Q I've been taking acid-suppressing medication (PPI) long-term. Is it related to SIBO? Can I receive Korean medicine treatment alongside it?
A Long-term PPI use reduces gastric acid's bactericidal action and can increase the risk of SIBO. Combining Korean medicine treatment is possible; consult the prescribing doctor about whether to reduce the PPI if appropriate.
Detailed Answer
Gastric acid serves as an important defense that suppresses bacteria passing into the small intestine. Long-term PPI use weakens this defense, making it easy for small intestinal bacteria to increase. Do not suddenly stop taking PPIs as rebound acid increase can occur; consult your doctor before adjusting.
Korean Medicine Clinic Perspective
Taking herbal medicine and PPIs with a 1–2 hour interval allows combination use. As small intestinal motility recovers and the gastric acid environment improves, the doctor can review whether PPI dependence can be gradually reduced.
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