Author: Willard Sheppy

What Helps Constipation?

man struggling with constipation

Constipation is often misunderstood and oversimplified. Many people think it’s just about having fewer than three bowel movements per week, but it’s actually a more complex condition involving stool consistency, effort during bowel movements, and feelings of incomplete evacuation.

@crawford_wellness Replying to @Samantha Reed #chronicconstipation #constipation can be a terrible and uncomfortable condition that is suffered by many people who are disgnosed with #IBS or #SIBO . In #traditionalchinesemedicine we have plant remedies backed by both tradition and science that can help improve bowel motility, cultivate a healthy microbiome, and keep people from needing #stimulantlaxatives ♬ Suspense, horror, piano and music box - takaya

This video addresses chronic constipation and the negative effects of long-term laxative use, focusing on the role of Nitric Oxide in bowel motility and natural remedies for managing the condition.

Chronic Constipation

Chronic constipation is not just about the frequency of bowel movements. It encompasses symptoms like hard, pellet-like stools, excessive straining, and a sensation of incomplete bowel emptying. These symptoms suggest an underlying dysfunction in the digestive process, often overlooked in conventional treatments focused on laxatives.

Most GI doctors would believe that if you’re passing three bowel movements a week, you are not constipated. But I would differ. Ideally, one to three Bristol 4’s should pass each day, and if the process seems incomplete or you have to push too hard, then it’s constipation. 

Bristol Stool Chart

Laxatives

Laxatives, while effective for short-term relief, can adversely affect the gut microbiome and lead to dependency. Their prolonged use disrupts the delicate balance of gut bacteria, essential for healthy digestion. This imbalance can exacerbate constipation rather than resolve it.

Laxatives offer temporary relief but do not address the root cause of constipation. Their long-term use can lead to a decrease in bowel muscle tone and potentially damage the microbiome. This damage affects the production of NO, further complicating gastrointestinal issues.

Nitric Oxide

Nitric Oxide (NO) plays a pivotal role in gastrointestinal motility. It’s a neurotransmitter that regulates the relaxation and contraction of intestinal muscles. Optimal levels of NO ensure smooth transit of food through the intestines. However, an imbalance, particularly excessive NO, can lead to reduced motility, contributing to constipation. This excess NO is often a result of chronic inflammation, which can also damage the nerve endings in the digestive system.

Excessive Nitric Oxide and Neurodegenerative Diseases

However, when produced in excess, NO can be detrimental. It can cause cellular damage through nitrosative stress, a process linked to various neurodegenerative disorders. Studies indicate that excessive NO can modify protein function, contribute to glutamate excitotoxicity, inhibit mitochondrial respiratory complexes, participate in organelle fragmentation, and mobilize zinc from internal stores. These actions can lead to cellular damage, a common thread in diseases like Parkinson’s, Alzheimer’s, and ALS.

The study’s data supports the hypothesis that idiopathic slow-transit chronic constipation can be attributed to abnormal neurogenic factors. Specifically, the high density of NOS-positive neurons suggests that excessive nitric oxide production may lead to persistent inhibition of intestinal contractions.

Nitrosative Stress: The Pathway to Cellular Damage

Nitrosative stress occurs when there is an imbalance between the production of reactive nitrogen species, like NO, and the body’s ability to neutralize and eliminate them. This imbalance leads to the modification of cellular components, including proteins, lipids, and DNA, culminating in cellular dysfunction and death. The role of nitrosative stress in neurodegenerative diseases is increasingly recognized, with research suggesting it contributes to the pathogenesis of these conditions.

The study explores the role of nitric oxide (NO), in managing the movement of the digestive system.  The research focuses on specific nerve cells that create NO and their interactions with muscle and other types of cells in the gut wall.  In conditions like diabetes, problems with the production of NO or its connections can cause issues with the movement of the intestines. In cases of inflammation, an excessive NO production can also cause gut abnormalities. 

Managing Nitric Oxide

Given the potential harms of excessive NO, managing its levels is crucial, especially for individuals at risk of or suffering from neurodegenerative diseases. Lifestyle changes, drinking warm water, a balanced diet, walking after meals, and tummy massages, can help regulate microbiome and NO levels.

The article emphasizes natural methods to alleviate constipation, such as adopting the Thero Diet, consuming warm water, and using abdominal massage. These lifestyle strategies are supported by research for their effectiveness in enhancing gastrointestinal movement and balancing the gut microbiome.

Citrus Peel

For centuries, Citrus Peel has been a staple in TCM for addressing sluggish bowels. Its efficacy extends beyond traditional uses, as modern research validates its benefits in improving bowel transit. A notable study involving spinal cord injury patients demonstrated significant improvements in constipation scores and colon motility with Citrus Peel use. While some patients experienced mild side effects, the overall findings highlight its potential as a natural, effective remedy for enhancing gastrointestinal motility.

Coix Seed

Coix Seed, renowned in TCM, is now gaining recognition for its prebiotic properties. By promoting the growth of beneficial gut bacteria like Lactobacillus and Bifidobacterium, it plays a vital role in creating intestinal motility. Scientific studies underscore its influence on these probiotics, with one study noting its ability to regulate glycolipid metabolism and intestinal microbiota. This evidence positions Coix Seed as a potent agent in supporting digestive health and addressing constipation.

Shi Chang Pu

Shi Chang Pu, a key herb in TCM, is lauded for its ability to stimulate nerve growth. Its active ingredients, α-asarone and β-asarone, have been shown to protect nerve cells and potentiate neurogenesis. This makes Shi Chang Pu an intriguing option for treating various neurological disorders and potentially aiding in digestive health through nerve regeneration.

Chorus Contains All These Herbs and More!

To effectively regulate your microbiome and NO levels and enhance overall digestive health, consider integrating Chorus into your routine.

About the Author

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

What Does Chorus Actually Do?

One Bottle of Chorus Herbal Suppliment

What Does Chorus Actually Do?

We are learning more every day about how digestive health is pivotal to overall well-being.  Chorus is a new herbal supplement that moves beyond simple probiotics to take a holistic view of digestion.  But what exactly does Chorus do? 

Feel The Difference

Not just another probiotic, but a holistic solution for your digestion

Understanding Chorus

Chorus is not just another health supplement; it’s a carefully crafted formula designed to counteract the adverse effects of modern diets and prescription medications on gut health.

Chorus promotes digestive health through three key mechanisms

Enhancing Digestive Secretion

 Chorus helps increase digestive secretions, crucial for proper digestion and absorption of fats and fat-soluble vitamins.

Increasing Fecal Moisture and Motility

By increasing fecal moisture, Chorus aids in smoother bowel movements, preventing constipation and improving overall gut motility.

Supporting Gut Microbes

The ingredients in Chorus support the repair of intestinal cells by promoting a healthy balance of gut good microbes and preventing the overgrowth of bad microbes.

Dosage and Safety

The recommended dosage of Chorus is one to two capsules taken three times daily. However, individual needs may vary, and it’s crucial to consult a healthcare professional for personalized advice. Pregnant or breastfeeding women, in particular, should seek medical guidance before incorporating Chorus into their routine.

What to Expect

Upon starting Chorus, users may notice minor changes such as alterations in bowel movements and increased burping or flatulence. These symptoms typically adjust within a couple of weeks as the body acclimates to the new microbiome balance.

The Benefits

While primarily focused on gut health, Chorus offers several additional benefits. It aids in clearing phlegm, reducing inflammation, supporting beneficial gut microbes, and can even assist in preventing some common side effects of medications like constipation and diarreha. Users have also reported experiencing weight loss as a beneficial side effect.

Making the Most of Chorus

To fully harness the benefits of Chorus, consistency is key. Most users report improvements within one to two weeks, but for best results, it’s recommended to use Chorus consistently for at least three months.

The Three Subtypes of SIBO

Three Types of SiBO Picuture of Pain

Did you know that a single episode of food poisoning or traveler’s diarrhea could be the tipping point leading to SIBO?

Recognizing the various subtypes of SIBO is crucial for effective treatment, as each subtype requires a tailored approach.

Chorus is a uniquely effective herbal product across all three SIBO subtypes. 

SIBO

Understanding the subtypes of SIBO is crucial for effective management and symptom relief. Typically, gas in our digestive tract is produced from two main sources: swallowing air and the breakdown of certain foods by colon bacteria. These processes lead to the formation of gases like oxygen, nitrogen, carbon dioxide, hydrogen, and sometimes methane. In SIBO, these gases are overproduced, primarily due to an imbalance in the types of bacteria present in the small intestine.

