How to manage SIBO symptoms?

Posted by jacque6977 @jacque6977, Feb 22, 2017

My wife, after years of suffering from debilitating nausea and fatigue, has finally been diagnosed with SIBO as confirmed by a hydrogen breath test. It is estimated the bacteria has had at least two years to grow and may be well established. She has started on Xifaxan, at $35 per pill, but it is estimated that elimination of the SIBO may take up to six months. Her day now starts with her waking up with nausea and when she has a cup of tea and toast in the morning she gets sick within fifteen minutes thereafter. Her sickness is accompanied by violent belching, and at times she regurgitates liquid vile. The only drug she has for nausea is Zofran which does nothing for her. Are there any other SIBO sufferers that are experiencing the same symptoms, and what are you taking to reduce the nausea?

Interested in more discussions like this? Go to the Digestive Health Support Group.

For me fruit and high fiber foods don't digest but instead ferment in my uper intestine and cause gases and bacteria overgrowth.

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Profile picture for tykehome @tykehome

I am struggling with Methane SIBO and Gastroparesis for a couple years now. I was on Xifaxin last year and it worked quite well and had to take it again and the results didn't last as long and the symptoms returned. I had to transfer my care locally as it's costly for me to travel to Mayo. I was then prescribed by my local GI doctor, the Antibiotic Neomycin in combination with Flagyl. I was on a daily dose of 6000mg Neomycin and 1500mg Flagyl. It didn't help and was wondering if anyone has been prescribed Neomycin and at what dose? I ask because I suffered hearing loss and nerve damage from being on a high dose for over 10 days. I also developed an insanely loud noise in my ears called Tinnitus. I was told I have Neurotoxicity. No one can help that from what I've been told. I was in the ER 2x from complications and have seen maybe 6 specialists. Has anyone ever tried Neomycin or anyone have knowledge on dosage? I called my Mayo Doctor and he said they don't even use Neomycin. The other doctors I saw were shocked by the dosage and everyone referred me to Mayo for help but Mayo has told me they can't help further and I have to "live" with it. I'm desperate for anyone who can help! Thank you.

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My gastroenterologist thought I had SIBO.
If I remember correctly.. years ago... she took a biopsy:

Took an antibiotic: OK, then
symptoms continued with itchy skin(dermatitis herpetiformis).

Follow up much later at the only out patient hospital that did breath testing for celiac disease.
I cannot eat wheat!

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Profile picture for Ellen @helenfrances

My gastroenterologist thought I had SIBO.
If I remember correctly.. years ago... she took a biopsy:

Took an antibiotic: OK, then
symptoms continued with itchy skin(dermatitis herpetiformis).

Follow up much later at the only out patient hospital that did breath testing for celiac disease.
I cannot eat wheat!

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To date, no study aimed to clinically evaluate the use of probiotics in patients with celiac disease has met its primary outcome. Patients with untreated celiac disease administered Bifidobacterium infantis did not have an improvement in intestinal permeability compared to patients with untreated celiac disease who received placebo. Patients with celiac disease with persistent symptoms despite a gluten-free diet treated with VSL #3 were found to have a fecal microbiota (distribution of microbes in the stool, which is thought to be fairly representative of that of the intestine) that was not significantly different than patients treated with placebo.
Finally, the possibility of probiotics aiding in gluten digestion seems slim given the recent failure of a mixture of two gluten-targeting enzymes to significantly alter the intestinal healing process in patients with celiac disease in a phase 3 study.

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Profile picture for saucy @saucy

Please find out what foods is causing this. I had it, it's a food insensitivity. Will have to do the work and eliminate foods till you find which ones are causing the bacterial overgrowth. Meds are temporary and cause many side effects. You will get use to a limited diet because you'll feel so much better it won't be worth the few minutes of pleasure. You'll find all kinds of ailments you have will go away!

