Hello @fritz65 and @mdonaghy,

Welcome to Connect. You may notice that I moved your discussion and combined it with this existing discussion on SIBO. I did this asI thought it would be beneficial for you to be introduced to the many members who have discussed much of what you are experiencing.
If you are replying by email, I suggest clicking on VIEW & REPLY so that you can read through some of the earlier messages and meet some of our other members talking about their or their loved ones' experiences.

You might also wish to view this discussion on Connect:
– https://connect.mayoclinic.org/discussion/small-intestine-bacteria-overgrowth/ where you will meet many members like @tzm1995 @saucy @doron @lighthouseceliac @jacque6977 @decosmo @lizbee78 @melaniewa @janovr @concernedmtnmom @haighsue @vwerner and others, who've share their struggles with SIBO.

@fritz65, since diet plays a significant role, I’d also encourage you to view this conversation, https://connect.mayoclinic.org/discussion/leaky-gut-constipation-and-gluten-free/ where I’m tagging @alina151 @jacquelinek1956 @clemlaa, who have shared their experiences as well, with SIBO.

Here's a clinical update by one of the Mayo Clinic gastroenterologists:
“Small intestine bacterial overgrowth is common in Crohn’s disease patients who have undergone ileocecal resection or have strictures, fistulas or reduced intestinal motility. Mayo Medical Laboratories recently developed an assay for bile acid in the feces. Until now, a diagnosis of bile acid diarrhea has been provisional and treatment has been empiric.” http://www.mayoclinic.org/medical-professionals/clinical-updates/digestive-diseases/management-of-refractory-ibd-starts-with-excluding-patients-who-dont-have-it

@mdonaghy, since you noted, "I think I have leaky gut," I thought I'd mention that the Gastroenterology & GI Surgery Page on Connect has some great videos about leaky gut, by Mayo Clinic experts: https://connect.mayoclinic.org/page/gastroenterology-and-gi-surgery/

@fritz65, when were you diagnosed with SIBO? What symptoms are you experiencing? @mdonaghy, I realize how discouraging this condition can be, but I'm so glad you reached out to the Connect community. May I ask how you are managing, at present?