These bacteria, which include gram-positive and aerobic types in the small intestine and predominantly gram-negative and anaerobic types in the large intestine, break down carbohydrates and create excessive gas.

This overproduction is often linked to the non-digestion or absorption of certain carbohydrates, such as sugar, starches, and fiber, due to enzyme deficiencies. The subsequent breakdown of these undigested foods by bacteria in the large intestine leads to gas production and the characteristic symptoms of SIBO. Identifying the specific subtype of SIBO, based on the predominant gas produced, is key to tailoring treatment and alleviating symptoms for those affected.

Subtypes of SIBO

SIBO, can manifest in several subtypes, each defined by the predominant gas produced by the bacteria involved.
Originally, SIBO was primarily classified into two types: hydrogen-dominant and methane-dominant.

The American College of Gastroenterology has suggested the term “intestinal methanogen overgrowth” (IMO) for the methane-dominant type, acknowledging that the overgrowth of methanogens – archaea, not bacteria – can extend beyond the small intestine.

Recently, a third subtype has emerged, characterized by an overproduction of hydrogen sulfide gas. This variant differs notably from the other types in its symptoms and treatment challenges. Unique symptoms like intolerance to dietary sulfur, H2S-induced lactic acidosis leading to muscle weakness, and fatigue due to mitochondrial impairment are associated with this type.

Hydrogen

Hydrogen-dominant SIBO is often linked to diarrhea-predominant Irritable Bowel Syndrome

Methane

Methane-dominant IMO is typically associated with constipation-predominant IBS.

Hydrogen Sulfide

Hydrogen Sulfide-SIBO, on the other hand, can lead to increased rates of diarrhea and constipation, most notably bad sulfur smelling breath and gas.

Hydrogen Dominance in SIBO

Hydrogen Dominant SIBO, a condition marked by excessive hydrogen production in the gut, plays a significant role in digestive health. This subtype of SIBO, often characterized by rapid gut motility diarrhea, contrasts with Methane Dominant SIBO.

Studies have shown that hydrogen can shorten the transit time of contents through the colon, particularly in the proximal section, which can lead to symptoms like diarrhea and abdominal discomfort.

This difference in gut motility can significantly affect the liver function and responsiveness to treatments, such as rifaximin, which is more effective for Hydrogen Dominant SIBO than for its Methane Dominant counterpart.

Methane Dominance in SIBO

Methane Dominance SIBO, or Intestinal Methanogen Overgrowth (IMO), stands out as a specific subtype of SIBO due to its unique characteristics constipation and bloating effects on gut. In this condition, methane is produced through the anaerobic fermentation of carbohydrates by enteric microflora, particularly by archaea such as Methanobrevibacter smithii.

Unlike other gases, methane is not utilized by the human body. Its production in the gut is linked to functional bowel disorders, including constipation and bloating, and can also impact weight management, often being associated with obesity and reduced weight loss after bariatric surgery.

Studies have shown that methane slows down gastrointestinal motility, affecting the movement of food through the intestines. This reduced motility often leads to symptoms like constipation, bloating, and in some cases, may contribute to obesity. Additionally, the methane produced in the gut is either released as flatus or absorbed into the systemic circulation and expelled from the lungs. Excessive production and retention of this gas can cause functional gastrointestinal symptoms such as belching, flatulence, and abdominal pain. This is likely due to methane’s direct action on the cholinergic pathway of the enteric nervous.

Hydrogen Sulfide-Dominance in SIBO

Hydrogen Sulfide-Dominant SIBO, a less common but significant variant of SIBO, is characterized by the overgrowth of bacteria that produce hydrogen sulfide gas (H2S) in the small intestine. Notable bacteria involved include Desulfovibrio, Citrobacter, Clostridium, and others. H2S acts as a gasotransmitter, involved in various body functions, including inflammation and mucosal repair in the gastrointestinal tract. However, its overproduction can be linked to severe conditions like colorectal cancer and ulcerative colitis.

Diagnosing H2S SIBO can be challenging due to the lack of an accurate breath test.

Key indicators to look for include very pungent-smelling flatulence and unexplained bad breath. Symptoms unique to H2S SIBO, caused by the toxic properties of H2S gas, can include, odorous gas production, abdominal pain, bloating, and fatigue.

People with autoimmune conditions like rheumatoid arthritis, ankylosing spondylitis, or Sjögren’s syndrome might be more susceptible to this form of SIBO.

Preventing and Treating SIBO

In a healthy state, the small intestine is largely free of bacterial colonization, thanks to mechanisms like stomach acidity to kill bacteria and intestinal motility to push it out of the small intestine. SIBO occurs when these protective measures fail.

Prevention strategies for SIBO involve addressing underlying causes

First Stage of SIBO Treatment

Eradicating Harmful Bacteria

The initial step in treating Small Intestinal Bacterial Overgrowth (SIBO) is to effectively eradicate the overgrowth of harmful bacteria. One of the most commonly used treatments is Rifaximin, a non-absorbable antibiotic known for its targeted action against bacteria in the small intestine.
Rifaximin is particularly chosen for its minimal absorption in the gut, ensuring it acts where it’s needed most.

However, Rifaximin may not always be effective against methanogenic bacteria, a type of microbe often involved in SIBO. In such cases, it may be necessary to combine Rifaximin with other antimicrobial herbs for a more comprehensive approach.

The goal is not only to kill the bad bacteria but also to pave the way for restoring the balance of good bacteria and addressing the underlying causes that led to SIBO. This often involves improving gut motility and ensuring a balanced production of digestive acids and enzymes.

The only herbal suppliment designed to improve all three causes of SIBO

Herbs in Chorus Enhances Antibiotic Action

The herbs in Chorus work in harmony with antibiotics, enhancing their efficacy while providing a natural, holistic approach to tackling bacterial overgrowth. This multifaceted support is particularly beneficial in managing conditions like SIBO, where a combination of antibacterial strategies can lead to more effective outcomes.

Bai Zhi, with its established antibacterial properties, demonstrates an impressive ability to combat harmful bacteria, including Staphylococcus aureus. Studies have highlighted its anti-staphylococcal activity, particularly associated with its hexane extract. This herbal ingredient complements the action of antibiotics by targeting bacteria through different mechanisms, thus increasing the overall effectiveness of the treatment.

Peppermint, another crucial herb in Chorus, brings its potent antibacterial properties to the table. Its essential oils, rich in compounds like menthol, menthone, and neomenthol, have shown considerable bactericidal activity against a range of bacteria, including Escherichia coli. This broad-spectrum antimicrobial activity helps in creating an environment less conducive to bacterial overgrowth and more supportive of the antibiotics’ actions.

The Role of Diet in the First Stage

Adopting specific dietary approaches, such as an anti-SIBO or low FODMAP diet, can significantly impact the gut’s bacterial environment. These diets limit the bacteria’s access to their preferred food sources, mainly fibers and specific sugars like lactose, fructose, sugar alcohols, and certain oligosaccharides.

While these dietary changes are effective in reducing the immediate symptoms of SIBO by restricting the food supply for the bacteria, their impact is often not long-lasting. Clinical observations have consistently shown that while such diets play a role in symptom management, they tend only to suppress symptoms for the duration of the diet.

FODMAP

In the past few years, certain clinicians have warned against the use of the low-FODMAP diet for all types of SIBO, including H2S SIBO, as it has the potential to reduce microbiome diversity, therefore possibly worsening the patient’s gut health.48 This notion emphasises the importance of a holistic approach so that patients will not only be helped in the short-term, but will sustain long-term improvements

Low-Sulfur Diet
Following a low-sulfur diet is a key dietary modification for individuals with H2S SIBO. This involves limiting the intake of sulfur-rich foods such as cruciferous vegetables (broccoli, cauliflower, kale, and sprouts), red meat, eggs, dried fruits, beer, and wine. By reducing the consumption of these high-sulfur foods, the excessive gas production from hydrogen sulfide can be minimized, leading to symptom relief

Low-Fat
This dietary approach primarily aims to reduce bile release. Bile, a digestive fluid produced in the liver, can aggravate SIBO symptoms when produced in excess. By lowering fat intake, the production and release of bile are moderated, which helps in alleviating the digestive strain and aids in the healing process of the gut.

Bonus Tip

What you’ve been eating often may have inadvertently fed the bacteria contributing to SIBO. A simple yet effective strategy is to modify your diet by doing the opposite of what you’ve been accustomed to. If your diet is high in carbohydrates, sulfur-rich foods, or fats, shifting to a diet lower in these components can be beneficial.

