SIBO, Autonomics, Diarrhea and Constipation
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SIBO, Autonomics, Diarrhea and Constipation

August 30, 2019

Hi, I’m Dr. Nemechek of The Nemechek
Protocol™. A quick little video blog on diarrhea, constipation issues and what’s
changing when you use either inulin or Rifaximin to help with the bacterial
overgrowth, okay. One, the most common intestinal kind of
feature you get from bacterial overgrowth – or one of the most common – is loose, or more frequent stool, okay. It doesn’t even have to be watery, if it’s more frequent, some people like, eat and have
to go to the bathroom, and that’s normal for them – we technically call that diarrhea.
Or it can be watery stool, or occasional watery stool, or certain foods bother you,
like tomatoes or something can give you watery stool. So, bacterial overgrowth
(SIBO) tends to cause loose, watery stool. More frequent stool. Autonomic
dysfunction, okay that – your autonomic nervous system controls your intestinal
tract, and I like to think of it as the intestinal conveyor belt – so, you go the esophagus, and stomach, and small intestine, and colon, and when the autonomics don’t work well the intestinal conveyor belt slows down. So you can have like in the stomach, you get some heartburn – oh there’s Jean! Jean
brought me some coffee – you get some heartburn, you get in the small intestine you
can get a little cramping, and in the colon, you get constipation. Poor conveyor
belt action. Poor emptying of the colon, alright. Now, what if you got both? Well
you got fast watery stool, from SIBO, and you’ve got slow intestinal function – bloop – you’ve
got them together. Your stool function can seem kind of normal, okay?
It’s not too bad; occasional constipation, then you get a little looser stool and it kind
of fixes things, so it’s kind of tolerable! Now, you use Rifaximin or
Inulin, alright, it makes the watery stool part go away, alright, and you’re
left with the brain stuff that takes – the autonomic problem – that takes longer to fix. Now you got constipation. The Rifaximin and
inulin didn’t CAUSE constipation, okay, they made the watery stool portion go away.
Now you’re seeing the constipation from your autonomic dysfunction, and that
tends to get better, over time, as we fix the brain, alright. So, as a general rule –
constipation is due to autonomic dysfunction, loose, watery stool is due to
bacterial overgrowth, and when you have them together sometimes things can seem
kind of “normal”, or at least not a nuisance. So, the Inulin and the Rifaximin
don’t cause constipation. They’re just showing you the constipation you have
underneath, from your underlying autonomic dysfunction. I hope you find
this helpful, this is Dr. Patrick Nemechek of
Nemechek Autonomic Medicine in Buckeye, Arizona. Take care, bye.

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  1. Dr I know you stress when on protocol not to give the patient anything extra only the olive oil fish oil and refax or inulin but is there something that can be given for constipation?

  2. Loose stools occasionally with food because of bacterial overgrowth .constipation then from autonomic dysfunction.loose frequent stools then constipation then loose stools.cramping .both cases together in sibo .

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