Are you SIBO Savvy? Welcome to the SIBO Savvy Quiz 2021 How do you score? Answer these 10 questions to test your knowledge about the fundamentals of SIBO. SIFO isCommonly present with SIBO.Rarely present with SIBO.Usually responsive to conventional antibiotics.Easily distinguished from SIBO because it presents with completely different symptoms. SIBO-C (constipation dominant SIBO) is:Usually easier to treatUsually caused by Klebsiella pneumoniaeUsually caused by methanogens producing methaneDiagnosed by a rise in hydrogen on a breath test Hydrogen and methane breath testing for patients with IBS symptoms:Is not necessary, the practitioner should be guided by symptoms alone.Used to see if the patient has SIFO (small intestinal fungal overgrowth).Knowing if hydrogen or methane are dominant will help diagnose SIBO and guide treatment for the practitioner.Can also be used to diagnose parasitic infections. SIBO is often a chronic relapsing condition, and:Patients should remain on antibiotics long termProkinetics may have to be used long termProkinetics should not be used long term The Elemental diet:Is an antimicrobial treatment on par with antibiotics or herbal antimicrobialsIs used as a maintenance diet to prevent SIBO relapseIs best suggested alongside herbal or conventional treatmentIs a fibre-rich diet Treatment for SIBO can include:RifaximinBerberine containing herbsProkineticsAll of these The following is true about a positive lactulose breath test:Hydrogen will rise by 12ppm by 90-100min.Any rise of hydrogen is considered positive.Hydrogen will rise by 20ppm by 90-100min.In the absence of hydrogen, methane must rise by 20ppm. Common risk factors for SIBO include all of the following, except:GoutFood poisoningDiabetesAbdominal surgery The following is NOT considered to be a causative factor for SIBO:Restless leg syndromeAn impaired migrating motor complexDeficient hydrochloric acidAbdominal adhesions SIBO is best described asAn overgrowth of normal commensals in the small intestine.An overgrowth of pathogenic bacteria in the small intestine.An overgrowth of pathogenic organisms in the large intestine.An overgrowth of normal commensals in the large intestine. Email Time is Up!