Second Stage of SIBO Treatment

In the second stage of treatment , introducing good bacteria into the gut seems a logical step. This is typically done through probiotics. Probiotics such as Lactobacillus acidophilus and Bifidobacterium lactis have been effective, particularly in reducing methane production, which is significant in certain SIBO types.

However, the use of probiotics in SIBO treatment is not straightforward. Research offers mixed results, and much depends on the specific probiotic strains and the type of SIBO being treated. Clinically, while probiotics can offer short-term relief, they often do not provide a long-term solution. In fact, they can sometimes exacerbate the condition.

This paradoxical effect occurs when probiotics, especially certain Lactobacillus strains. While generally beneficial in the large intestine, their accumulation in the small intestine can make SIBO worse. 

Third Stage of SIBO Treatment

Addressing Underlying Causes: Gut Motility and Acid Regulation

The third and crucial stage of SIBO treatment focuses on addressing the underlying causes that led to the condition and enhancing gut motility. This stage is vital in preventing recurrence and promoting long-term gut health.

Enhancing Gut Motility

One of the key factors in managing SIBO is improving intestinal motility, the movement of contents through the gastrointestinal tract. Several lifestyle changes can aid in this:

1. Exercise: Regular physical activity is essential. It helps move gas through the digestive system, thereby reducing bloating and improving overall gut motility.

2. Heat Application: Placing a hot water bottle or heating pad on the abdomen can relax gut muscles. This simple method can help facilitate the movement of stool and gas through the intestines, alleviating discomfort.

3. Massage: Gentle abdominal massages can be effective in easing discomfort. It can help relax stomach muscles, contributing to the smoother passage of contents through the digestive system.

Watch Video

Learn how to correctly rub your tummy!

4. Warm Water: Consuming warm water can soothe gas-related stomach pain. Ginger, a well-known prokinetic herb, stimulates digestive tract motility and can benefit those with SIBO.

Discover why drinking warm water is vital for your health!

Herbs in Chorus Enhances Gut Motility

Citrus Peel
Citrus peel has shown promise as a prokinetic agent, addressing one of the underlying causes of Small Intestinal Bacterial Overgrowth (SIBO) – impaired gastrointestinal motility. Let’s delve into the details of this study

Regulate Acid Production

A crucial aspect of managing Small Intestinal Bacterial Overgrowth (SIBO) involves regulating acid production, a key part of the gut-liver axis. This axis represents the crucial interplay between the gut and liver, with bile acids playing a central role. Produced in the liver, these acids significantly impact the gut environment by aiding in fat digestion and influencing the gut microbiome.

For individuals with SIBO, the focus on regulating bile acid production is particularly important. Since over 90% of bile acids are reabsorbed in the small intestine, any changes in their composition or production can have notable effects on the gut microbiome. In this complex interplay, some gut bacteria utilize components of bile acids, like taurine, as a nutrient source, highlighting the delicate balance within the gut ecosystem.

One natural approach to support this balance involves using traditional Chinese herbs known to regulate bile production:

Hawthron Fruit

Fructus Crataegi  is recognized for promoting bile secretion and excretion, contributing to the overall health of the gut-liver axis.

Hawthorn, scientifically known as Crataegus

Pepto-Bismol 

Pepto-Bismol, known for its active ingredient bismuth, is commonly used to alleviate malodorous gases caused by excessive flatulence, particularly in Small Intestinal Bacterial Overgrowth (SIBO). Bismuth effectively binds with the sulphide part of hydrogen sulfide (H2S) gas, forming insoluble bismuth sulphide. This compound cannot be broken down in the digestive tract and is thus excreted in the feces. Such a reaction is beneficial in reducing symptoms related to H2S production in patients with H2S SIBO.

Beyond mitigating existing H2S, Pepto-Bismol can inhibit the metabolism of sulphate-reducing bacteria (SRB), which are responsible for H2S production. This dual action not only decreases H2S production but also curbs the growth of these bacteria. When used alongside antibiotics, bismuth can be particularly effective in targeting SRB. An additional advantage of bismuth is its ability to serve as a supplementary diagnostic tool, indicated by the dark coloration of bismuth sulphide in feces, which signifies excessive H2S production.

While these benefits make Pepto-Bismol a valuable tool in managing SIBO symptoms, it’s important to note that long-term use of bismuth carries potential neurotoxic side effects. Therefore, it should only be used for limited periods and under professional guidance. Alternatives like zinc acetate and iron citrate, which also bind to sulfide in the gut, can be safer options for long-term use due to their lower toxicity. Additionally, hydroxocobalamin, a vitamin B12 analog, has been used to treat acute H2S toxicity and might benefit H2S SIBO, though more research is needed to confirm its efficacy.

Why Choose Chorus

Its unique composition supports the gut’s natural environment, promoting the growth of beneficial bacteria while keeping harmful ones in check. Whether you’re battling bloating, discomfort, or other SIBO-related symptoms, Herbal Chorus offers a gentle yet powerful approach to restoring gut balance.

The only herbal suppliment designed to improve all three causes of SIBO

About the Author

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

What is Biofilm?

cartoon of Bioflim

Have you ever wondered, “What is biofilm?” and why it’s a barrier to fixing your gut problems? Biofilm is a complex mucus layer that microorganisms make and hide in.  It makes them harder to treat and more antibiotic-resistant. 

What is Biofilm

Biofilms are complex structures formed by microorganisms like bacteria and fungi, They profoundly impact our internal environments, particularly our gut health.

A biofilm is essentially a community of these microorganisms adhering to surfaces. They produce a slimy, glue-like substance known as extracellular polymeric substance (EPS), which aids in their attachment and forms a protective matrix, altering their growth patterns and genetic expressions.

They can be found in various organs and tissues, including crucial areas like the gastrointestinal tract. Comprising up to 97% water, these biofilms create an absorbent and porous structure within our bodies, allowing the distribution of nutrients, oxygen, and microorganisms. This distribution plays a vital protecting bacteria and making them resistant to treatment. 

Microorganisms within biofilms show a remarkable resistance to antibiotics, often a hundred times more than their free-floating counterparts. This resistance poses a significant challenge in treating chronic conditions and infections, particularly in the gut, where a balanced microbiome is crucial for overall health.

How To Prevent Biofilm

Biofilms play a significant role in gut health and various chronic conditions. Understanding the factors influencing biofilm formation is crucial in managing their impact.

How Water Affects Biofilm

Waters affect on Biofilm

Water plays a pivotal role in the formation and development of biofilms. Water accounts for up to 97% of the matrix in these complex microbial structures, making its circulation crucial in biofilm regulation. Environmental factors like water flow and current significantly influence biofilm dynamics. For instance, high shear forces in turbulent flow lead to thin but dense biofilms forming, whereas laminar flow conditions result in thicker, less dense structures. These hydrodynamic conditions also affect the biofilm’s protein expression, impacting its development and stability.

Tips

  • Gentle physical movement is key in influencing water dynamics within the body. It helps create vacuum forces that move water through lymphatic ducts and interstitial spaces, potentially reducing biofilm formation. Regular movement promotes sweating, an essential process for water regulation and internal cleanliness. Additionally, effective breathing acts as a natural pump, not just for air but also for water circulation.
  • Maintaining proper hydration is crucial, yet it goes beyond adhering to the standard “8 cups a day” rule. Paying attention to the body’s thirst cues is vital for managing hydration levels optimally. Regular bowel movements, urination, and, for some, a normal menstrual cycle are also essential for healthy water metabolism and indirectly influence biofilm formation.

How Nutrients Affect Biofilm

cartoon of Sugar impact on Bioflim

Nutrient availability, especially elevated glucose levels in conditions like diabetes, fosters biofilm growth. Hyperglycemia provides an abundant source of nutrients for microorganisms, facilitating their proliferation and persistence.

Tips

  • Regulating glucose levels through dietary choices, including herbs like Cinnamon and Berberine, can help control biofilm formation.

How Ions Affect Biofilm

The concentration of cations or ions with a positive charge in the environment affects how bacteria adhere to surfaces. An increase in several cations (sodium, calcium, lanthanum, ferric iron) improves the attachment of bacteria by reducing the repulsive forces between the negatively charged bacterial cells and the surfaces they attach to.

Tips

  • Get Outdoors: Spend time in nature. Areas with high concentrations of negative ions, are mountains, waterfalls, beaches, parks, and forests, especially pine forests
  • Balanced diet, adequate hydration, and low sodium intake, coupled with eating fruits and vegetables, can help maintain a healthy ionic balance, potentially inhibiting biofilm growth.

