Probiotics for SIBO?

Posted by caregiver333 @caregiver333, Dec 13, 2024

My elderly (90yo) mother is kept up at night by stomach gas and belching. She had a positive lactulose breath test based on an early hydrogen rise at 90 min. She has been offered a rifaximin Rx but prefers to avoid antibiotics. Is there a probiotic regimen that might help?

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Profile picture for jaci50 @jaci50

I've been diagnosed with SIBO/IMO and was on XIFAXAN & Neomycin for SIBO. I was told it's short term medication and to use the FOBMAP diet. I am currently making my recipes from a SIBO cookbook. However my bloating continues and my stomach is still swollen. I exercise 3-4 days a week, but nothing is working to get my abdomen flattened.
Any suggestions?

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@jaci50 Yes, stay off of the antibiotics. Anti=against life. Pro (probiotics) = pro life. That's where you start. Antibiotics is what got me there.....SIBO. So I refused to use it to supposedly fix it???? It was a no-brainer to me. I am eventually getting better but it's a slow process. I did go with the FODMAP diet. That helped tremendously. Listen mostly to your body. Take some advice from others but don't use it unless it helps you personally. And, I would suggest keeping a daily journal of what you eat. That will help to pinpoint what helps and what doesn't. My body responded well to acacia fiber, 3 tsps at bedtime. And also fresh veggies, steamed veggies and protein with carbs (low) i.e. meat and potatoes. Good luck!

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Profile picture for dp1310 @dp1310

@cheyne I paid 3,000 for the antibiotics. You just keep them on hand?

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@dp1310 Aye carumba!

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Profile picture for scpam @scpam

Waiting on the results of my SIBO test. In the meantime my GI recommended Oil of Oregano and a probiotic called VSL 3. Too early for me to see any results. Just started.

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@scpam I've read to be cautious about oil of oregano as it can kill both good and bad bacteria. Just sayin'

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Profile picture for jeepgrl @jeepgrl

@jaci50 Yes, stay off of the antibiotics. Anti=against life. Pro (probiotics) = pro life. That's where you start. Antibiotics is what got me there.....SIBO. So I refused to use it to supposedly fix it???? It was a no-brainer to me. I am eventually getting better but it's a slow process. I did go with the FODMAP diet. That helped tremendously. Listen mostly to your body. Take some advice from others but don't use it unless it helps you personally. And, I would suggest keeping a daily journal of what you eat. That will help to pinpoint what helps and what doesn't. My body responded well to acacia fiber, 3 tsps at bedtime. And also fresh veggies, steamed veggies and protein with carbs (low) i.e. meat and potatoes. Good luck!

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@jeepgrl
Thank you this is awesome! I am currently not on any antibiotics and after reading your note here, I don’t plan on them at all. I am on the FOD map Diet and I do record everything I eat as if I’m counting macros. I hate the fact that it takes a while to lose it, but I will continue to diet and watch what I eat. I’m also gluten-free and dairy free right now.

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Profile picture for cheyne @cheyne

Hi,
SIBO is food fermenting, rotting in the lower intestine where it shouldn't be happening, causing the problem and no amount of probiotics will cure it, in fact it is more likely to feed the SIBO, if it can get down to the small intestine. A course of drugs, Antibiotics, is required to neutralize and kill it off with strict adherence to the prescribed diet as well. After the course then back to your normal diet being wary of what you are ingesting incase it happens again. If lucky 10 days of medication will kill it off, a second course may be required to be sure. If this doesn't work it then gets expensive with a more severe course of drugs and a special diet powder. I can't comment on the latter as I haven't required it, yet.
There is little point in taking meds without the diet as you are defeating the purpose of the medication regime. Delaying the inevitable just allows the situation to get worse in my experience. Once you have it it doesn't go away by itself, it just grows, literally.
In the early days I thought I could wait it out and the body would fix it, not true, just wasted my time waiting as the symptoms got worse and became far more uncomfortable to live with.
Cheers

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@cheyne
Hope you have gotten acceptable relief from your SIBO. I had my gallbladder removed almost 10 years ago and have had classic SIBO symptoms since then. Finally had the breath test and confirmed that I have methane, on the course of two antibiotics for two weeks, BUT symptoms seem worse if anything and my gastro didn't say anything about being on the FODMAP diet while taking the antibiotics. My lifestyle is healthy, no alcohol or smoking, exercise, weight good, etc. and I eat quite healthy but do consume sugar, mostly in the form of chocolate and other sweets, no sodas or high fructose items. I also take fermented foods in small quantities and have tried pro and prebiotics. Nothing has really helped. I will of course address these concerns with my gastro, but even though your post is over 3 years ago, thought I'd reach out. Any strategies that have helped a fellow SIBO sufferer will be appreciated. I'll do the 2 weeks of antibiotics but hesitate to do more than that. In general, I try to avoid antibiotics because of their collateral damage, but understand that the two prescribed for SIBO are targeted.

