SIBO Help

You have reached the SIBO Treatment Specialists of Bend and Central Oregon. We work with individuals nation-wide with digestive issues who suffer from chronic gas, bloating, diarrhea, constipation, stomach pain and more. Some have already been diagnosed with an underlying issue and some are still persuing answers. We're here to help!

Using a Functional Medicine approach, we specialize in the treatment of SIBO. While many practitioners can diagnose and "treat" Small Intestine Bacterial Overgrowth, we have found that to be truly successful in treating this condition, a multi-faceted approach is required to understand the cause, distinguish the type, and take precautionary measures to prevent relapse. With a 65% rate of relapse, understanding the cause and supporting the patient after treatment is imperative for long-term success.

SIBO Help is a page that we've created to support ALL phases of SIBO including diagnosis, treatment and post-treatment support. We have been specially trained to seek out possible co-infections, additional conditions that could affect recovery and lifestyle or dietary habits that may need to be addressed to help each patient reach optimal health.

Do These Describe You?

• Do you suffer with symptoms of bloating, gas, constipation, diarrhea, stomach pain, body aches and pain, brain fog, depression or anxiety?
• Have you been diagnosed with IBS, Chronic Fatigue, Celiac Disease, Inflammatory Bowel Disease, Interstitial Cystitis, Fibromyalgia, Psoriasis, Restless Leg Syndrome, Rheumatoid Arthritis or Rosacea?
• Have your symptoms persisted (or worsened in some cases) after attempting to eat healthier or clean up your diet?

If you’ve been to numerous practitioners only to find that you leave without answers, or have been given a "blanket" diagnosis like "IBS" you’ve finally come to the right place!

Did you know that in cases of Fibromyalgia, studies show that 78-100% of patients test positive for SIBO? Or that in cases of Interstitial Cystitis, 81% of these patients test positive for SIBO. And, in patients with Restless Leg Syndrome, 69-100% test positive for SIBO! And the list goes on! With Inflammatory Bowel Disease, 22% test positive for SIBO. In Psoriasis cases 21% test positive for SIBO. Rhuematoid Arthritis patients are at 38% increased risk of having SIBO (although clinical rates appear to be MUCH higher, closer to 80-90% some experts report). And lastly, with Rosacea 37-53% of cases test positive for SIBO. If you haven't caught on the message is clear- SIBO is either a cause or effect of MANY common conditions today. By allowing us to help you, we can treat so much more than just your GI issues!

Most who discover this site through our SIBOHelp.com portal are more than familiar with the typical gas, bloating, and symtpoms of fullness, but we'd like you to have a little more information before considering working with us.

What is SIBO?

SIBO, or Small Intestinal Bacterial Overgrowth is an overgrowth of bacteria in the gut caused by some form of slow motility. This slowed motility is often caused by food poisoning (also known as Post Infectious IBS) and accounts for most chronic cases of SIBO as cases of food poisoning can damage the Migrating Motor Complex which is the cleansing mechanism that happens in our small intestine between meals. Unfortunately these cases can be harder to treat and patients will often relapse quickly after treatment if necessary steps aren't taken around diet, lifestyle and supplementation. While Post Infectious IBS is a common cause of SIBO it is not the only cause; additional culprits include antibiotic use, chronic stress, poor dietary habits, low stomach acid, low enzyme production, physiological impairments, adhesions from prior injuries or surgeries, hypothyroidism and so many more!

Small Intestinal Bacterial Overgrowth, as it sounds, is an overgrowth of bacteria that slowly manifests from the colon or large bowel into the small bowel where it often becomes problematic during the process of digestion. Recently, experts have added another term "IMO" or Intestinal Methanogen Overgrowth to distinguish between cases of Hydrogen Dominant SIBO and Methane Dominant SIBO. For the sake of keeping things simple we typically just refer to both as "SIBO". Symptoms are often described as "gas, bloating, fullness, and distention of the upper abdomen". This is often initially diagnosed in conventional medicine as IBS or "irritable bowel syndrome" and the common recommendations are typically to increase fiber, add a probiotic, and if you're lucky- some recommendations on dietary or lifestyle modifications to reduce stress. Unfortunately many patients will find that increasing fiber and adding probiotics only increase their symptoms and reducing stress can be incredibly challenging when one is dealing with the chronic GI issues that come along with SIBO. Thus these patients often go on feeling more lost and confused than they were before seeing their doctor!

Dr. Jason Kremer is a Functional Medicine practioner in Bend Oregon and he and his wife Cassie Kremer have been the "From the Doc" columnists for Paleo Magazine for a decade. A majority of their columns were written around several of today's common ailments from a Functional Medicine standpoint and included topics such as Alzheimer's Disease, Autoimmune Conditions, Cancer, Celiac Disease, Chronic Lyme Disease and multiple Gastrointestinal issues including SIBO. Browse some of their past columns featured in Paleo Magazine by clicking HERE.

While Dr. Kremer focuses much on the bigger picture of uncovering the underlying drivers and mediators of gatrointesinal issues, chronic fatigue, weight gain, depression, insomnia, etc. - Cassie works with patients regarding meal planning, follow up SIBO testing, specific dietary interventions, and works directly with the patient regarding Dr. Kremer's protocols. Cassie has also completed Allison Siebecker's SIBO Pro Course which keeps her up with the latest information around the diagnosis, treatment, and management of this complicated condition. This also allows us to offer much more continuous guidance, modifications, and further testing when needed.

For more information about our Nutritionist, Cassie Kremer- Click Here

Well, the good news is- We Can Help! As this is relatively newly discovered condition, it's treatment approach(s) have evolved quite a bit over the past decade. This is where many individuals get stuck...Even a Functional Medicine approach may be outdated to the more current research strategies available. Timing regarding re-testing is crucial, as is the attention to the appropriate dietary intervention, AND type of SIBO. These are the biggest factors regarding a successful treatment plan.

Finally, our approach integrates not only addressing SIBO itself, but the underlying WHY. Understanding the original cause of SIBO is imperative in successful long-term treatment of this commonly chronic condition.

Contact Our Office

For more information, pricing, and other questions give us a call. We're here to help you feel good again!