How Temperature Affects Biofilm

Temperature affect on Biofilm

Temperature changes can significantly influence biofilm growth. Specifically, higher temperatures accelerate biofilm formation, leading to thicker and more robust structures. This is partly due to the temperature’s effect on the production of extracellular polymeric substances, which enhance the adherence of bacterial cells, a critical factor in biofilm development.

Tips

  • While the human body maintains a relatively stable core temperature, micro fluctuations in local body temperatures can occur, particularly in areas with poor blood microcirculation or inflammation. These small temperature variations can create environments conducive to biofilm formation.
  • Doing gentle exercise and activities promoting sweating can help improve blood circulation. This helps to maintain an even temperature throughout the body, potentially mitigating the conditions that favor biofilm formation.

How PH Levels Affect Biofilm

cartoon of impact of PH on Bioflim

Biofilms flourish in base environments, specifically those with pH levels between 7.5 and 8.5. In contrast, acidic conditions with lower pH values generally lead to a decrease in biofilm production. This variation in pH influences the attachment and growth of microorganisms, directly impacting biofilms’ formation and structure.

Tips

  •  It’s important to note that the human body tightly regulates blood pH, maintaining a constant balanced environment.
  • However, one practical application of this knowledge is the topical use of Apple Cider Vinegar, especially in diabetic wound healing. The acidic nature of Apple Cider Vinegar helps break down biofilm, making it an effective remedy for stubborn wounds where biofilms hinder the healing process.

Community in Biofilm

cartoon of Diversity of Bacteria in Bioflim

The composition of the microbial community plays a crucial role in the formation and functionality of biofilms. The diverse mix of microorganisms, including bacteria, fungi, and viruses, significantly influences the structure and behavior of these biofilms. and structure.

Tips

  • Viruses within a biofilm can enhance their infectious capacity. Their interaction within the biofilm can turn it into a storage for viruses, maintaining their infectious nature both within hosts and in the environment. Such dynamics are vital in understanding biofilms, as they can become key reservoirs for chronic infections.

Biofilm Busting Herbs in Chorus

braking through Bioflim

Citrus Peel

Herb Citrus Peel in Chorus

Citrus Peel is rich in the powerful flavonoid rutin, which can dismantle biofilm’s protective layers.

Cang Zhu

Herb Cang Zhu in Chorus

 Potent volatile oils that can pass through Bioflim to kill bacteria. At the same time, it helps to balance your blood sugar.

At Home Herbs to Fight Bioflim

herb Curcumin to fight BioFlims
Herb Cinnamon in Chorus
herb Ginger in Chorus

Understanding the factors influencing biofilm formation is key to managing their impact on gut health and chronic conditions. Implementing simple lifestyle and dietary changes can make a significant difference in controlling these complex microbial communities.

About the Author

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

Three Essentials For Managing SIBO

Picture of Herbs to help with SIBo

There are 3 essentials for addressing Small Intestine Bacterial Overgrowth

We’re accustomed to hearing about antibiotics, restrictive diets, and supplement hacks. While these can be effective in the short term, they aren’t sustainable or consistently effective in the long term.

I want to share three insights to help you understand why those methods might fall short and how to manage SIBO without compromising your overall health.

These strategies are the same ones I’ve employed with thousands of patients experiencing digestive issues over the past 15 years,

Three Essential Strategies

Learn how the acidity in your stomach could be your best ally in fending off SIBO. Discover the risks of common acid-blocking drugs and how a storied herb might hold the key to natural relief.

Find out why banishing bacteria isn’t the answer and how fostering the right microbial mix can lead to better gut health. We’ll explore how certain herbs work with your body’s enzymes for smoother digestion.

Uncover the critical importance of keeping things moving in your intestines and the simple lifestyle tweaks that can make a big difference. Plus, get the scoop on natural extracts that support this essential bodily function.

The only herbal suppliment designed to improve all three causes of SIBO

Basic Understanding

Small Intestinal Bacterial Overgrowth (SIBO) is a condition where there is an excessive amount of bacteria in the small intestine. The concentration of bacteria in the small intestine is usually low due to gastric acid secretion and intestinal motility, which limit bacterial growth. When these protective mechanisms fail, SIBO can occur.

The actual prevalence of SIBO is unknown, but it is more prevalent in the female population and elderly individuals. Some studies indicate that up to 80% of people with irritable bowel syndrome (IBS) have SIBO.

The diagnosis of SIBO is made by measuring bacterial concentration in a small bowel aspirate culture, which is considered the gold standard. The most common species identified include Bacteroides.

Stomach Acid

The first essential for managing SIBO is promoting healthy levels and the correct flow of stomach acid.

Stomach acid plays a crucial role in our immune system by preventing most bacteria from reaching our small intestine. The overuse of acid-blocking drugs can potentially lead to SIBO. Although untreated acid reflux can cause severe medical complications, any medical provider prescribing acid-blocking medication should ensure there’s a strategy for eventual discontinuation.

The Importance of Stomach Acid

  •  Stomach acid sterilizes the gut from harmful microbes in food, preventing foodborne diseases
  • Stomach acid breaks down protein molecules to a manageable size for our bodies to absorb
  • Stomach acid acts as a barrier that prevents bacteria, viruses, and parasites from entering the body
  • Stomach acid kills bacteria, viruses, and parasites before they enter the small intestines and being absorbed into the body
  • Stomach acid converts pepsinogen into pepsin, an essential protein-digesting enzyme[
  • A low level of acidity contributes to reduced absorption of nutrients such as B12, iron, and zinc
  • Stomach acid is necessary for the absorption of B12, which is required for iron absorption, heart health, and overall energy status[
  • Stomach acid is a critical component of the human immune system, protecting us against invading pathogens such as viruses, bacteria, and parasites

Dangers of Acid-Blocking Drugs

Over-reliance on acid-blocking drugs, such as proton pump inhibitors (PPIs), can be dangerous and lead to several adverse effects,

  • Dependency: PPIs can cause long-term dependence, and patients who stop taking the drug may experience rebound acid hypersecretion, which causes acid reflux symptoms to return even worse than before therapy.
  • Increased risk of fractures: PPIs increase the risk of fractures of the hip, spine, and wrist
  • Increased risk of pneumonia: PPIs are associated with a higher rate of pneumonia than histamine H2-receptor antagonists (H2RAs) in mechanically ventilated patients.
  • Increased risk of early death: PPI users have a 15% higher risk of early death compared to non-PPI users 
  • Increased risk of type 2 diabetes: Regular use of PPIs is linked to a heightened risk of developing type 2 diabetes.
  • Hypergastrinemia: Prolonged PPI therapy can cause hypergastrinemia, enterochromaffin-like cell hyperplasia, and parietal cell hypertrophy, leading to carcinoid tumors and gastric cancer.

Biome Balance

The second essential is recognizing that the goal isn’t always to eliminate bacteria but to balance. The understanding is that bacteria don’t always need to be eliminated so much as balanced and put in the right place. Some infections can indeed be life-threatening, but with SIBO, that’s rarely the case. Antibiotics or even plant compounds like berberine or olive leaf that work similarly can give short-term relief but don’t address the underlying causes of SIBO, which allowed the bacteria to linger in the small intestine in the first place.

Instead, you might consider including herbs like Angelica Dahuricae, which can reduce problematic bacteria while simultaneously promoting the growth of healthy firmicutes like lactobacillus.

The Importance of Biome Balance

A healthy microbiome assists in proper nutrient absorption, defends against pathogens, and supports a well-functioning gut barrier, making it an essential focus in any comprehensive approach to treating SIBO. This intricate ecosystem, consisting of trillions of microorganisms in the gut, plays a crucial role in our overall health, particularly in digestion and the immune response. In the case of SIBO, the balance of this delicate microbiome is disrupted, leading to an overgrowth of bacteria in the small intestine. Restoring this balance is not just about reducing the numbers but about nurturing a diverse and robust bacterial community that can withstand and prevent the recurrence of SIBO. 

  • Bacteria and probiotics can promote the integrity of gut barriers, contributing to the host gut defense system mainly by resisting.
  • An absence of intestinal bacteria is associated with reductions in mucosal cell turnover, vascularity, muscle wall thickness, motility, and baseline cytokine.
  • The gut microbiota provides essential capacities for the fermentation of non-digestible substrates like dietary fibers.
  • Gut bacteria help to metabolize bile in the intestines, breaking it down so that the bile acids can be reabsorbed and recycled by the liver.
  • Helpful gut microbes compete directly with unhelpful types for real estate and nutrients, preventing them from taking up too much territory.
  • Anaerobic gut bacteria perform essential functions within the colon that only they can. They help break down indigestible fibers in the digestive tract and produce essential nutrients that you can’t get otherwise.
  • Gut bacteria interact with the gut’s unique nervous system, called the enteric nervous system. It has a direct, two-way connection with the brain via the central nervous system.

