Small Bowel Bacterial Overgrowth
Small bowel bacterial overgrowth (SBBO) occurs when there is a build-up of too much bacteria in the small bowel.
|The Small Intestines|
|Copyright © Nucleus Medical Media, Inc.|
SBBO is often caused by an abnormality in the small bowel. Food is not able to flow properly though the intestines. Conditions that may cause this include:
- Birth defect
- Digestive disorders
Factors that may increase your chance of SBBO include:
- Crohn disease
- Irritable bowel syndrome (IBS)
- Short bowel syndrome
- Intestinal stricture (narrowing in the small intestine)
- Digestive disorders, such as celiac disease or lactose intolerance
- Blind loop syndrome (when part of the intestine is bypassed)
- Intestinal infections, such as food poisoning or traveler’s diarrhea
- Chronic pancreatitis
- End-stage kidney or liver disease
Other risk factors include:
- Intestinal surgery
- An obstruction in the small intestine
- Weakened immune system
- Older age
Any condition that affects how food moves through the small bowel may increase the risk of SBBO.
SBBO may cause:
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include
- Blood tests
- Breath tests—to analyze certain gases that may be present after fasting and eating specific sugars
- Culture of intestinal fluid (aspirate)—a catheter is used to get a sample of fluid from the small bowel
The goals are to:
- Reduce the levels of harmful bacteria in the small bowel
- Treat the underlying condition
Antibiotics are often prescribed to treat SBBO. Usually treatment is temporary, but in some cases you may need to take antibiotics for a longer period.
To make sure that you get the proper nutrients, you may need to:
- Work with a dietitian
- Follow a special diet, such as a carbohydrate-restricted diet
- Take vitamins and/or supplements
- Take probiotics
In some cases, tube feeding is needed with a special formula.
For severe cases, surgery may be needed. This is done to correct an abnormality in the small bowel.
If you have any of the conditions that are linked to SBBO, get proper treatment. This may reduce your chance of having a build-up of bacteria in the small bowel.
- EBSCO Medical Review Board Daus Mahnke, MD
- Updated: 09/30/2013
Please note, not all procedures included in this resource library are available at Henry Ford Allegiance Health or performed by Henry Ford Allegiance Health physicians.
All EBSCO Publishing proprietary, consumer health and medical information found on this site is accredited by URAC. URAC's Health Web Site Accreditation Program requires compliance with 53 rigorous standards of quality and accountability, verified by independent audits. To send comments or feedback to our Editorial Team regarding the content please email us at HLEditorialTeam@ebscohost.com.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.