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Profile picture for dp1310 @dp1310

I did the antibiotics but I ask the Dr. about a special diet like the FOD map and he said no need.

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@dp1310
My gastro didn't emphasize the FODMAP diet either, maybe because so few people are able to stick to it! I'm taking the antibiotics but so far, symptoms same or worse. I suspect it's my Achilles Heel, sweets in relatively healthy form but still too many, that are causing the bloating and abdominal discomfort I've had for almost 10 years now. I refer to my puffy gut as the being who lives inside me but isn't paying rent!

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Has anyone tried naturally fermented foods? such as kraut, fermented olives, kimchi? I take a bit of refrigerated kraut daily and that seems to provide good gut support for me. I also avoid antibiotics like the plague.

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Profile picture for betsywriter49 @betsywriter49

@cheyne
Hope you have gotten acceptable relief from your SIBO. I had my gallbladder removed almost 10 years ago and have had classic SIBO symptoms since then. Finally had the breath test and confirmed that I have methane, on the course of two antibiotics for two weeks, BUT symptoms seem worse if anything and my gastro didn't say anything about being on the FODMAP diet while taking the antibiotics. My lifestyle is healthy, no alcohol or smoking, exercise, weight good, etc. and I eat quite healthy but do consume sugar, mostly in the form of chocolate and other sweets, no sodas or high fructose items. I also take fermented foods in small quantities and have tried pro and prebiotics. Nothing has really helped. I will of course address these concerns with my gastro, but even though your post is over 3 years ago, thought I'd reach out. Any strategies that have helped a fellow SIBO sufferer will be appreciated. I'll do the 2 weeks of antibiotics but hesitate to do more than that. In general, I try to avoid antibiotics because of their collateral damage, but understand that the two prescribed for SIBO are targeted.

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@betsywriter49
Hi,
I ended up taking two courses of medicine to ensure we got it all. From memory it wasn't until close to the end of the first course that it looked positive. Yes, it did feel worse initially. I had to trust in the process. Had it failed then it was a vastly more expensive course of medicine and pre prepared dietary food. Indeed, I blamed the massive dose of antibiotics but that proved incorrect.
Cheers

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Profile picture for betsywriter49 @betsywriter49

@cheyne
Hope you have gotten acceptable relief from your SIBO. I had my gallbladder removed almost 10 years ago and have had classic SIBO symptoms since then. Finally had the breath test and confirmed that I have methane, on the course of two antibiotics for two weeks, BUT symptoms seem worse if anything and my gastro didn't say anything about being on the FODMAP diet while taking the antibiotics. My lifestyle is healthy, no alcohol or smoking, exercise, weight good, etc. and I eat quite healthy but do consume sugar, mostly in the form of chocolate and other sweets, no sodas or high fructose items. I also take fermented foods in small quantities and have tried pro and prebiotics. Nothing has really helped. I will of course address these concerns with my gastro, but even though your post is over 3 years ago, thought I'd reach out. Any strategies that have helped a fellow SIBO sufferer will be appreciated. I'll do the 2 weeks of antibiotics but hesitate to do more than that. In general, I try to avoid antibiotics because of their collateral damage, but understand that the two prescribed for SIBO are targeted.

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@betsywriter49, didn't do the antibiotics, though know someone that worked well for after a second course. Just doing the low fodmap diet, plus Miralax and Metamucil to stay regular, and simethecone as needed for residual stomach gas.

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Everyone needs their own personal food map.
You know what affects you how, keep track and why do so many find a need to be able to simple eat anything that cones into their heart or line of sight.
Just saying - i know it is difficult first hand.
Personally, I have found sugar can exacerbate SIBO conditions when they arise in me.

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