Dangers of Antibiotics

Antibiotics are the most common treatment for SIBO. Rifaximin is the most commonly used antibiotic for SIBO treatment because it is poorly water-soluble and minimally absorbable, so that it can act locally in the gut. Antibiotics work by reducing the number of bacteria in the small intestine, which can help alleviate symptoms of SIBO

  •  Overuse of antibiotics can lead to antibiotic resistance, making it difficult to treat SIBO with conventional antibiotics.
  • SIBO can recur after treatment with antibiotics, especially if the underlying cause is not addressed.
  • Antibiotics can have side effects, such as diarrhea, nausea, and abdominal pain, which can make it difficult for patients to complete the full course of treatment.
  •  Antibiotics can disrupt the balance of gut bacteria, leading to nutrient deficiencies and malabsorption.

Bonus Tip

Diet plays a crucial role in the management of SIBO. While elemental diets and low-FODMAP diets have shown promise in symptom reduction, they might not be the ideal long-term solution.

In my practice, I often advocate for a different approach that focuses on the thermal nature of foods. The premise is simple: favor warmth over cold dampness. This means embracing foods and beverages that warm your digestive system, helping to keep those bacterial populations in check.

For a comprehensive understanding of how herbal therapy and dietary changes can manage SIBO click below. 

Gut Motility

The third key to managing SIBO is ensuring efficient gut motility. A properly functioning small intestine will direct bacteria towards the large intestine, their natural habitat. Simple habits, such as drinking warm water, avoiding extremely cold consumables, and practicing abdominal self-massage, can make a significant difference. 

By promoting the movement of these microbes to the colon, we can minimize the production of hydrogen and methane gases, alleviating SIBO symptoms.

Herbs That Help Gut Motility

Citrus Peel

Citrus peel has shown promise as a prokinetic agent, addressing one of the underlying causes of Small Intestinal Bacterial Overgrowth (SIBO) – impaired gastrointestinal motility. Let’s delve into the details of this study

Chen Pi Citrus Peel
Bai Zhu

The herb Atractylodes macrocephala, used in traditional Chinese medicine, has shown promise in treating stomach issues. Studies have found that a compound in this herb, called atractylenolide-1, can help repair stomach lining in mice and improve symptoms in people with certain digestive problems.

Bai Zhu a herb in Chorus

Chorus: A Botanical Remedy for SIBO

A botanical remedy, emerges as a promising solution. It encompasses the benefits of herbs and plants that support digestive health, offering a natural approach to those struggling with SIBO.

As we navigate the complexities of SIBO, it’s clear that a holistic approach, one that includes the promotion of healthy stomach acid, a balanced gut microbiome, and enhanced gut motility, is crucial for long-term management. By integrating natural remedies and lifestyle changes, individuals with SIBO can find lasting relief and improved digestive health.

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

SIBO and Heart Health

SIBO and Heart Health

Explore the potential of Chinese herbal remedies to improve SIBO and enhance heart health. Uncover the intricate relationship between the two through a Chinese medicine perspective. Learn about the digestive relief offered by ginger and citrus peel, and the heart-boosting properties of Poria mushroom and hawthorn. 

SIBO and Cardiovascular Problems

Recent research has unveiled a surprising connection: SIBO, an overgrowth of bacteria in the small intestine, may have a significant impact on our hearts. How can bacteria in our gut affect our cardiovascular system? Our gut houses a diverse community of microbes known as the gut microbiome, which plays a pivotal role in maintaining our overall well-being. These friendly microbes help digest food, synthesize essential nutrients, and even influence our immune system. Now, when SIBO enters the picture, it disrupts this delicate balance. It has been linked to a higher risk of cardiovascular issues, especially in heart failure patients. But why is this the case? Well, SIBO can alter our gut’s microbiome in ways that reduce the production of vitamin K2, a crucial nutrient for heart and bone health. This drop in vitamin K2 levels, in turn, can contribute to arterial calcification and subclinical atherosclerosis, both early signs of cardiovascular problems. So, addressing SIBO isn’t just about gut health; it’s about safeguarding your heart too.

The Heart-Small Intestine Connection

In Traditional Chinese Medicine, the profound relationship between the Heart and Small Intestine has been acknowledged for centuries. This deep connection stems from the belief that disharmony in one organ can profoundly influence the other. For example, emotional turmoil such as stress or heartache can manifest physically, leading to gastrointestinal discomfort, including abdominal pain, bloating, and digestive disturbances.

Moreover, the Small Intestine plays a pivotal role in the digestive process by discerning the valuable from waste, ensuring that the body receives vital nutrients while efficiently eliminating unneeded substances. This wisdom harmonizes with our contemporary understanding of how Small Intestinal Bacterial Overgrowth (SIBO) can disrupt this delicate equilibrium, adversely affecting the cardiovascular system through altered nutrient absorption and the synthesis of essential compounds like vitamin K2. The synergy between traditional insights and modern discoveries underscores the intricate connections between our bodily systems and the importance of addressing imbalances for overall well-being.

Case Study

This case study delves into the healthcare journey of a patient facing the dual challenges of gastrointestinal distress and cardiovascular issues.The journey is not without its hurdles, but the patient’s progress offers hope and insight into the interconnected nature of our body.

Herbal Solutions for Small Intestine Health

In Chinese medicine, ginger, and citrus peel are frequently used to address stomach problems. Ginger has been shown to have anti-inflammatory properties and can help alleviate heartburn. The citrus peel acts as a prokinetic, addressing issues related to motility, which is essential for gut health, even in cases of diarrhea.

Ginger Summary

Ginger has long been celebrated for its potential health benefits, and recent research provides compelling evidence of its positive effects on gastrointestinal disorders. A systematic review of clinical trials explored ginger’s anti-inflammatory properties and its role in alleviating common issues like nausea, vomiting, and dyspepsia.

Ginger for Stomach pain

Citrus Peel Summary

Citrus peel has shown promise as a prokinetic agent, addressing one of the underlying causes of Small Intestinal Bacterial Overgrowth (SIBO) – impaired gastrointestinal motility. Let’s delve into the details of this study

Chen Pi Citrus Peel

A study by Hyun-Tai Lee titled “Prokinetic activity of ethanolic extracts from dried Citrus peels in mice” aimed to evaluate the effects of ethanolic extracts from dried Citrus peels on gastrointestinal (GI) motility in mice. The extracts were administered orally, and researchers measured GI transit rate and fecal output.

The outcomes were intriguing, as the ethanolic extracts exhibited prokinetic effects on GI motility in mice. This suggests that Citrus peel extracts may hold potential in addressing GI motility disorders, which are often associated with conditions like SIBO.

Herbal Solutions for Heart Health

Poria mushroom and hawthorn are two herbs known for their positive impact on heart health. Poria mushroom helps manage fluid retention, which is crucial for protecting the heart and kidneys. Hawthorn has been found to improve symptoms of heart failure and reduce blood pressure, making it a valuable asset in supporting cardiovascular well-being.

Poria Mushroom Summary

Poria mushroom, also known as Scleroderma of Poria cocos, has demonstrated diuretic effects that can be beneficial for heart and kidney health. 

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In a study investigating Poria mushroom’s impact on rats with chronic heart failure (CHF), the researchers aimed to understand how this natural substance affects heart health. They administered different doses of Sclederma of Poria cocos and a common diuretic drug, furosemide, to rats with heart conditions for one or four weeks. Diuretics aid in removing excess water from the body.

The results were significant – rats that received Sclederma of Poria cocos exhibited increased urine output, indicating effective fluid elimination. Importantly, this natural remedy caused fewer disruptions in the body’s electrolyte balance compared to furosemide. It also lowered a marker associated with heart problems, plasma B-type natriuretic peptide (BNP), while furosemide did not.

Further investigation revealed that Sclederma of Poria cocos influenced a specific hormonal and protein system in the body involving arginine vasopressin (AVP), vasopressin type 2 receptor (V2R), and aquaporin-2 (AQP2). This modulation facilitated the removal of excess water from the rats’ bodies and improved heart function.

Hawthorn Summary

Hawthorn offers exciting prospects for improving cardiovascular health. These potential advantages encompass antioxidant properties that combat harmful free radicals, vasorelaxation effects that promote healthy blood flow, gene regulation, and additional actions such as enhanced coronary blood flow and antiarrhythmic effects. 

