Blind loop syndrome is usually treated by addressing the underlying problem, i.e. removing or repairing the blind loop, stricture or fistula that is causing the issue. In cases where this is not possible treatment focuses instead on eliminating bacterial overgrowth and correcting nutritional deficiencies.
Most people with blind loop syndrome are prescribed a short course of antibiotics to control the bacterial overgrowth that is responsible for their symptoms. Obviously, the bacteria will eventually return once the antibiotics are stopped so blind loop sufferers may need regular courses in order to keep things under control.
Your doctor will probably change your antibiotics regularly to prevent bacterial resistance. You may experience some side effects from certain drugs, including diarrhea and switching to different drugs can help to avoid this problem.
An extremely important part of treating blind loop syndrome is the correction of nutritional deficiencies, especially in those suffering from severe weight loss and malnutrition.
This is normally achieved through the prescription of supplements including:
vitamin B-12
calcium
iron
In addition, a lactose-free diet is often recommended. This is because the small intestine cannot efficiently digest lactose (milk sugar) if it is damaged. With the exception of pro-biotic yogurt, which can be beneficial in controlling gut bacteria, dairy products and any foods containing lactose should be avoided.
Triglycerides are dietary fats, and most consist of long-chain fat molecules that can be difficult to digest. The inclusion of medium-chain triglycerides in the diet can aid digestion. Coconut oil is a good source of medium-chain triglycerides and they can also be taken as a dietary supplement.
With correct dietary management and drug therapy, blind loop syndrome sufferers can lead a normal life, even without surgery.