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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@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?

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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?

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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?

Liked by haighsue

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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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Welcome to Connect, @burpburpburp,

Thank you for sharing your history; I can imagine how frustrating it must be! We have a few discussions on excessive burping that may interest you:
Does anybody know any effective treatments for excessive burping. http://mayocl.in/2oUhxPa
My Wife having problems with belching and angina http://mayocl.in/2kYbXpj
Continuous burping http://mayocl.in/2poyJsm

Mayo Clinic also has some information on excessive gas and belching, which you can view by clicking on these links:
http://mayocl.in/2lxLuSH
http://mayocl.in/2kCNGJ2
In the meantime, I’m tagging @stephieisabella @boochie @mimib @success101 @lcamino @irishlass @smurfman82 @tracyn @rtviv @gregoryd @saucy to see if they have any thoughts about continuous burping.

@burpburpburp, have you noticed any other stressors that might bring on the burping?

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@burpburpburp

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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SIBO seems to cause a host of digestive problems including Hiatal Hernias. I would look into that as being a cause. Also you may want to have your gallbladder evaluated by a Functional Medicine Doctor. SIBO tends to disrupt the pancreas and gallbladder enyzmes. Xifaxan didn’t work for our daughter and so now we are seeing a SIBO knowledgable Functional Medicine Doctor via Skype.

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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 would be concerned the Miralax would contain something that will feed the bacteria. Magnesium is a safe alternative and doesn’t feed the bacteria. Dosing guidelines are easy to find online. I myself was instructed to take 450mg nightly to help with the constipation. More or less might be needed depending on the person.

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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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You’ll want to get a follow up breath test to be sure it’s gone and if it is you may want to look at Allision Siebeckers siboinfo site for diet and post care recommendations. We follow the Specific Carbohydrate Diet she recommends.

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@lateacher

I had the SIBO breath test done in my GI doc’s office, and I, too, have a confirmed diagnosis for SIBO. I am currently taking a 14 day course of the antibiotic Xifaxan, 550 mg, 3 times a day (it is very expensive–no generic). It specifically targets the small intestine where SIBO lies. I sure hope it works as I have been dealing with SIBO since January. My first GI doc did not do the test. He simply diagnosed it empirically based on my GI history and symptoms, and put me on antibiotics (mainly Cipro) which I had to stay on until June because every time I finished a 10 day course, my symptoms returned. Finally, I got better in June and he decided to put me on broad spectrum antibiotics for 5 days, then 25 days off; repeat with 5 days of a different antibiotic, then 25 days off, then a 3rd antibiotic, repeat the cycle for at least a year. My general practitioner and I decided this was only treating the symptoms & keeping them at bay, not addressing the problem, and my GP was also concerned, as was I, about the chance of Cdiff from long term use of so many antibiotics, so he referred me to a gastroenterologist he recommended. This is where I had the breath test done and was prescribed the Xifaxan.

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The traditional antibiotics like Xifaxan didn’t work for my daughter so we switched to Allimed and Neem. They are herbal antimicrobials and under a care of a knowledgeable Functional Medicine Doctor have been giving us good results. No worries for C.Diff with these natural herbs.

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@vwerner

I have SIBO. But so far no antibiotics has help. What is out there? My foods & medicine have shown up on my up endoscopy & I can’t hardly eat even smoothie before I go to the bathroom

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Traditional antibiotics didn’t work for my daughter either. We switched to Allimed and Neem natural antimicrobials with the help of a Functional Medicine Doctor experienced with SIBO and that seems to be helping. We also do the Specific Carbohydrate Diet. It’s a long road to healing and you must be patient but I believe healing is possible if all aspects of what this bacteria does is addressed. That means pancreatic and gallbladder enzymes need to be evaluated. A screening for a Hiatal Hernia and b12 levels checked. SIBO is notorious for disturbing all of these things. Everything needs addressed before you can completely heal.

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