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Rooted

Digestive

SIBO-type bloating (adjunct)

4 plants

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A lot of 'SIBO' in clinic is IBS-D plus a podcast. If you are treating a positive breath test, the antibiotic/elemental plan is still the plan. Enteric peppermint is an IBS spasm file. Goldenseal and Oregon grape are berberine bitters with antimicrobial folklore and a CYP/glucose file — conservation and pregnancy stop goldenseal. Do not stack three antimicrobials and call it a protocol.

Primary plants

  1. Peppermint (Mentha × piperita)
    1
    PeppermintHuman data

    Mentha × piperita

    Enteric-coated oil is the IBS spasm file. Useful if the leftover is crampy bloating, not as SIBO monotherapy.

    Typical. Adults: 0.2–0.4 mL enteric-coated oil bid–tid (EMA HMPC-type range).

    Safety. GERD if coat fails. Never in infants.

  2. Oregon grape (Mahonia aquifolium)
    2
    Oregon grapeStrong traditional

    Mahonia aquifolium

    Berberine bark. Some infectious-diarrhea/bitter tradition. Not a validated SIBO course.

    Typical. If used at all: short labeled extract, not a three-month 'kill protocol.'

    Safety. Pregnancy no. CYP/P-gp, glucose. Not C. diff coverage.

Supportive plants2
  • Goldenseal (Hydrastis canadensis)
    GoldensealStrong traditional
    Hydrastis canadensis

    Same alkaloid family. At-risk in the wild. Last-line adjunct if they already bought it.

    Typical. Short labeled product only.

    Safety. Conservation. Pregnancy no. CYP/P-gp.

  • Fennel (Foeniculum vulgare)
    FennelStrong traditional
    Foeniculum vulgare

    Carminative for gas. Honest traditional.

    Typical. Seed tea.

    Safety. Apiaceae.

Clinical notes

  • Methane-predominant constipation-type pictures still need motility thinking, not more berberine.

When this is not enough

  • Steatorrhea, weight loss, blood, fever, post-surgical blind loop needing GI, pregnancy 'herbal antibiotic' plans

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All digestive diagnoses