Discover and read the best of Twitter Threads about #SIBO

Most recents (13)

🔺¿Qué es SIBO?

¿De qué se trata esta patología?
¿Por qué aparece?
¿Cuándo?

#AbroHilo #SIBO Image
🔺SIBO proviene del inglés, “Small intestinal bacterial overgrowthes”, y se trata de un sindrome muy, pero muy particular, producido por el crecimiento exagerado de bacterias en el intestino delgado. Qué sucede exactamente...

#Sigue

👇🏼
🔺Como todos sabemos, el tracto digestivo está integrado por la boca, el esófago, el estómago, el intestino delgado, intestino grueso, recto y ano.

#Sigue 👇🏼
Read 19 tweets
💨The gut microbiota generates ~0.2L–1.5L of gas per day
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
🦠bacteria in the colon ferment substrates that are not digested or absorbed in the upper GI tract (e.g. carbohydrates, proteins, fats)
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
Read 15 tweets
🧵 Thread zum Thema #GI #gastrointestinale Probleme im Zuge von #LongCovid

Viele #longcovid (und auch #mecfs) Betroffene berichten von anhaltenden Verdauungsproblemen wie Durchfall - #Diarrhoea nach der Infektion.

Auch ich habe seit 11 Monaten eine gestörte Verdauung …

1/17
6 Monate nach der Infektion wurde es immer schlimmer, unverdaute Substanzen im Stuhl, anhaltender Wasser- und Kräfteentziehender Durchfall.

Ich lies eine #Mikrobiomanalyse einer Stuhlprobe durchführen. (Kosten: 130€)

2/17
Mit folgenden auffälligen Ergebnissen:

1. #leakygut, … heißt mein Darm ist löchrig und Stoffe die eigentlich ausgeschieden in die Toilette gehören, landen leider auch im Blut, woraufhin leider auch das Immunsystem wie zb #Mastzellen reagieren können.

3/17
Read 17 tweets
Read 7 tweets
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮‍💨 💩 🦠 🐄 📈

#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition

cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.

(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*)
Read 26 tweets
While we're beginning to understand more and more about the #microbiome, research on the #mycobiome (fungi 🍄) is in its infancy. Here is my summary of 🔑 points from @aeprobio's seminar on the latest research on fungi and the gut!

#GITwitter

Bacteria in the #gut outnumber fungi as a class, but at the individual species level can occur in the same numbers.
Most #gut fungi belong to Ascomycota or Basidiomycota
Read 43 tweets
I was harmed by #CBT/GET not bc I was forced into the torture (aka #MEcfs) Clinics but bc lack of education meant #NHS Dx me w/ Depression as cause of #PEM, #BrainFog & debilitating #Fatigue and was then traumatised by #Psychiatrists who told me I was to blame 1/
I was a happy, successful, yoga pant wearing, posh gym attending, green juice drinking, extroverted Californian forced to undergo #CBT w/ stern British #Psychiatrists. I wasn’t Depressed until I met them, temporarily saved by acceptance into @BerkeleyHaas MBS program 2/
MBA life is hectic, exhilarating & inspiring. In remittance, I love people & Academics so got involved in everything. For 2nd year, I got a position teaching undergrad Business. An income meant I moved into nicer apartment, flew business clothes to NYC for Reuters internship 3/
Read 20 tweets
Here are the new @BritSocGastro guidelines for #IBS in @Gut_BMJ! I'll summarize in 🧵 ⬇️⬇️⬇️!

😖💩🦠🧠🥦🍞💊

#GITwitter #GI #gut #braingut #motility #DGBI #FGID #microbiome #probiotics #MedTwitter #MedEd

gut.bmj.com/content/early/…
🧑‍⚕️-😷
Doctor-patient communication
🧑‍⚕️A strong 🧑‍⚕️-😷 relationship is fundamental to the management of #IBS
😷Patients want their 🧑‍⚕️ to ⬆️empathy, support and information about the nature of IBS, diagnosis, and treatment options
DIAGNOSIS
🩸New pt: CBC, CRP or ESR, celiac serology and, if <45 w diarrhea, fecal calprotectin
➕Make POSITIVE diagnosis based on @RomeFoundation criteria
➡️Refer to #GI when: diagnostic doubt, pt w symptoms that are severe or refractory to 1stline tx,or when pt wants specialist
Read 16 tweets
Let's talk about something common, hard to treat, and often misunderstood: CHRONIC BLOATING AND DISTENSION!

