccharide and disaccharide sources such as grains, starch, starchy vegetables, and sucrose unless combined with either the SCD or the GAPS diet.  Use the FODMAP link above to find the list of fruits and vegetables to avoid.

The Best Way to Cure SIBO

For the best results, follow the SIBO diet for three to four months. Most of the bacterial overgrowth is eliminated by week four, but practitioners have found that following the diet for another three months is usually necessary for more permanent eradication.[2] Combine the diet with a natural SIBO treatment of either the Metagenics or Biotics Research supplements for SIBO for a wonderful natural option.

Share Your Experience on How to Cure SIBO

What natural SIBO treatment worked for you? Have you tried a SIBO diet? To help your fellow readers with treating SIBO, please share your experience in the “Comments” section below.

[1] Glob Adv Health Med. 2014 May;3(3):16-24.

[2] Townsend Ltr. 2013 Feb/Mar;355(56):85-91.

Originally published in August 2014, this blog has been updated.

  • patty c.

    What happened to the 54% of original herbal patients who didn’t clear their SIBO with herbs? What was their next treatment?

  • I found Atrantil to be great. Herbal developed by an MD.

  • Geraldine(Gerry)Weinbrecht

    I have takenRefximin twice (30 days at a time) and have been on the Fodmap diet ever since. I’m still having problems. I am not taking anything at this time. I didhave the breath test which confirmed I haveSIBO. What natural remedy would help and what diet helps the best

  • Geraldine(Gerry)Weinbrecht

    P.S. Is there a fee for this help? If so I’m not interested and will find a different way to get help. Thank you. gw

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    All these post about HERBAL MEDICINE and spell casters are scammers and fake trying to collect money all in the name of HERPES cure and when you contact them, they will be asking for your name, pictures, country, phone number, occupation and when you have given them all the information, they will be asking for money. I was once suffering from GENETIC HERPES and i spent a lot of money going from one herbal doctor to another but they all scam and take my money away until i came in contact with this powerful one called Dr.Oboh who cured me from Herpes with his herbal medication , after doctor Oboh has finished preparing the herbal medicine, he asked me to send him my residential address, so that he will send the herbal medicine to via D.H.L so i did. 2days later, i receiveed the herbal medicine and i had to follow the instructions he gave to me on how i will apply it. 2weeks later i went to hospital for test and according to the test done by the Medical doctor philip it stated that i was cured.
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  • Hi, has anyone here cured their SIBO with natural supplements and diet? Thank you.

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    Am suffering from gastric for two yrs am still on treatment but no change am loosin weigot every day.with too much noise in my ears please ineed very weak

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    Hi.. i`m janice and you can add me on facebook with my cell
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    Well, i will refer you to an American (Dr paQ martins) who have been able to get some cannabis and other ingredient to kill the Virus and i have been tested Cured/Negative from Herpes.
    He sent me the concoction through USPS and i receive the Herbs. then, he told me how to apply not to get over dozed to avoid side effect. because OILMEN T from cannabis was added to kill the Virus email is I think its advisable to always put things to test. as i have been a third testimonial from Georgia…

    My igg result now 0.3

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    For the past few years I have had difficulty working out in yard, then in 2015 it got harder and harder to breathe. After many tests, it was a CT scan that showed COPD, emphysema and scarring in my lungs. I quit smoking 8 years ago but the damage has been done. I got to a point I couldn’t catch my breath and was coughing so hard I thought the top of my head would blow off, nothing was really working to help my condition. Finally i started on COPD herbal formula i purchased from NewLife Herbal Clinic, i read alot of positive reviews from other patients who used the COPD herbal treatment. I used the herbal remedy for 7 weeks, its effects on COPD is amazing, all my symptoms gradually faded away, i breath very more freely now! (Visit www. newlifeherbalclinic. com ) I recommend this COPD herbal formula for all COPD/Emphysema sufferers

    Megan Flores
    New Jersey, USA.

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