Hawthorn, scientifically known as Crataegus

Hawthorn extract may benefit cardiovascular health in several ways. The study summarizes the results of several clinical trials and observational studies that have investigated the effects of hawthorn extract on various cardiovascular parameters. Here are some of the ways in which hawthorn extract may benefit cardiovascular health:

1. Antioxidant Properties:
– Scavenging reactive oxygen species.
– Enhancing superoxide dismutase and catalase activities.
– Protecting alpha tocopherol.
– Increasing cell viability and preserving gap junction intracellular communication.
– Inhibiting tyrosinase and lipoxygenase activity, along with hydroxyl radical scavenging.

2. Vasorelaxation Effects:
– Stimulating nitrous oxide synthesis.
– Inducing vasorelaxation in smooth muscle.
– Exhibiting weak ACE (Angiotensin-Converting Enzyme) activity.

3. Gene Regulation and Enzyme Activity:
– Downregulating capsase-3 gene expression.
– Regulating lipoprotein lipase expression.
– Enhancing the excretion of bile acids through the upregulation of cholesterol 7α hydroxylase activity.
– Reducing the activity of intestinal Acyl CoA cholesterol acyltransferase, inhibiting dietary cholesterol absorption.
– Inhibiting thromboxane A2 (TXA2) production.

4. Additional Effects:
– Inhibiting 3′,5′-cyclic adenosine monophosphate phosphodiesterase, resulting in increased coronary blood flow, relaxation velocity, slight positive inotropic effects, and a slight increase in heart rate.
– Exhibiting chronotropic (heart rate) and antiarrhythmic actions.

Buy Chorus Today

Ready to experience the benefits of these herbs for yourself?

Chorus combines the power of ginger, citrus peel, Poria mushroom, hawthorn, and more in one convenient product. This holistic blend addresses the interconnected nature of the Heart and Small Intestine, promoting overall wellness.

There is Hope

Understanding the connection between SIBO and cardiovascular problems highlights the importance of proactive health management. Chinese medicine emphasizes the interplay between the Heart and Small Intestine, providing valuable insights into maintaining balance. Herbal remedies like ginger, citrus peel, Poria mushroom, and hawthorn offer natural solutions for both stomach and heart health.

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

How We Treat SIBO

How Chorus help with SIBo

“How we treat SIBO” is a question that often plagues individuals grappling with the discomfort and disruption that Small Intestinal Bacterial Overgrowth (SIBO) can bring to their lives. SIBO, often a hidden culprit behind digestive woes and frequently associated with Irritable Bowel Syndrome (IBS), demands a nuanced approach for effective management. Here are some Simple, Easy, and Effective evidence-based strategies and practical solutions that we use in the clinic to effectively treat SIBO, offering hope and guidance to those seeking relief and a path towards improved well-being.

Understanding SIBO

SIBO, an acronym for Small Intestinal Bacterial Overgrowth, arises when excessive bacterial growth occurs within the small intestine. This overgrowth disrupts the delicate balance of gut flora and gives rise to various digestive troubles.

The IBS and SIBO Connection

The connection between Irritable Bowel Syndrome (IBS) and Small Intestinal Bacterial Overgrowth (SIBO) is interesting, as both conditions exhibit strikingly similar symptoms, including abdominal discomfort, bloating, and changes in bowel habits. Some studies have even indicated that as many as 80% of individuals diagnosed with IBS may also be afflicted by SIBO. This connection becomes more intricate when considering the factors that aggravate both conditions. Slowed gut motility can create an environment conducive to bacterial overgrowth. Additionally, certain dietary choices can inadvertently feed these bacteria, intensifying discomfort and complicating the management of both IBS and SIBO.

Diet and Food for SIBO

A well-considered diet plays a pivotal role in addressing the challenges posed by Small Intestinal Bacterial Overgrowth (SIBO). The goal of tackling SIBO through dietary choices is to restore or maintain a harmonious balance of gut bacteria.

While elemental diets and Low-FODMAP diets have shown promise in symptom reduction, they might not be the ideal long-term solutions. In my practice, I often advocate for a different approach that focuses on the thermal nature of foods. The premise is simple: favor warmth over cold dampness. This means embracing foods and beverages that warm your digestive system, helping to keep those bacterial populations in check.

I often advocate for a different approach that focuses on the thermal nature of foods.

Brehan Crawford

The Low-FODMAP Diet

The Low-FODMAP diet has earned recognition as one of the most extensively studied diets for managing both SIBO and Irritable Bowel Syndrome (IBS). It centers around reducing the consumption of fermentable carbohydrates, which can exacerbate symptoms. When following a Low-FODMAP diet, consider incorporating items like meat, fish, eggs, gluten-free crackers, oatmeal, and unsweetened cereal derived from low-FODMAP grains. Don’t forget to explore the realm of fruits, with options like blueberries, grapes, oranges, and strawberries that align with the Low-FODMAP guidelines.

The Elemental Diet

Meanwhile, the Elemental Diet stands out as a distinctive dietary strategy primarily used for treating SIBO. Unlike other diets mentioned, which are geared towards long-term management, the elemental diet takes a different route. It involves the consumption of pre-digested nutrients in liquid form, effectively starving the troublesome bacteria residing in the small intestine.

The Thermal Diet

In addition to these dietary approaches, it’s crucial to recognize the significance of thermal nature in food selection. When aiming to mitigate SIBO symptoms, steer clear of foods that are characterized as “cold and damp.”Instead, opt for warming foods and beverages. These warming elements can help maintain a favorable environment in your digestive tract

Cold and Damp 
  • wheat
  • milk
  • cream
  • ice cream
  • soft cheeses
  • yogurt
  • soy milk
Warm and Pungent
  • onion
  • garlic
  • ginger
  • pungent spices
  • cayenne
  • coriander
  • cumin
  • turmeric

Warm Water

One of the most straightforward yet highly effective strategies revolves around what you drink and how you drink it. Put aside the habit of slowing down your digestion and chilling your innards with ice. Drink warm water. This practice, often overlooked in our daily routines, has garnered significant attention and acclaim for its potential to alleviate SIBO-related symptoms. Drinking warm water is a cornerstone in the arsenal against SIBO.

Discover why drinking warm water is vital for your health!

Warm Water Studies

While it might appear deceptively simple, its benefits are far from mundane. Scientific studies have explored the profound impact of water temperature on gastric motility and energy intake, shedding light on why this practice is so effective. The findings from several studies are unequivocal:

– Consuming water at a temperature of 2°C (35.6°F) significantly reduces energy intake. This reduction is closely linked to the decrease in gastric motility.

Ice may have its place, but not when you’re seeking relief from SIBO. In Chinese medicine, there’s a saying that “Cold is for dead people.” While I can’t diagnose you through social media, if you’re reading this, you’re alive, and you have the power to make a positive change in your SIBO management journey. By incorporating warm water into your daily routine, you can tap into a simple yet effective solution supported by both cultural traditions and scientific research.

Abdominal Massage

Abdominal massage, often associated with comforting colicky infants, isn’t just for babies – it offers tangible benefits for adults grappling with SIBO. Emerging research underscores the potential of abdominal massage in addressing a spectrum of SIBO-related issues, including constipation, diarrhea, and abdominal pain.

Watch Video

Learn how to correctly rub your tummy!

Tummy Rub for Constipation

Research has unveiled abdominal massage as a potent remedy for managing constipation, a common symptom of SIBO. These gentle rubs aid in retraining the muscles responsible for bowel movements, thus reducing constipation symptoms and associated pelvic and abdominal discomfort. Abdominal massage plays a pivotal role in promoting contractions within the large intestine, facilitating the movement of waste through the gut and easing constipation. It additionally helps in decreasing transit time for waste to traverse the intestines, all while triggering muscle contractions and relaxation.

Tummy Rub for Diarrhea

If diarrhea is your primary concern, fret not.

Abdominal massage has evidence to support its efficacy in addressing diarrhea, particularly by modulating the gut microbiome. A study titled “Abdominal massage alleviates functional diarrhea in immature rats via modulation of intestinal microbiota and tight junction protein” conducted on rats demonstrated that abdominal massage significantly alleviated functional diarrhea by modulating intestinal microbiota and tight junction proteins. It bolstered beneficial bacteria while decreasing harmful strains within the gut microbiota.

Moreover, research in rats with IBS-D (Irritable Bowel Syndrome with diarrhea) showed that continuous abdominal massage reduced stool consistency scores, increased efflux time, and improved visceral hypersensitivity. It achieved these results by regulating the phosphoinositide 3-kinase (PI3K)-Akt pathway, suggesting a potential treatment approach for IBS-D symptoms.

