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How to release a stuck ileocecal valve

hello SIBO patients and SIBO

practitioners it's dr. neurological be

the SIBO doctor talking to you today

from the beautiful biome clinic in

northern New South Wales in Australia

where I practice and see patients today

I want to talk to you about the

ileocecal valve and why it's important

if you have SIBO or gut problems

so the ileocecal valve is a valve that

connects the small to the large

intestine and really it's meant to flow

only in one direction as you can imagine

it foodists as it's being digested is

supposed to go down this tube and enter

the large intestine and not backflow

into the small intestine the large

intestine is where most of your good

bacteria live so it's not ideal to have

a backflow of bacteria into the small

intestine where it could cause SIBO so

the ileocecal valve can sometimes be

chronically open or and sometimes be

chronically stuck or closed so sometimes

when patients are constipated this can

be their problem and sometimes when they

are other sort of issues around the

ileocecal valve like tenderness or

bloating in the lower abdomen and so

forth sometimes the ileocecal valve it's

good to assess it and to see if this

needs to be manipulated to either close

or open so the this treatment I often

teach my patients because it's often

also an underlying cause of SIBO

so we do want to address underlying

causes as much as possible to prevent

relapse so think about this manoeuvre

for patients that are either chronically

constipated have a lot of tenderness in

the right lower quadrant right at

McBurney's point for those medicals that

are out there that's the area that you

normally palpate for appendicitis so

I'll show you just how easy it is to

teach your patients something that they

can do at home in three minutes and over

time this can really help tonify the

ileocecal valve to remain closed so that

the contents of the large intestine can

remain in the large

testing so let me show you how to do

this okay I'm gonna walk you through the

procedure or the maneuver first before I

demonstrate so basically the idea is

that your tractioning the underlying

fascia of the abdomen towards the navel

and holding it there while rotating the

right leg in and out and that holding of

the fascia and then moving the leg in

and out helps to release the ileocecal

valve so let me show you first I'll show

you myself and then I show you how I

teach my patient how to do it on

themselves because it's sometimes a bit

tricky

okay so let's first find the right hip

bone also known as the anterior superior

iliac spine but basically the hip bones

are right hip bone and somewhere between

the navel and the hip bone about a third

of the way in is roughly the area of the

ileocecal valve so we want to have this

hip bone so it'd be exposed and then

we're going to just push down with the

fingers and then traction it towards the

navel until you really have a good

traction going now at this point the

patient starts to rotate the right leg

in and out so and you're going to hold

that for about three minutes now the

patient is gonna do this every evening

before going to bed for three minutes

you can set a timer and she can just

hold this herself but at first I show it

to her how to do it and how to hold it

for three minutes okay so I'm gonna

release now and imagine that was three

minutes if you want to show you a

patient how to do it it's just as easy

and I would actually use sort of like as

start with two fingers and kind of show

how hard you want to go how how much

traction you want to do so if you can

push towards your belly button you might

need the other hand as well so you can

actually pull well actually yeah let's

let's start that's good and then

traction towards the belly button so

that's perfect and then doing three

minutes of road

in a rotation and outward rotation of

the leg and every night for three

minutes and before going to bed should

help to release and reset the ileocecal

valve hope you enjoyed that