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Thanks for sharing your experience. I've done the food elimination diet, the gastroparesis diet, SIBO diet, etc... My gut just doesn't move so that's an issue in itself. I eat a VERY limited diet right now. The foods that are supposed to be helpful are no better for me than the ones they say are worse for my condition. I do appreciate all insights and advice as I'm always learning and I know it may help others who read this thread! Hope you are well...

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Profile picture for maryannegau @maryannegau

<p>I've been battle SIBO for months now and have tried Rifaxin, Flagyl and antiviral meds. Also have tried Zithromax and am taking Atrantil (an herbal remedy). I can't eat sugar or carbs or my stomach hurts quite alot. Any suggestions?</p>

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I have been all over this forum after doctors told me I had this or that. I was starting to think I was crazy. Then one of my tests showed gastroparesis. Now my new gastro from down state has ruled out everything but now she has zeroed in on SIBO as well as BAM.

Between these two things my symptom list is long. One of my more annoying symptoms is this dang inner vibration that seems to be my stomach not working properly. My hair falls out, I have burning diarrhea then constipation. The Vagus nerve gets irritated setting off anxiety. Weird sweating episodes, light headedness, wright loss, dry skin. Insomnia and incredible fatigue. Low b12, low vitamin D. However they can't figure out my high calcium.

It has been absolutely awful. Doc should be prescribing antibiotics this coming week.

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Profile picture for bumble81 @bumble81

I have been all over this forum after doctors told me I had this or that. I was starting to think I was crazy. Then one of my tests showed gastroparesis. Now my new gastro from down state has ruled out everything but now she has zeroed in on SIBO as well as BAM.

Between these two things my symptom list is long. One of my more annoying symptoms is this dang inner vibration that seems to be my stomach not working properly. My hair falls out, I have burning diarrhea then constipation. The Vagus nerve gets irritated setting off anxiety. Weird sweating episodes, light headedness, wright loss, dry skin. Insomnia and incredible fatigue. Low b12, low vitamin D. However they can't figure out my high calcium.

It has been absolutely awful. Doc should be prescribing antibiotics this coming week.

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@bumble81, I'm so glad that you and your doctor finally got things figured out as you said, and that you have a diagnosis of SIBO that is possible causing bile acid malabsorption (BAM).

You'll notice that I moved your message to this existing discussion group called "Small intestinal bacterial overgrowth (SIBO)" I did this so you can connect with others like @astaingegerdm @sita @jackiem95 @thull and others. Click VIEW & REPLY to read through past posts.

@bumble81, you mentioned that you'll be prescribed antibiotics. When will you start and for how long? Did your doctor talk to you about pro-biotics?

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Profile picture for guthealth @guthealth

I decided to join this discussion as it appears that I am now in what I call the SIBO limbo or no man’s land. From reading these posts it seems like my struggle has just begun. My symptoms began in mid July and it is believed that two consecutive rounds of antibiotics to treat two different conditions triggered it. I cracked a crown in late May and ended up with an extraction and implant. I took an antibiotic then but can’t remember what it was. Then I went for my annual physical in late June and was prescribed Clindimycin for a UTI. Symptoms of diarrhea, gas and bloating started about a week after I finished the Clindimycin. Long story short, my internist thought I had contracted CDiff from the Clindimycin and put me on Flagyl for ten days and performed a stool test which came back negative. The Flagyl helped for a week but then the symptoms restarted. My internist basically dismissed me at that point and told me to find a GI doctor, which took a few weeks and lots of phone calls. The GI doctor performed some routine blood work which was normal, and sent me for a CT scan of my belly, which fortunately also came back normal. He diagnosed me with SIBO and dysbiosis based on my symptoms (no breath test) and put me on another round of Flagyl. The cost of the Xifaxan would have been nearly $1500.00 for two weeks. So I took the Flagyl again since I tolerated it the first time. It helped for about two weeks and I then gradually slid back to the loose stools and lots of gas. He also put me on a low FODMAP diet, which helps a little but does not eliminate symptoms either. I have lost 15 pounds in three months due to diarrhea and being afraid to eat anything. I had a routine colonoscopy last year which was normal and I think that is why the gastro doctor is not in a rush to do another one (plus the normal CT scan). So here I am. I am not on medication right now, not eating much, afraid to eat anything. I am not even sure I have the correct diagnosis, but too many carbs make me gassier and when I am gassier I also tend to have looser stools. I go to work but rarely socialize with friends because it all revolves around food. Thankfully I am married and my husband has been very supportive. I cry a lot and have dark moments when I think I have cancer or will never be well again. I am afraid of what the gastro doctor will say when I see him next or that he will tell me there is nothing else he can do for me like my internist who basically abandoned me. How long have other group members been coping with this and what has helped? I am now researching a diet called the specific carbohydrate diet. Anyway, feeling desperate and looking for solutions like all of you. Thank you for “listening.” I hope I can also be of support to others here.

