Small Intestine Bacterial Overgrowth (SIBO Diet)
This diet should reduce your symptoms and will assist you treatment regime. Continue the diet as well as the probiotic until advised to stop. Some patients may require the diet for long periods of time. The diet is moderate in fiber (but restricts some raw vegetables), low fat and low in certain carbohydrates. Some carbohydrates and sugar substitutes actually feed the bacteria that are a problem. Avoid fiber supplements (Metamucil etc.)
sugars/sugar substitutes:
Allowed sugars: glucose, sucrose, aspartame (Nutra sweet), saccharin.
AVOID: Lactose dairy, milk) fructose concentrate, lactulose, Splenda (sucralose), mannitol sorbitol (sugar free gum/mints), oligosaccharides (soy milk), corn syrup (regular sodas many others sweetened foods).
probitoic therapy:
Probitoics are the “good bacteria” that needs to be replenished with this condition. It is important to take the probitoics 1-2 times daily as advised. (refer to probitoics handout).
water:
Drink about 64 ounces per day (8oz glasses). Drink 16 ounces with each meal and the remainder between meals.
beverages
allowed
Lactaid milk (1cup/day)
diet beverages sweetened with aspartame only no splenda
coffee, tea, and decaffeinated beverages, drinks with no corn syrup, rice milk, 64oz of water/day
not allowed
Milk, soy milk, alcohol, beverages/sodas, that contain corn syrup, fruit juice
breads, cereal, rice and pasta (limit to 1-1½ serving/meal)
allowed
White bread, rolls, crackers hamburger and hot dog buns; cooked or dry refined cereals (grits, cream, of wheat, rice krispies , corn flakes, Special K), rice spaghetti (plain no spicy sauce), potatoes (no skin)
not allowed
Whole grain breads or cereal, any containing nuts, seeds, or dried fruit, granola type cereal, highly seasoned, high fat or whole grain snack crackers or pasta, brown or wild rice, biscuits, pancakes, donuts, French fries
fruit (limit 2 servings per day)
allowed
Canned (in water) fruit, applesauce apricots, ripe bananas, peeled fresh fruit
not allowed
All dried fruit, fruit juices
sibo diet
vegetables
allowed
Tender, cooked vegetables, salad mix-limited to 1 cup and only contain lettuce, tomato, cucumber vegetable juices (not V8), tomato sauce (plain, not spicy)
not allowed
Raw vegetables, fried vegetables, dried beans (red, white pinto, garbanzo, legumes)
meat
allowed
Baked, boiled, broiled, roasted, stewed, microwaved meat or fish, very tender chicken, turkey, veal, beef, lamb, lean pork, tofu, egg 1/day (not fried), or egg substitute, tuna, crawfish, shrimp, crab, lean deli meats
not allowed
All fried meats or any cooked in a fatty roux/cream sauce, tough, stringy, highly seasoned meats, sausage, boudin, regular cold cuts, hot dogs, sharp cheese, yogurt, soy products
soups
allowed
Clear broth based soups, chicken or turkey noodle, chicken with rice
not allowed
All others
fats/oils 1tsp/meal
allowed
Margarine (regular and reduced fat), butter, mayonnaise, oil. Non-dairy creamers, vinaigrette
not allowed
All others
All fried foods, salad dressings besides vinaigrette
desserts & sweets
allowed
Sugar, honey, molasses, aspartame, saccharin, hard candies, plain cakes (angel food, sponge), plain cookies (animal, sugar, vanilla wafers), Jell-O
not allowed
Jams, marmalade, all sweets and desserts containing nuts, coconut, chocolate, Splenda, any food or dessert that contains corn syrup
miscellaneous
allowed
Seasonings, herbs, pepper
not allowed
ketchup, barbeque sauce, salad dressings (containing corn syrup), all soy products, coconut, olives, pickles, nuts, popcorn, steak sauce
Nutrition counseling is available with a registered dietitian in the office. To schedule an appointment, please call (337) 232-6697.