Tummy Rub for IBS

For those dealing with MCAS (Mast Cell Activation Syndrome) alongside SIBO, abdominal massage can help stabilize mast cells. A study titled “Abdominal Massage Improves the Symptoms of Irritable Bowel Syndrome by Regulating Mast Cells via the Trypase-PAR2-PKCε Pathway in Rats” found that abdominal massage reduced mast cell recruitment and attenuated the trypase-PAR2-PKCε pathway, thereby improving IBS symptoms. This promising approach could offer relief to those with IBS and MCAS.

Incorporating gentle abdominal massage into your daily routine may provide welcome relief from SIBO-related symptoms and enhance your overall well-being. It’s a soothing, evidence-based practice that empowers you to take control of your SIBO journey.

Herbal Teas for SIBO Relief

In the quest for SIBO relief, herbal remedies have emerged as valuable allies, with ginger and peppermint taking center stage. These natural herbs, commonly found in your kitchen, harbor remarkable properties that can help alleviate SIBO symptoms. Let’s explore how ginger and peppermint and Chai can play a pivotal role in managing this digestive concern.

Ginger

Ginger isn’t just a culinary delight; it’s a powerful herbal remedy that holds the potential to improve your digestive health. A study titled “Pharmacological basis for the medicinal use of ginger in gastrointestinal disorders” delves into the science behind ginger’s effectiveness in gastrointestinal disorders.

This study sheds light on ginger’s prokinetic effects, meaning it can enhance gastric motility. Improved gastric motility translates to better movement of food through your digestive tract, reducing the likelihood of bacterial overgrowth—a hallmark of SIBO. This effect can help mitigate gastrointestinal discomfort and promote more efficient digestion. By incorporating ginger into your diet, either through ginger tea or as a flavorful ingredient in your meals, you can tap into its therapeutic potential for SIBO management.

Peppermint

Peppermint is another herbal champion that can lend a helping hand in your battle against SIBO. A study titled “The Effect of Peppermint Oil on Peristalsis during Gastroscopy” unveils peppermint’s remarkable impact on peristalsis, the wave-like muscular contractions that propel food through your digestive tract.

Research has shown that the administration of peppermint oil significantly increases the frequency of peristalsis in the stomach and duodenum during gastroscopy. This enhanced peristalsis can be a game-changer for individuals dealing with SIBO, as it promotes bowel movements and prevents stagnant food from becoming a breeding ground for bacteria

Chai Tea

You can also explore the delightful world of chai teas, which often contain ginger, peppermint, and other tummy-friendly herbs. These warm, flavorful concoctions not only hydrate your body but also provide a tasty way to support your digestive health.

Ginger’s Role in Chai

Ginger, a key ingredient in chai tea, takes center stage as a potent digestive aid. Numerous studies emphasize ginger’s prowess in improving gastrointestinal symptoms and ensuring the smooth functioning of your digestive system. It helps alleviate discomfort and promotes the efficient breakdown of food.

Black Tea in Chai

The base of chai tea, black tea, also plays a vital role in promoting digestion. Research shows that black tea consumption can have a positive impact on digestive health, aiding in the prevention of gastrointestinal issues. It complements the other ingredients in chai tea, creating a harmonious blend that soothes and nurtures your digestive tract.

Spices in Chai

Chai tea boasts an enticing mix of spices like cinnamon, cardamom, and cloves, which are renowned for their ability to support healthy digestion and combat bloating. These aromatic spices bring not only warmth to your cup but also relief to your stomach, helping to ease discomfort and reduce bloating. They are also known to alleviate nausea, making chai tea a soothing choice for those experiencing queasiness.

The Power of Chorus

When it comes to SIBO and IBS management, finding the right support can be a game-changer. Shockingly enough, for about 90% of my patients dealing with these digestive challenges, the solution often comes in the form of a remarkable supplement called Chorus. This extraordinary supplement is a blend of 16 herbs, each handpicked for its incredible digestive benefits. Let’s delve into what makes Chorus a standout choice for those navigating the complexities of SIBO.

The Power of Chorus

Chorus combines a carefully curated ensemble of herbs, working in harmony to support every aspect of digestion

Breaking Down Biofilm

SIBO often involves the presence of stubborn biofilms, protective layers formed by bacteria that can make treatment challenging. Chorus features herbs with the remarkable ability to break down these biofilms, opening the path for effective treatment and relief.

Mood Enhancement

The gut-brain connection is undeniable, and the mood-enhancing herbs in Chorus recognize this. They contribute to a brighter outlook and emotional well-being, complementing the physical aspects of digestive health.

Nourishing Your Microbiome

Chorus doesn’t stop at improving digestion; it also supports your gut’s friendly inhabitants. The supplement includes herbs rich in prebiotic fiber, providing nourishment for your beneficial gut bacteria.

Easy Digestion

One of Chorus’s most appreciated qualities is its ability to assist in breaking down foods that are typically harder to digest. With Chorus, you won’t need “cheat days” to enjoy your favorite foods without discomfort. Instead, you can relish everyday meals with ease and confidence.

“I’ve learned that simple lifestyle changes can complement the benefits of Chorus. Going for a short walk or engaging in light physical activity after meals has improved my digestion significantly. Opting for warmer foods and beverages, as opposed to cold ones, has also made a noticeable difference in my comfort and well-being.”

Tasha Testimonial

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

What is Chorus?

Bottle of Chorus Herbal Suppliment

Unlock Balanced Gut Health with Chorus!

Chorus is Your Ally Against Chronic Illness and Digestive Woes

The Importance of Gut Health

Your gut’s well-being is foundational to overall health, influencing everything from digestion to mental clarity. When your gut is out of balance, you may experience pain, fatigue, and brain fog. Chorus is designed to be your companion in reclaiming a happy, healthy gut, and a life free from these debilitating symptoms

Nature’s Answer to a Happy Gut!

  • Inspired by the Traditional Chinese Formula Bao He Wan, a time-tested remedy that reduces food stagnation and harmonizes the stomach.
  • Expertly crafted in small batches using high-quality herbs, not commonly found in the US, Chorus is a testament to uncompromised quality and effectiveness.

How Chorus Works

Chorus adopts a unique approach to gut health. It nurtures an environment where positive bacteria thrive while keeping the negative ones in check. Think of Chorus not as a mere supplement but as a careful curator of your gut’s microbial environment, ensuring a harmonious, healthy biome where your healthy flora can flourish.

Ingredients Highlight

Each ingredient in Chorus plays a pivotal role.

  • Astragalus (Huang Qi): This immune-boosting herb can help heal the gut lining and reduce inflammation.
  • Licorice Root (Gan Cao): A soothing herb, Licorice Root can help heal stomach ulcers and provide relief from heartburn and indigestion.
  • Ginger (Sheng Jiang): Known for its anti-inflammatory properties, Ginger can help speed up the movement of food through the gastrointestinal tract, reducing bloating and cramping.
  • Peppermint (Bo He): Often used to alleviate symptoms of Irritable Bowel Syndrome (IBS), including abdominal pain and bloating.
  • Atractylodes (Bai Zhu): In TCM, this herb is used to strengthen the spleen, which is crucial for digestion and absorption of nutrients

Fu Ling – Poria
Huo Xiang – Agastache
Shan Zha – Crataegus
Yi Yi Ren – Coix seed
Cang Zhu – Red atractylodes
Ge Gen – Kudzu
Shen Qu – Massa Fermentata
Bai Zhi – Angelica Dahuricae
Mu Xiang – Auklandia
Gu Ya – Rice malt
Tian Hua Fen – Tricosanthes
Hua Ju Hong – Citrus peel
Bo He – Mint
Gou Teng – Uncaria
Shi Chang Pu – Acorus
Bai Ji Li – Tribulus

Testimonials

We love it when our customers have such profound success using Chorus. Watch the videos below to hear their stories! 

Why Choose Chorus

  • Natural and Safe
  • Easy to use
  • Digestive improvement within 1-2 weeks
  • Positive Testimonials

Start your wellness journey today!

Chorus is ready to support you through chronic illnesses and stomach issues, providing the relief and wellness you seek. Are you ready to experience the Chorus difference?
Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

Movement to Alleviate Fibromyalgia Pain

Yoga For Fibromyalgia Wall Support

Living with pain and fatigue can make movement feel daunting. However, engaging in the right kind of exercise is crucial for alleviating discomfort and revitalizing your energy levels. For individuals grappling with Fibromyalgia, regular, gentle movement can enhance blood circulation, balance blood sugar, aid digestion, and uplift mood, providing a pathway out of pain and fatigue.

