Today I want to talk to you about a very important topic, which I have already addressed several times from a dietary point of view: irritable bowel .
Irritable Color Syndrome is a disorder with a broad range of symptoms and an uncertain cause.
Symptoms include abdominal pain, intestinal swelling, abdominal distension, diarrhea and constipation, excessive intestinal gas production with consequent meteorism.

COLON IRRITABLE OR SIBO?

But that is not all! Complicating the matter is a type of dysbiosis known as SIBO in English and bacterial overgrowth syndrome in Italian. This type of dysbiosis is characterized by the proliferation of bacteria that cause the increase of two substances, hydrogen and methane, in the intestine.
These substances prevent the absorption of vitamins and mineral salts , and depending on the type of Sibo we will have frequent colic (from hydrogen) or constipation (from methane) with too fast or too slow emptying of the intestine, malabsorption, gas formation.

In short, a nice mess!
Add in the fact that SIBO and irritable bowel have a common symptomatology.

La proliferazione batterica da SIBO può essere diagnosticata con degli esami specifici (BREATH test) quindi può darsi che se pensate di avere il colon irritabile il vero problema è la SIBO e viceversa.
Per semplificare, ho suddiviso i sintomi in 4 macrocategorie.

Starà a voi capire in quali di queste categorie rientrate, tenendo conto che c’è anche chi ha tutti questi sintomi. Per esempio ha un colon irritabile che come sintomo dà alternanza di coliche e stipsi.

COLON IRRITABILE E SIBO: LE 4 CATEGORIE

1. Sindrome del colon irritabile e/o Sibo da idrogeno: in questo caso abbiamo gonfiore di pancia, distensione addominale, crampi, coliche frequenti, meteorismo, digestione accelerata o lenta.
2. Irritable colon and / or methane Sibo: in this case we have swelling of the belly, abdominal distension, constipation, bloating, pangs, long digestion times.
3. Irritable bowel syndrome due to poor digestion, especially of proteins : in this case, the digestion times of protein meals are long, often accompanied by reflux and constipation, as well as meteorism. Often the problem is a low level of stomach acidity and a deficiency of certain enzymes that cause a putrescence of proteins in the intestinal tract.
4. Irritable colon from poor digestion of fibers / carbohydrates: the effect is immediate.
   After ingesting certain types of sugars or fibers, the belly swells and distends, we feel cramps and we can have diarrhea, constipation or both.

IRRITABLE COLON: THE FIRST WEAPON IS POWER

Both irritable bowel and bacterial overgrowth syndrome are treated primarily by taking care of nutrition. If this fundamental step is underestimated, the problem will not be solved easily.
For example, here are 4 things I recommend in all cases.