Dr Lara Briden

SIBO and Functional Gastrointestinal Exam Skills with Dr Steven Sandberg-Lewis

Dr Nirala Jacobi is in conversation with Dr Steven Sandberg-Lewis.  Dr Sandberg-Lewis is a highly regarded and well known naturopathic physician.

He has been a professor at the National University of Naturopathic Medicine (NUNM) since 1985, in Portland, Oregon.

Dr Sandberg-Lewis has a part-time clinical practice and is the author of several Townsend Letter award-winning articles, and of the medical textbook ‘Functional Gastroenterology, Assessing and Addressing the Causes of Functional Digestive Disorders’.

He has also been named one of the Top Docs in Portland Oregon in 2014.

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Topics discussed include:

  • How did Dr Steven Sandberg-Lewis (Dr SSL) first learn about SIBO?
  • Gastrointestinal conditions with underlying connections to SIBO, such as Nonalcoholic Steatohepatitis (NASH), and Crohn’s Disease.
  • What else can we expect from the Functional Gastroenterology Physical Exam workshop?
    • Reflex point assessment
    • Combination techniques
    • Secretion points
    • Bennett’s points on the cranium and abdomen
    • How to learn if the ileocecal valve is open or closed
    • Riddler’s points
  • Physical exam for gastroenterology - how to assess your patients.
  • Visceral techniques such as manual correction of hiatal hernias.
  • The prevalence of hiatal hernias in different populations and what it can cause, e.g. reflux, anxiety, constipation issues, diaphragmatic issues.
  • What is the difference between a true sliding hiatal hernia and hiatal hernia syndrome?
  • What symptoms can be expected with sliding hiatal hernia, and how does it relate to SIBO?
  • Who first developed this technique?
  • Emotional Freedom Technique (EFT)
  • Kinesiology in relationship to Functional Gastroenterology Physical Assessment
  • Quantum Reflex Analysis use in the clinical setting.
  • Manual corrections of the digestive tract
    • Ileocecal valve manoeuvre as related to SIBO.
  • Ehlers-Danlos Syndrome and the hypotonic ileocecal valve.
  • Reasons for tenderness of the ileocecal valve on physical exam.
  • Dr SSL’s clinical experience of ileocecal valve corrections.
  • Hiatal hernias and the link to arrhythmias.
  • Ileocecal valve tone and the relationship to adrenal function.
  • Dr Jacobi’s advice for documented hiatal hernia patients
    • 500mL of water in the morning on an empty stomach, then do 20-30 heel drops. The weight of the water will pull the stomach back down.
  • Exercises to do after the hiatal adjustment to assist visceral compliance ongoingly.
  • The link between the client’s emotional body and their physical conditions, and how to integrate this into a clinical setting with the physical
  • Neurofeedback - the importance of points Fp1 and Fp2.
  • The link between constipation, hiatal hernia, and anxiety.
  • Neuro-Emotional Technique (NET) for emotional clearing.



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