Understanding the Challenge

Recognizing the difficulty in initiating movement when in pain is essential. Often, attempts at exercise can result in increased pain, fatigue, and a prolonged recovery period. Such adverse outcomes can be minimized by engaging in appropriate exercises with the right intensity.

Finding the Right Balance

Living with chronic illness often feels like navigating life with an empty tank. Your energy reserves are depleted, and the wrong type of exercise might empty them further, leaving you more exhausted and in pain. The key is finding a balanced approach to exercise – one that adds to your ‘energy tank’, not depletes it further

Consistent, low-intensity activities can be incorporated into your daily or bi-daily routine, promoting gradual and sustainable improvement.

The Right Exercise

Ease into It

Begin with non-intensive activities that promote relaxation and gradual improvement without causing further fatigue. For example, foot soaks are not only soothing but also effective in enhancing blood circulation. The warmth can help expand the blood vessels, increasing the blood flow to extremities and thereby alleviating pain. Incorporating intentional breathing exercises during foot soaks can further aid in activating your lymphatic system. Gentle contractions of the calf muscles, while soaking, can stimulate metabolism and help balance blood sugar levels, providing a supportive foundation for more active exercises as your strength and endurance improve.

Shaking Exercises

Shaking exercises offer a gentle way to increase exercise intensity. Starting with small, comfortable movements and progressively intensifying as you feel able can effectively stimulate blood flow, combat fatigue, and activate muscles in a way that is gentle and supportive to your body’s needs. Improved circulation from these exercises delivers more oxygen and nutrients to your cells while helping to remove waste products, aiding in overall energy improvement and recovery.

 Patting Exercises

Patting exercises not only stimulate the skin and muscles but are also beneficial for the lymphatic system. The lymphatic system, a network of tissues and organs, helps rid the body of toxins and waste. It relies heavily on physical movement to transport the lymph fluid. Patting and self-massage techniques can help move this fluid, reducing swelling and improving your body’s ability to fight infection and disease.

Gentle Stretching Exercises

Following patting exercises, incorporate gentle stretching into your routine. Stretching can help reduce inflammation in the body, a common issue with chronic illnesses. It also assists in balancing the nervous system, offering relaxation and a reduction in pain. Gentle stretching of the connective tissues helps release tension, providing a sense of relief and relaxation, while deep, controlled breathing during stretching can help further activate the parasympathetic nervous system, promoting a state of calmness and relaxation in the body.

Exercise Tips

  • Always stop exercising while still feeling good.
  • Avoid over-exertion and tiredness. Given that chronic pain and fatigue often accompany a stressed and tired body, it’s important to ensure these exercises support rather than strain your system.

Goal of These Exercises

Improving Microcirculation

Microcirculation refers to the flow of blood through the smallest blood vessels in the body, which includes capillaries, arterioles, and venules. These microscopic vessels are crucial for delivering oxygen and nutrients to the tissues and removing waste products. In conditions like Fibromyalgia, there’s observed impairment in microcirculation, leading to inadequate supply and removal processes in the body’s tissues

Improving microcirculation through gentle exercises can hence optimize the delivery of nutrients and oxygen to cells, facilitating better cellular function and tissue repair. Enhanced microcirculation also contributes to alleviating pain and fatigue experienced by Fibromyalgia patients, as it fosters efficient waste removal and decreases inflammation in the body’s tissue.

Boosting Lymphatic Flow

The lymphatic system plays a pivotal role in maintaining the body’s fluid balance and defending against infections. Unlike the cardiovascular system, the lymphatic system lacks a central pump; instead, it relies on muscle contractions and movements to propel lymph fluids through the body.

For Fibromyalgia patients, encouraging lymphatic flow is essential for reducing swelling and inflammation often associated with the condition. Gentle movements serve as a catalyst for this system, helping transport lymph fluid effectively, thereby aiding in the elimination of waste and toxins from the body. This process, in turn, supports the immune system and helps in mitigating the symptoms of Fibromyalgia.

Balancing the Nervous System

Fibromyalgia patients often exhibit an overactive sympathetic nervous system, which is the part responsible for the ‘fight or flight’ response. An imbalance in the nervous system can exacerbate pain and stress levels in the body. Gentle stretching and mindful breathing exercises can aid in rebalancing the nervous system, promoting relaxation and stress reduction.

Breathing exercises, in particular, serve as a bridge between the conscious and unconscious functions of the body. Long, slow exhalations can stimulate the parasympathetic nervous system, or the ‘rest and digest’ system, facilitating a state of calmness and relaxation. These exercises can also ease muscle tension and contribute to better sleep, which is crucial for individuals with Fibromyalgia.

Don't Give Up

Through an understanding of and focus on improving microcirculation, boosting lymphatic flow, and balancing the nervous system, individuals suffering from Fibromyalgia can experience significant relief from their symptoms. Incorporating gentle, intentional movements into one’s daily routine can be a transformative approach to managing Fibromyalgia, promoting not only pain relief but also an enhanced sense of overall well-being and quality of life.

Free Yoga Class!

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About the Author

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.

Fuling: Herbal Supplement for Chronic Conditions

Bottle of Chorus Herbal Suppliment

For centuries, Fuling, known scientifically as Poria cocos (Bai Fu Ling), has been a cornerstone in traditional healing approaches for chronic conditions. Its revered ability to nourish both spirit and body often equated to promises of extended life. In today’s era, while mushrooms like Lion’s Mane, turkeytail, Reishi, and Cordyceps steal the spotlight, it’s Fuling that remains a powerful, yet underrepresented ally for many facing health challenges

Bai Fu Ling   

Poria cocos (Bai Fu Ling) boasts a rich history in ancient medical practices. Traditionally hailed for nourishing both the spirit and body, its reputed benefits promised a longer life. Remarkably, its relevance echoes today, especially when considering the staggering 1 in 3 Americans who are prediabetic.

Research

Looking at the research on Fuling’s benefits, one can’t help but notice most studies were conducted on mice. Perhaps that’s the secret behind the Teenage Mutant Ninja Turtles’ strength? Jokes aside, the results across these rodent studies are consistently promising, coupling these findings with its legacy in Chinese medicine gives compelling reasons to consider incorporating Fuling into our wellness routines.

Balancing Blood Sugar

The objective here was to uncover Poria cocos’ effects on type 2 diabetes. Through thorough phytochemical analysis, diabetic mouse model studies, and identification of its chemical compounds, the results were enlightening. Poria cocos extract showcased its potential by effectively lowering blood sugar levels in these mice.

Easing the Mind

The second research venture sought to unveil Poria cocos’ antidepressant capabilities. Behavioral tests on rats combined with evaluations of their brain chemical levels revealed astonishing outcomes. The mushroom extract may very well act as an antidepressant, addressing both anxiety and depression in rats.

Guarding the Heart

Can Poria cocos combat atherosclerosis? Mice subjected to a high-fat diet and subsequent evaluation of their artery health suggested so. One particular ingredient, PCP, emerged as a possible guardian against artery disease.

Natural Diuretic

To comprehend its effects on diuresis and water retention, various Poria cocos extracts underwent testing on rats. The takeaway? Certain extracts demonstrated potent diuretic properties, emphasizing its role in managing water balance.

Liver’s Guardian

The aim here was pinpointed – to understand if PCP can shield against liver damage induced by acetaminophen. Evaluations on both mouse and liver cell studies painted a hopeful picture. The evidence suggests that PCP plays a protective role against such damage.

Chorus

While popular mushroom supplements continue to dominate the market, it’s high time we reevaluate our choices. Poria cocos, with its myriad of benefits, beckons for a closer look. Given its potential, isn’t it worth exploring over its more popular counterparts?

For those curious souls yearning for a holistic approach to health, why not explore the lesser-known wonders of Poria cocos?”Unlock the ancient secrets of Fuling with a 3-month subscription to Chorus! Embrace a journey of wellness and discovery. Don’t miss out—subscribe now and transform your health!”.

About the Author

Brehan Crawford in the Snow
For more insights, collaborations, or to reach out to Brehan, you can connect with him through his online platforms:

Brehan Crawford, based in McMinnville, Oregon, is a distinguished clinician specializing in the treatment of chronic conditions, particularly Lyme Disease and its coinfections. After earning his Master’s degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in 2009, he deepened his expertise with a 5-year residency under the mentorship of the renowned Dr. Heiner Fruehauf at the Hai Shan Clinic. A Diplomate of Oriental Medicine from the NCCAOM, Brehan has pioneered innovative methods using Traditional Chinese Medicine for chronic infections. Known for mentoring other professionals, he regularly imparts knowledge on advanced Chinese herbal medicine applications. Beyond his clinical pursuits, Brehan enjoys singing, cooking, and hiking.