Small intestine bacterial overgrowth

Posted by momochan @momochan, Apr 6, 2016

Hi, I have been suffering from small intestine bacterial overgrowth since last Jan. Have gone through a few courses of antibiotics, but whenever it finished, it came back and the stool got loose. I really am desperate, could anyone have suggestion? .

@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

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Yes, I was diagnosed by Mayo, here in Scottsdale. I was on the anti-biotic Xifaxan for seven days and it ended yesterday. I do feel better but worry about the SIBO coming back. My diet consists of the elimination of breads and sugars as these seem to be the major trigger foods. But I would like to hear from others on how they manage SIBO. Thanks for all your comments…

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@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

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This past summer I completed a 14 day course of the antibiotic Xifaxan, 550 mg, 3 times a day, and I have been well since with no recurring SIBO. I have also eliminated as much sugar as possible from my diet, as well as eliminating all artificial sweeteners, and all carbonated drinks, too, as my doctor directed. All of those things feed the bad bacteria. I also make sure I get a minimum of 23 grams of fiber a day, so my intestinal system keeps moving. I try to walk at least 5 days out of 7 because exercise helps, too. You mentioned eliminating bread, and I don’t eat much bread either, but it wasn’t something I deliberately eliminated. I do know it is very important to be as compliant as you can when it comes to your diet in order to keep the SIBO in check. Hope this helps.

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Hello @azdrew,

I’d like to add my welcome to Jamie’s, as well; any infections in the gut can be so tough! You will notice that I moved and merged your message, as we have a few members on Connect with similar symptoms, and I hope they will join this conversation.

While researching the internet I came across this article in one of the scientific journals: http://wb.md/2hNQBcj which details SIBO, diet triggers, and carbohydrate malabsorption.

Allow me to also introduce you to @acres, @sprinklergal66, who have been on Xifaxan (Rifaximin), and may be able to provide more insight about this drug, in addition to the valuable information offered by @lateacher.

@azdrew, have your doctors ever suggested fecal transplant, since that seems to be a growing therapy for intestinal infections?

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@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

Jump to this post

@azdrew,
I forgot last night to mention that my dr also has me on one daily capful of Miralax to make sure everything moves efficiently and regularly through my large intestine and colon; additionally, the dr also suggested that I take the probiotic Florastor twice a day, so I do that, too.

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@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

Jump to this post

I was recently diagnosed with SIBO and put on a rolling programme of antibiotics for four months. At the same time I have put myself on a strict no carb/no sugar/no starch/no lactose diet. The result has been miraculous after a long time suffering from chronic diarrhea. The diet is tough and any deviation has its consequences, but worth it. I have to make practically everything myself. All grains are out – no bread, cakes, thickened sauces. Try it, you’ve nothing to lose.

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@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

Jump to this post

I do this also on recommendation of my doc.

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@azdrew

Is there a preferred antibiotic for treatment that might help prevent SIBO recurrence and what diet and supplements work best after the preferred course of antibiotics to prevent a recurrence?

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Is it successful? I had a glass of allowable dry wine last night and reacted this morning. I wonder if I have to be permanently completely alcohol free.

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@kanaazpereira

Hello @azdrew,

I’d like to add my welcome to Jamie’s, as well; any infections in the gut can be so tough! You will notice that I moved and merged your message, as we have a few members on Connect with similar symptoms, and I hope they will join this conversation.

While researching the internet I came across this article in one of the scientific journals: http://wb.md/2hNQBcj which details SIBO, diet triggers, and carbohydrate malabsorption.

Allow me to also introduce you to @acres, @sprinklergal66, who have been on Xifaxan (Rifaximin), and may be able to provide more insight about this drug, in addition to the valuable information offered by @lateacher.

@azdrew, have your doctors ever suggested fecal transplant, since that seems to be a growing therapy for intestinal infections?

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I’m not sure fecal transplant is available via the NHS in Britain. But I have an award winning consultant – I’ll ask her when I see her.

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Hello @haighsue,

Although a little belated, I’d like to welcome you to Connect, and thank you for joining this conversation and offering your insight.
If you go to Mayo Clinic’s IBD (Inflammatory bowel disease) blog, http://ibdblog.mayoclinic.org, you will find quite a few details about FMT (Fecal Microbiota Transplant), along with so much more information, like diet, probiotics,medication with regard to the various intestinal infections. And, there are a few posts within the blog, based on research papers published in the UK as well.

It is so good to know that you are advocating for your own health. @haighsue, how did you formulate this diet? Do you have any suggestions for @azdrew about managing the trial and error while streamlining a diet?

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I bought an American book, Breaking the Vicious Cycle, which contains information and recipes for all chronic gut conditions which cause diarrhea. I also have a list of permitted foods and drinks on my notice board for the Carbohydrate Specific Diet. Any thing that causes problems I eliminate on top of that. I take a high-powered probiotic to counteract the effects of antibiotics and a full DRD of Vits B12 and VitD. For instance, breakfast might be scrambled eggs, lunch fish, chicken or fermented cheese with home made cranberry sauce or chutney ( made with honey) and steamed vegetables. Dinner might be something similar. Expect to have a withdrawal headache to begin with but it will go away. In my opinion, none of the so-called bread recipes are any good.

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I have also been concerned about using raw egg yolk to make mayonnaise. I have found a Roumanian recipe which uses cooked yolks. I’m going to try it. Also, after having been a life long vegetarian I have very reluctantly opted to include fish and some chicken in my diet in order to take in sufficient protein. I also add butter to vegetables to ensure sufficient fat intake.

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I have continued burping, except when sleeping. I have had an endoscopy, colonoscopy, ultrasound, MRI on my Liver, hydrogen breath test & blood test. (I have just ask for a stool sample test today.) My diagnosis was SIBO (with a borderline hydrogen breath test results). My only symptom is continued burping, and some fatigue. No pain, diarrhea, weight loss, etc.as I read most others with SIBO experience. I have taken 2 antibiotics, Cipro & Xifaxen. Taken 2 different probiotics, and digestive enzymes. Eliminated sugars, alcohol and dairy foods. NOTHING has helped. I’m waiting to see my doctor. Can you suggest any other possible causes. Gradual burping symptoms started while traveling in Europe this summer. They were gradual at first, but by February 1st, I was plagued with burping most all the time.

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