THE PURIST AUGUST ISSUE

Page 44

H E A LT H

DECODING SIBO

How to identify and regulate small intestinal bacterial overgrowth.

with gut motility, increasing a person’s susceptibility to developing SIBO. The slowed transit time creates an optimal environment for bacterial growth. This growth inhibits the absorption of nutrients due to the change in microbial terrain. Additionally, dysfunction of the ileocecal valve can lead to SIBO. This one-way valve that connects the large and small intestines can allow for a backflow of bacteria into the small intestine. As the small intestine’s primary role is to further break down food from the stomach and absorb the nutrients, the microbial growth can get in the way, leading to poor absorption of nutrients, and, if left untreated, malnutrition. A good way to check for SIBO is with a breath test. The tests look for the presence of methane or hydrogen in the breath (both gases are produced by microbes in the fermentation of carbohydrates and sugars). One of the helpful tools in regulating SIBO is the FODMAP diet. This diet can also be helpful in cases of irritable bowel syndrome (IBS), Crohn’s disease and colitis. FODMAP, which stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols, are types of carbohydrates found in certain foods including wheat, beans, most grains and starchy vegetables. In a healthy gut, fermentable carbohydrate will pass through the small intestine largely unchanged. The microbes in the large intestine will then ferment these insoluble fibers Think you might have SIBO? Check with a functionalmedicine doctor or nutritionist to find out. Though SIBO can be tricky, through reconditioning of the microbiome, regulating stomach acid, controlling stressors and addressing other comorbidities, balance is possible. STANDwellness.com

Gut health is the key to good health. The vast network of microbes that call our body home is responBuckwheat flour, sible for everything which can be used from digestion, mood to make crepes, and weight to our helps minimize the immune response symptoms of SIBO. and ability to handle stress. The microbiome, which exists throughout the digestive tract, requires balance in order to operate correctly. Dysbiosis, or an imbalance of those gut microbes, can wreak havoc on our bodies and minds. Small intestinal bacterial overgrowth, or SIBO, is a condition where too many bacteria that normally grow in the large intestine—including Faecalibacterium, Roseburia, Bifidobacterium, Akkermansia and Lactobacillus— begin to proliferate in the small intestine. A wrong-place/ wrong-time issue, the overgrowth of misplaced bacteria can cause uncomfortable gastric symptoms like bloating, gas, nausea, bowel irregularity, diarrhea, a feeling of being overly full after eating, burping and abdominal pain. The small intestine is poorly named considering that, though narrower than the large intestine, it is the longest part of the digestive tract. Measuring an average of 22 feet, the small intestine is far longer than the mere 5 feet we have of large intestine. Although the majority of our microbiome exists in the large intestine, a delicate balance of microbes make up the ecosystem of the small intestine. The small intestine’s microbial population tends to be limited compared to ones farther down the digestive tract. This is due to the rapid transit of food through the small intestine, and the presence of bile acids, both of which make it an inhospitable environment for bacterial growth. The problem occurs when that transit is slowed, as happens with buildup of scar tissue from abdominal surgery, structural issues, scleroderma, and conditions like Crohn’s disease and diabetes. Even stress can interfere 42

Whitney Wright

BY TAPP FRANCKE INGOLIA, MS


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GET MOVING

2min
page 159

COACHES

2min
page 158

CRUISE INTO THE FUTURE

5min
pages 160-161

MEDITATION MATTERS

10min
pages 154-157

HEALTHY TO-GO

13min
pages 144-153

HAPPENING HARVEST

4min
pages 140-143

MAMA FARM

11min
pages 134-139

DOCK AND DINE

4min
pages 122-125

TRUE GRIT

4min
pages 132-133

EYES ON THE PRIZE Actress Jessica Chastain

9min
pages 126-131

TO MARKET

3min
pages 120-121

THE BUCKWHEAT REVOLUTION

2min
page 118

SHIP SHAPE

2min
page 119

TASTE THE RAINBOW

4min
pages 114-117

POWER PLAY

1min
pages 111-113

PURE PICKS

1min
page 110

ARTIST FILE

2min
page 107

A HISTORIC FIRST

5min
pages 108-109

WEAR A MASTERPIECE

2min
page 106

PURE PICKS

1min
pages 104-105

SOUTHAMPTON SUMMER VIBES

5min
pages 100-103

DREAM WORLD

4min
pages 96-99

BEST FOOT FORWARD

3min
pages 94-95

BREAK AWAY

7min
pages 90-93

WELLNESS REDEFINED

2min
pages 84-85

QUICK BEAUTY FIXES

2min
pages 82-83

SAY GOODBYE TO CELLULITE

2min
pages 86-89

MIRACLE WORKER

5min
pages 80-81

TEEN SCREEN

2min
pages 78-79

A CURIOUS MIND

1min
pages 76-77

SUSTAINABLE INTERIORS

3min
pages 66-69

SUN SAFETY

2min
pages 72-73

CLEAN BEAUTY PIONEER

3min
pages 74-75

PURE PICKS

1min
pages 70-71

GET TOGETHER

2min
pages 64-65

I’LL TAKE MANHATTAN

2min
pages 62-63

PURE PROPERTY

6min
pages 58-61

PURE PICKS

1min
pages 56-57

GLOBAL BEACH CHIC

2min
page 55

COMMUNITY MINDED

3min
pages 52-54

GROWING MARKET

5min
pages 50-51

HIGH TIME

2min
page 49

DESTINATION REJUVENATION

3min
pages 46-47

ON GUARD

4min
page 48

DECODING SIBO

2min
pages 44-45

HAMPTONS PRIDE

2min
pages 34-35

ASK THE DR

5min
pages 42-43

THE TAO OF NOW

2min
pages 28-29

SNEAK PREVIEW

6min
pages 38-41

A MYSTICAL LESSON

2min
page 37

PURE GOOD

2min
pages 32-33

FLOWER POWER

2min
pages 30-31

GUIDED BY BIET

4min
page 36
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