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I found a technology from Ireland that has been a life changer in drilling down into what my specific food offenders are http://www.FoodMarble.com 40 million Americans have some form of this,you did a beautiful job describing the disease and lack of solutions. Also a new company that provides meal(very tasty) for us people is modify health.com
Best of luck

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Profile picture for lpolaka @lpolaka

I found a technology from Ireland that has been a life changer in drilling down into what my specific food offenders are http://www.FoodMarble.com 40 million Americans have some form of this,you did a beautiful job describing the disease and lack of solutions. Also a new company that provides meal(very tasty) for us people is modify health.com
Best of luck

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Anyone else tried this food marble thing, and how did it work for you ?

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Hello all,
I have not been on in many months because my mental health is very bad.
A little back story, I diagnosed myself with slipping rib syndrome and drove 8hrs to have official diagnosis and surgery. It alleviated a lot of my debilitating pain, internal vibrations, back burning etc.
Fast forward and I still have intense abdominal pain and finally after asking for tests I have SIBO. There is so much contradicting information I'm driving myself mad. I started antibiotics yesterday and still have abdominal pain. I know it can take time.
I also continue to get a lump near my belly button and when its palpitated you can feel the abdominal aorta. PT is very confused if its intestine or muscle spasm. My doctors do not listen when I say I have pain there, but something feels off and creates pain. At this point I don't know if its a has bubble or muscle. I've had scans last summer and there is nothing to show, but what is the lump? And why does it hurt?
I posted this in hopes to find someone with successful treatments of SIBO?? I just want to feel better 🙁

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Profile picture for brayimee @brayimee

Hello all,
I have not been on in many months because my mental health is very bad.
A little back story, I diagnosed myself with slipping rib syndrome and drove 8hrs to have official diagnosis and surgery. It alleviated a lot of my debilitating pain, internal vibrations, back burning etc.
Fast forward and I still have intense abdominal pain and finally after asking for tests I have SIBO. There is so much contradicting information I'm driving myself mad. I started antibiotics yesterday and still have abdominal pain. I know it can take time.
I also continue to get a lump near my belly button and when its palpitated you can feel the abdominal aorta. PT is very confused if its intestine or muscle spasm. My doctors do not listen when I say I have pain there, but something feels off and creates pain. At this point I don't know if its a has bubble or muscle. I've had scans last summer and there is nothing to show, but what is the lump? And why does it hurt?
I posted this in hopes to find someone with successful treatments of SIBO?? I just want to feel better 🙁

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Hi @brayimee, welcome back. I am sorry to hear that your mental health is bad. I sincerely hope you are speaking with your medical care team and ensuring that gets resolved.
You will notice that I moved your inquiry to an ongoing discussion about SIBO so that you can connect with people that are having similar issues and perhaps find a member with successful treatment. I see that you are having some pain associated with a lump near your belly button too. Have you requested for the physician to check for a hernia? Is the lump always there or does it come and go?

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