SIBO diet

Posted by drpepper @drpepper, Jan 30, 2019

Wondering if anyone familiar with SIBO diet knows if the diet is the same for sibo patients with ileocecal valve intact and for those without ileocecal valve....thanks

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Has anyone had any luck finding a good SIBO diet to follow. Researching information but keep getting conflicting information. One website says you can eat something but another says no. Been on antibiotics for over year, every 6 weeks still not better. Thanks

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Hi @damiantammie and welcome to Mayo Clinic Connect. We have quite a few people that have discussed SIbo diets, so you will see that I moved your post to a discussion about it called SIBO diet: https://connect.mayoclinic.org/discussion/sibo-diet/?pg=3#comment-726285

Have you talked to a nutritionist or your doctor about your specific needs?

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@damiantammie

Has anyone had any luck finding a good SIBO diet to follow. Researching information but keep getting conflicting information. One website says you can eat something but another says no. Been on antibiotics for over year, every 6 weeks still not better. Thanks

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The golden standard is probably this diet/protocol:
https://www.siboinfo.com/uploads/5/4/8/4/5484269/low_fermentation_diet.pdf

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@rachel_b

Oh my gosh, I can relate so much about being scared to eat anything. I've lost a lot of weight unintentionally because not eating is just so much easier than eating a lot of the time. Funny you mention the journal because I was actually keeping one recently, where I recorded everything I ate and how I felt after (and even included bloat pictures). It definitely helped identify some of the foods that are more troublesome for me, but it also showed me that sometimes there's really no rhyme or reason to it and my gut just decides to flare up regardless of what I eat (which I'm guessing is just the result of somewhat random and uncontrollable bacterial overgrowth because of the missing valve). I tend to stick to the same foods every day too. Once in a blue moon I'll get adventurous...but hardly ever since it's scary and usually not worth it! Anyways, thankfully the Xifaxan at least keeps it manageable. Thanks for sharing and for the support 🙂 !

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What is the "missing valve" that is mentioned in relation to SIBO

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@robinam

What is the "missing valve" that is mentioned in relation to SIBO

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Ileocecal valve, but some people still have their ICV but still suffer from SIBO due to (presumably) motility issues.

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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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@marlenec

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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As a longtime SIBO sufferer and frequent rifaximin (and one time neomycin user), the strategy of "eating food to make the bacteria flourish so you can kill them more readily" makes sense. Both of these antibiotics have the potential to mess up your digestion to begin with but stick with it. I would recommend 2-4 days of "eating normally" (what you consider normal right now) to let the antibiotics do some damage, and then switch to eating more "conventionally" "normally", or even going out of your way to eat specific foods that feed the bacteria, for the rest of the treatment. Maybe you already know which foods set you off the most so you can go and get those, but in my case and in many others, the "gum" additives found in most "processed" foods are the best/worst (guar gum and xanthum gum being the most noteworthy, and then carob bean gum). The product "Tomorrow's Nutrition, Sunfiber, Prebiotic Fiber Supplement for Digestive Health" which you can find on Amazon is pure guar gum, if you don't want to raid the cookie/icecream aisle at your grocery store (or do both since it's the middle of summer).

Good luck, hope you get your Rx filled.

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@marlenec

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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Rifaximin is expensive. My doctor at the time ordered it for me. While I was on it, I started to feel much better. Once off it in about 2 weeks, my symptoms returned. Again, these meds treat the SYMPTOMS, not the CAUSE. Antibiotics are not good for our digestive tract as they kill both the good and bad bacteria. (Don't misunderstand me - antibiotics have their place when it is in the right application.) You need the good bacteria and need it in the right place in the digestive tract. As it was explained to me, the bacteria feed on sugars. We have different bacteria in the upper digestive tract and lower digestive tract. When the upper digestive tract is weakened as in leaky gut, the lower digestive tract bacteria migrate to the upper digestive tract causing symptoms of gas, bloating, not digesting our food well, loosing weight, etc. The goal is to build the upper digestive tract mucous lining and get the bacteria that don't belong there back down to the lower digestive tract where they belong.
I cannot emphasize enough the need to find the CAUSE of your symptoms and NOT treat the SYMPTOMS or the symptoms return.

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@marlenec

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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Great info! Followed the same track as you, but did the fodmap diet along with meds. Had to work the system a little to get the meds.
Did tons of research during this period and learned about leaky gut at that time. Healing leaky gut is sooooo important! After
3-4 months of SIBO diet, started following a leaky gut diet. Ordered several small cookbooks online to know where to begin. Many foods are different from SIBO diet. I really worked on trying to stay away from Sibo triggers and follow the leaky gut diet. What a process!!! My life was focused on healing myself; no one can heal you but you with this type of illness.
Good luck…

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@gigi4

Rifaximin is expensive. My doctor at the time ordered it for me. While I was on it, I started to feel much better. Once off it in about 2 weeks, my symptoms returned. Again, these meds treat the SYMPTOMS, not the CAUSE. Antibiotics are not good for our digestive tract as they kill both the good and bad bacteria. (Don't misunderstand me - antibiotics have their place when it is in the right application.) You need the good bacteria and need it in the right place in the digestive tract. As it was explained to me, the bacteria feed on sugars. We have different bacteria in the upper digestive tract and lower digestive tract. When the upper digestive tract is weakened as in leaky gut, the lower digestive tract bacteria migrate to the upper digestive tract causing symptoms of gas, bloating, not digesting our food well, loosing weight, etc. The goal is to build the upper digestive tract mucous lining and get the bacteria that don't belong there back down to the lower digestive tract where they belong.
I cannot emphasize enough the need to find the CAUSE of your symptoms and NOT treat the SYMPTOMS or the symptoms return.

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So how is the cause identified?

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