A 🧵 summarizing from the excellent @AGA_CGH article cghjournal.org/article/S1542-…

#GI #GITwitter #motility #IBS #DGBI #FGID #microbiome #health #MedEd
🟢Bloating: subjective sensation of gassiness, trapped💨, or a feeling of pressure or being distended w/o obvious visible distension.

🟢Distension: objective physical manifestation of an⬆️in abdominal girth. Patients commonly say they look like 🎈 or 🤰
Bloating and distension are COMMON

🔴16-31% in the general population

🔴Women > men

🔴66-99% in #IBS

🔴IBS-C > IBS-D

🟢Bloating and distension are distressing to patients and ⬇️quality of life
Read 13 tweets
#Hydronomastics is the study of #hydronyms, the proper names of bodies of water.

It's a branch of #toponomastics, the study of #toponyms (the proper names of places), which in turn is a branch of #onomastics, the study of #orthonyms (proper names).

French / Luxembourghish sign: The River Sauer in Martelan...
#Hydronym and #hydronomastics both derive from Ancient #Greek ὕδωρ / húdōr (water) + ὄνομα / ónoma (name). The Greek island of Skiatho...
#Hydronyms tend to outlast other #toponyms, even when new #languages and cultures displace earlier ones.

#England, #EastAnglia, #Essex, and #Sussex are named for the #Angles and #Saxons; but #Trent, #Ouse, #Thames, #Severn, and #Avon are older #Celtic and #RomanoBritish names. A map showing the main rive...
Read 173 tweets
I don’t know how to get the word out about this. I am concerned about #MECFS patients who are a) having craniocervical fusions b) in Europe and c) are not actively engaged in patient groups on Facebook. [1]
My primary concern is that a significant proportion of patients who have fusions experience an initial improvement, but then have worsening symptoms roughly 5-7 months after surgery.[2]
In many cases, this is due to the “unmasking” of tethered cord syndrome, a condition many patients with craniocervical instability have. [3] me-pedia.org/wiki/Tethered_…
Read 76 tweets
thread

Remarkable @bmj_latest @BMJCaseReports report documenting the extreme lengths a bedbound patient went through to get a diagnosis of #POTS, #MCAS, #SIBO and #tachycardia

read her story here

#MedEd #MedTwitter @MayoClinic
casereports.bmj.com/content/2018/b…
2. After suffering for 16 years, seeing 19 docs with repeated misdiagnosis:

Her cardiologist couldnt diagnose #POTS

Her gastroenterologist couldnt diagnose #SIBO

Her immunologist couldnt diagnose #MCAS

Her neurologist referred her to a #psychiatrist!

casereports.bmj.com/content/2018/b…
3. Patient: the "neurologist was out of ideas and suggested I get a psych evaluation, which I declined"

the patient <referred herself> to @MayoClinic

#SickNotWeak #chronicillness #chronicpain #MedEd #medtwitter

casereports.bmj.com/content/2018/b…
Read 10 tweets
Penyebab sakit #gerd (Gastro-Esophageal Reflux Disease) atau naiknya asam lambung ke kerongkongan utamanya dikarenakan oleh #sibo (Small Intestines Bacterial Overgrowth) bagiaman hubungannya? A THREAD...
Saya akan ahare sebab GERD yang bersumber dari penelitian profesor mikrobiologi Norm Robillard), asam lambung yang naik ke kerongkongan itu kalau menurut medis konvensional adalah melemahnya katup/klep antara lambung dan kerongkongan. Tapi apakah sumber utamanya sakit #gerd ini?
1. Jadi sumber utama terjadi reflux adalah dari dorongan gas. Gas ini hasil fermentasi bakteri di usus kecil bawah lambung (kalau gas hasil fermentasi bakteri di usus besar keluar ke belakang jadinya kentut). Jadi sebab utamanya adalah SIBO (Small Intestines Bacterial Overgrowth)
Read 13 tweets

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