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Diet during antibiotics for SIBO
I am about (pending insurance coverage for Xifaxin) to begin two weeks of Xifaxin and Neomycin prescribed my my GI due to SIBO test results. After a month on the low FODMAP diet I was feeling moderately better and had started gentle reintroduction but figured I should suspend that whilst on antibiotics. However, a dietician with whom I’ve consulted suggested “eating normally” whilst on the meds “so that the problematic pathogens are more active and more susceptible to elimination.” Thought I’d try to get some feedback from those of you with experience with SIBO treatment whilst waiting for (fingers crossed) insurance approval. My plan lists it as a Tier 2 drug but apparently the doc has to further justify its use. Been down this rabbit hole before with other situations and am cautiously pessimistic.
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Just thinking about this miserable issue…I think it’s one of the hardest things to cure, can only get advice, not really meds for it, and its all up to you to fix! We are so used to docs, meds, hospitals, chiropractors, etc fixing our issues, but this-no instant cure/fix and we are the only ones responsible for the healing…oh well, chin up and forks down! 😘
Please help. Any advice hugely apreciated. This is the 4th Christmas in a row of being so ill 🙁
- I generally eat low fod, no sugar, no dairy, no gluten, no histamine. Recently i was feeling good - ate some normal stuff and SIBO came back with a bang.
- I am having bloods, stool test, Colonoscopy and ultrasound done. Hopefully I will find the cause. (I also have MCAS)
- But right now I just need to get the SIBO under control because the headaches, fatigue, stomach pain, nausia etc are out of control. (Plus rectal bleeding (not sure this is from sibo though?..)
- The gastro has given me Refaxamin perscription (under my request). Although he's not a supporter of SIBO. So i'm going it alone; my questions are; QUESTION 1 what to eat during perscription, QUESTION 2 what to eat straight after.
- QUESTION 3 My colonoscopy is on the 19th Dec and I was going to start the tablets today as i've tried to wait but i'm so ill. I don't think the colonoscp will see sibo? QUESTION 4 And hopefully the refax improving things won't effect the colonosc findings?
- QUESTION 5 The refax & the colonoscp will strip the gut. What actions do I take after this?
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1 ReactionI am having a severe case of SIBO - much worse than other times. I have started on XIFAXIN and on a FODMAP diet . I, too, am noticing some NO foods are not NO foods on another FIDMAP diet. So confusing.
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1 ReactionAlso have NO IGA and MS. Both of which can be causative. On the Antibiotic but not feeling any better. What FODMAP diet are you adhering to?
I've been on the antibiotics for 5 weeks now. Would like to discontinue, as I am also taking herbs supplements. I am trying to decide on the best course of probiotics-prebiotics. Thanks
HI. I realize that Stevia is causing bloating. So does anything with MGO.
Many SIBO-related diet approaches and theories have been floated, and Dr. Mark Pimental of Cedars-Sinai hospital apparently has cleared up much of it. For anyone who has SIBO or IBS, Dr. Pimental appears to be the authoritative source: apparently the most prominent clinical researcher on the topic during the past few years. Here’s a link to the website: https://www.cedars-sinai.org/newsroom/time-the-mysteries-and-underdiagnosis-of-sibo/
He has been interviewed a numer of times (search YouTube), and has created a paper, Low Fermentation Diet/SIOBO DIET, that is helpful and differs from the FODMAP diet.
I have had SIBO twice during the past four years, the TrioSmart breath test (at home) and two rounds of Xifaxan in late 2023 and early 2024. Dr. Pimental suggests that beans are among the worst dietary culprits.
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