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? .

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?

REPLY
@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.

Jump to this post

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.

REPLY
@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.

REPLY
@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

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.

REPLY
@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.

Jump to this post

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.

REPLY
@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

Jump to this post

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.

REPLY
@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

Jump to this post

Can you tell me how I know which brand(s) to purchase Allimed and Neem?

REPLY
@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

Jump to this post

Welcome to Connect, @ctkoontz,

Could you share a bit more about yourself? We look forward to getting to know you.

REPLY
@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

Jump to this post

For over two years I’ve been having digestive problems. I had a colonoscopy a few years ago. The dr said I probably have Irritable Bowl Syndrome and I have a hiatal hernia. Diarrhea comes and goes and have found it’s better if I stay away from Gluetin. have also been experiencing heart pain yet dr. said it wasn’t a heart attack – told me to see a heart specialist and have a stress test which will happen this Friday. Once this issue is taken care of I want to see the best Gastro dr. in my area. In researching digestive issues I learned L Glutemime helps the enzymes that help digest food. I started taking this a few weeks ago. However, I still have bloating, gas and disregard but not every day. I find I can eat something and I’m fine. Yet, a day or two later I eat the same food and I’m in the bathroom. I’m growing weary.

REPLY
@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

Jump to this post

You describe many of my symptoms.
I have taken lots of carbs out of my diet.
Including lentils.
My bloating is less.
At night a little prune juce.
The heart. Yes another issue.
I have afib. And, fat foods will
Exacerbate this.
I do have a wonderful cardiologist.
She does feel most my issues are
The foods. Im eating more proteins
And fruits and veggies.
With an emphasis on a good carb.
I do feel bettter.
I wish you well. And your cardiologist
will give you a good clear outcome.
Success101

REPLY
@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

Jump to this post

Welcome back, @success101. So good to hear from you again. 🙂

REPLY
@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

Jump to this post

Obviously everyone is different, and I’m not a doctor, but you sound like my daughter two years ago. She was diagnosed with IBS but, aside from some meds to help with cramping (dicyclomine), the thing that gave her true symptom relief was following a FODMAP diet. According to her GI doctor the thing that is being published and discussed by GI doctors lately is that a low FODMAP diet is really helping people with IBS (that is irritable not inflammatory) and is also giving some relief to those with Chrons and Inflammatory Bowel.

There is a fair bit on the internet about a low FODMAP diet but none of it helped a lot until we started following the advice of Patsy Catsos who wrote a book (IBS Free at Last that you have to order at Barnes & Noble). She has a website,www.ibsfree.net, but you really need the book to do the elimination phase properly and know how to start adding new foods back in. My daughter got relief quite quickly with the elimination diet and we got that information from the GI doctor (which is very strict and hard to follow) but she was not successful adding new foods until we learned from Patsy Catsos (she is a dietician) about how to add new foods in (which order etc.) The other key we learned was not to add new foods too quickly. If a food bothered her (apples and pears sent her to the bathroom immediately) we had to wait at least a week for her stomach to settle before we tested a new food. If we started testing another food too soon we would think it bothered her when really her stomach was still distressed from the apples and pears.

The low FODMAP diet is all based on science but you will be surprised with what healthy foods might be causing your issues. I encourage you to check out her website and invest in the book (under $20 I think). It changed my daughter’s life. It will take a long time to do the elimination phase (she suggests 2 weeks but we did it longer because my daughter’s stomach was so messed up) and at least a year to properly test foods so you can learn what you can eat. It is painstaking but worth it. Now the main thing that brings back symptoms for my daughter is if she has too many “treats” (foods she should eat in moderation or not at all) or stress.

Best of luck!

Lynn

REPLY
Please sign in or register to post a reply.