In today’s episode, Dr Jacobi is in conversation with Dr Megan Taylor about SIBO in Children.

Dr Taylor practices primary care in naturopathic gastroenterology for adults and children with digestive complaints, allergies, and autoimmune disease.  She earned her Doctorate in Naturopathic Medicine from the National University of Natural Medicine in Portland, Oregon, graduating with honours. Dr Taylor completed two years of postgraduate residency training in primary care and naturopathic gastroenterology under the mentorship of Dr Steven Sandberg-Lewis and Dr Allison Siebecker.  She is also the Vice President of the GastroANP.

Dr Taylor has advanced training in the diagnosis and treatment of specific conditions such as GERD, gastritis, inflammatory bowel disease (including microscopic colitis), gallbladder and liver disorders, functional abdominal pain, functional dyspepsia, visceral hypersensitivity, irritable bowel syndrome, and SIBO.

 

Topics discussed include:

  • The GastroANP (Gastroenterology Association of Naturopathic Physicians) - is an organisation providing quality education and mentorships to naturopathic graduates, specifically those specialising in gastroenterology.
  • An upcoming 2-day conference in Portland, Oregon, in October - GastroANP is partnering with the National University of Natural Medicine (NUNM) to host their annual gastroenterology conference.
  • What does Dr Taylor see most often in her practice with children with digestive disorders?
  • Does Dr Taylor often SIBO test her child patients?
  • What circumstances raise suspicion for SIBO in children?
  • Where to start with children with SIBO suspected?
  • How do children typically respond to naturopathic medicines?
  • Herbal bitters and why they are applicable to situations such as incomplete voiding, faecal retention, food allergies, and asthma.
  • Hypochlorhydria and the systemic impacts.
  • How to ascertain if children are retaining stool - Ordering an Abdominal Pain Film (not in Australia), or physical examination.
  • Ancestral flora and the impact of C-sections and lack of breastfeeding.
  • Digestive insufficiency - testing hydrochloric acid using the Riddler’s Gastric Acid Reflex Point
  • If concerned about giving children alcoholic tinctures (such as in herbal bitters), simply pour a little hot water on the tincture dosage to evaporate alcohol off.
  • Homeopathic pancreatic support - Pancreatinum 4CH (homeopathic pancreas) - 3 weeks on, 1 week off, repeated for 3 months.
  • Favourite pediatric bowel movers include magnesium, bowel retraining, as well as fermentable prebiotic fibres such as partially hydrolysed guar gum (PHGG), acacia gum, Galactomune, Bimuno
  • The importance of starting low and going slow - starting with a ⅛ teaspoon or less and gradually inching the child up in dosing.
  • Studies showing common symptoms that are predictive of SIBO in children include rashes, allergic shiners, distended bellies, abdominal pain, bloating, altered defecation patterns, alternating diarrhoea and constipation, evidence of malabsorption (fat on the surface of the toilet bowl, undigested food, mucus), loss of appetite, belching and flatulence.
  • Treating SIBO in children - Dr Taylor’s go-to protocol discussed.
    • Download SIBO and Children clinical pearls cheat sheet for details. Coming soon!
  • What would Dr Taylor prescribe for a 5-year-old with SIBO?
    • Dr Taylor does not generally use the elemental diet with children.
    • Dr Taylor talks through options with parents and child, including herbal products such as Biocidin, and pharmaceuticals such as Rifaximin.
    • Dosing children need to be a bit longer over time, especially if there is a yeast component. Biocidin also addresses yeast.  If a strong case calls for it, complement with Nystatin.
    • Biocidin dosing is small and easy to dose with children.
  • Nausea - what are underlying causes, and Dr Taylor’s favourite remedies.
    • Download SIBO and Children clinical pearls cheat sheet for details. Coming soon!
  • What contributes to gastroparesis?
  • Caution in making dietary based interventions in children - the potential for precipitating eating disorders later in life.
  • Eczema in children - only removing foods that are absolutely necessary to remove, ensuring optimal nutrient levels (such as EFAs and vitamin D), as well as using specific strains or broad spectrum probiotics, and integrating homoeopathy.
    • Food allergies, sensitivities, and dietary trials are one of the last options for Dr Taylor.
  • Dr Taylor’s SIBO and Children Clinical pearls

 

Resources

 

Products mentioned

 

Clinical Pearls

  • Do you add in another antimicrobial for children with yeast overgrowths as well, or rely on Biocidin?
    Dr Taylor uses Biocidin for yeast or complements with Nystatin if the case calls for it.

 

 

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1 thought on “SIBO in Children with Dr Megan Taylor”

  1. Hi, my daughter is 6. She’s just been diagnosed with SIBO after 3 years of stomach pain waking her up at night, nausea, excessive wind, reflux, floating and oily stools, aching legs, and many other symptoms. She’s had a scope to rule out coeliac and it seemed normal except low albumin and iron levels. She’s tested positive to Fructose Mal. We were following a strict Fructose and elimination diet which is very difficult esp for a child and now stricter again following the SIBO diet.
    She’s had a course of Flagyl and has now done 4 weeks of SIBO diet.

    She was born with food intolerances. Couldn’t breast feed and formula were no good as well as prescription formulas Like Pepsi junior and neocate. She was on plain cows milk early and immediate change. Was more settled and comfortable. At age 3 she had severe Gastro. From then the pain, wind and nausea started.
    During this 4 weeks of SIBO diet she’s reacted to supplements and multivitamins. The Glutamine powder upset her and I definitely think she has intolerance to ‘Amines’. She’s eating mainly rice cakes with egg, cooked chicken, safe vegetables and meat for tea, plain rice biscuits, plain rice flour pancakes with tiny smear of butter, and daily probiotic powder (Lifespace childrens). Last week she had a head cold, aches, headaches, dizziness, and very irritable. She’s still experiencing nausea in waves, reflux and sore stomach either around her belly button or at the side. Could this be ‘die off’?. Our specialist suspects Leaky gut too. I introduced Paeditric Seravit multivitamin powder 1 tsp daily recommended by our Dietician but I’m not sure if that’s reacted?! This is a very stressful situation we’re in as she’s missed a lot of her first year of school. She’s very good about the diet even though she is sick of it but is very very good about it. She eats everything I give her without complaining. I’m just wondering if I’m doing the right thing? 4 weeks of the diet and still ongoing symptoms?!
    Thank you,
    Carolyn.

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