Bacterial overgrowth can be treated with Ciprofloxacin and Metronidazole. Rifaximin is another treatment. After the treatment, patients can undergo another breath test to determine if the bacteria have been decreased. http://emedicine.medscape.com/article/212861-treatment
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The glucose breath test is another diagnostic exam for small intestinal bacterial overgrowth. It is rapidly absorbed by the intestine. Lactulose could travel all the way to the colon, leading to a false positive test. Research with nuclear imaging has been done to determine the exact time of lactulose reaching the colon.
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After treatment with antibiotics, patients can take probiotics to maintain good bacterial flora. Align probiotics contain Bifantis and is sometimes used for bloating. Consult your physician about treatment options. PMID: 18461293
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Symptoms of small intestinal bacterial overgrowth include abdominal distension, flatulence, bloating, diarrhea, and abdominal pain. The definitive diagnosis of SIBO involves the presence of 10^5 colony forming units per milliliter of coliform bacteria isolated from the proximal jejunum. This is difficult to sample with endoscopy so breath testing is an alternative method of diagnosis. Weight loss and nutritional deficiency are possible.
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