Are Prokinetics Missing From Your Treatment Plan?

ibs sibo Dec 03, 2020

What do you do once your antibacterial protocol to treat SIBO is done?

There is typically a break before starting the next round of antibacterial treatment if it's needed.

So, you have a few options:

1. Reassess your symptoms: are they better or worse? 

2. Redo the SIBO test: to see how the levels of gases have changed 

3. Try a prokinetic 


Why are prokinetics important?

They do three things:

1. Maintain progress you have made with the antibacterial treatment

2. Can give symptomatic relief 

3. Help to prevent relapse, which is common with SIBO


How do they work?

Unlike laxatives, they don't work on the large intestine primarily, although some can affect it. Prokinetics target the upper digestive system: the stomach and small intestine. 

Prokinetics help the Migrating Motor Complex (MMC), which is affected in SIBO.

They are not habit forming like laxatives and can be used long term.

Prokinetics stimulate the smooth muscles of the stomach to help it empty and move the food down. 


Examples of natural prokinetics:

1. Ginger root

2. Iberogast formula


When should you take prokinetics?

Often taken before bed, to prevent constipation in the morning, but can be taken during the day as well - before or after your meal, depending on when your symptoms are the worst. They can be combined with your second round of antimicrobial treatment as well.  

Watch the video to learn more about how prokinetics can help prevent SIBO relapse and keep your bloating in check!

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