Unexplained Bloating and Intestine Pain: Could SIBO Be the Culprit?

What Is SIBO and Why Does It Matter?

If you constantly feel bloated or suffer from lower intestinal pain after meals, it could be more than simple indigestion. One often-overlooked condition is SIBO (Small Intestinal Bacterial Overgrowth), where bacteria that normally live in the large intestine multiply excessively in the small intestine.

Understanding Small Intestinal Bacterial Overgrowth

Normally, the small intestine has relatively low bacterial levels compared to the colon. In SIBO, this balance is disrupted, leading to gas, bloating, and digestive discomfort.

How SIBO Differs from IBS and Other Digestive Issues

While IBS (Irritable Bowel Syndrome) can cause similar symptoms like bloating and pain, SIBO is a bacterial imbalance that can be tested and treated directly.

Symptoms of SIBO You Shouldn’t Ignore

Persistent Bloating and a Bloated Stomach

A hallmark of SIBO is a swollen, bloated stomach that doesn’t go away even after bowel movements.

Intestine Pain and Lower Abdominal Discomfort

Patients often describe cramping, sharp, or dull lower intestinal pain, particularly after eating carbohydrate-rich foods.

Other Warning Signs of SIBO

• Excessive gas or burping
  
  

• Chronic diarrhea or constipation
  
  

• Nutrient deficiencies (Vitamin B12, Iron)
  
  

• Fatigue and brain fog
  
  

Common Causes of SIBO

Poor Gut Motility

Slow movement of food and waste through the intestines gives bacteria more time to overgrow.

Previous Gastrointestinal Infections

A past stomach flu or food poisoning can disrupt gut balance, leading to SIBO.

Long-Term Use of Certain Medications

Proton pump inhibitors (acid-reducing drugs) can reduce stomach acid, encouraging bacterial overgrowth.

Why SIBO Is Often Misdiagnosed

Overlap with IBS Symptoms

Many patients are mistakenly told they have IBS, since bloating, diarrhea, and gut pain overlap with SIBO symptoms.

The Role of Self-Diagnosis and Delayed Testing

Self-treatment with over-the-counter remedies may mask symptoms without addressing the root cause.

Diagnostic Approach to SIBO

Breath Testing for Accurate Detection

The hydrogen and methane breath test is the most common non-invasive way to detect SIBO.

When Endoscopy May Be Needed

In some cases, an endoscopy with fluid sampling from the small intestine helps confirm diagnosis.

Treatment Options for SIBO

Antibiotic Therapy: Clearing Bacterial Overgrowth

Targeted antibiotics, prescribed by a gastroenterologist, reduce bacterial levels and relieve symptoms.

Dietary Management with the Low FODMAP Plan

The Low FODMAP diet reduces fermentable carbohydrates that feed gut bacteria, easing bloating and pain.

Probiotics and Lifestyle Modifications

Adding probiotics and managing stress may help prevent recurrence.

How Dr. Sandeep Pal Helps Patients in Chandigarh

As an experienced Gastroenterologist in Chandigarh, Dr. Sandeep Pal offers comprehensive care for patients suffering from unexplained bloating and intestine pain.

Comprehensive SIBO Testing

Accurate breath testing to confirm or rule out SIBO.

Tailored Antibiotic and Nutrition Plans

Customized treatments that combine antibiotics, dietary changes, and lifestyle guidance.

Ongoing Monitoring for Long-Term Relief

Regular follow-ups ensure symptoms don’t return and gut health remains stable.

Prevention and Self-Care for SIBO

Dietary Habits That Support Gut Health

• Avoid excessive sugar and processed foods
  
  

• Eat more fiber-rich vegetables
  
  

• Stay hydrated
  
  

Lifestyle Choices That Reduce Risk

• Manage stress with yoga or meditation
  
  

• Avoid unnecessary antibiotics
  
  

• Eat smaller, balanced meals
  
  

FAQs About SIBO and Digestive Pain

1. Is SIBO the same as IBS?
No. IBS is a functional disorder, while SIBO is bacterial overgrowth, though symptoms often overlap.

2. How long does SIBO treatment take?
Typically 2–4 weeks of antibiotics followed by dietary adjustments.

3. Can a bloated stomach always mean SIBO?
Not always. Bloating can also come from IBS, acid reflux, or food intolerances.

4. What happens if SIBO is left untreated?
It can lead to chronic malnutrition, vitamin deficiencies, and severe gut damage.

5. Is the Low FODMAP diet safe long-term?
It’s usually followed short-term, then foods are gradually reintroduced under medical guidance.

6. Can probiotics cure SIBO?
Probiotics help restore balance but aren’t a standalone cure.

Conclusion: Don’t Let Bloating and Intestine Pain Control Your Life

If you’re struggling with a bloated stomach, intestine pain, or unexplained gut discomfort, it’s worth exploring whether SIBO is the underlying cause. With SIBO testing, targeted antibiotic therapy, and dietary management, Dr. Sandeep Pal in Chandigarh provides a clear path to long-term relief and better digestive health.

👉 Take the first step toward a healthier gut—schedule your consultation today!