Probiotics for SIBO?

Posted by caregiver333 @caregiver333, Dec 13, 2024

My elderly (90yo) mother is kept up at night by stomach gas and belching. She had a positive lactulose breath test based on an early hydrogen rise at 90 min. She has been offered a rifaximin Rx but prefers to avoid antibiotics. Is there a probiotic regimen that might help?

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Profile picture for ajnos03 @ajnos

Can I ask you what your symptoms are for sibo? I believe I have it but I also have silent reflux. I have been trying to get a test for sibo, but I've been unable to contact the right doctor to give it to me. Gastrointestinal doctors don't seem to know what it even is. It would be helpful to me if I knew what your symptoms are. Thank you in advance, Sonja

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Lots of stomach gas and belching. I get the sense that symptoms vary a lot across people. A GI doc should know about SIBO! Or maybe primary care could order the test? The results are not always cut and dry. Some docs will prescribe rifaximin without the test to see if it helps.

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Profile picture for ajnos03 @ajnos

Can I ask you what your symptoms are for sibo? I believe I have it but I also have silent reflux. I have been trying to get a test for sibo, but I've been unable to contact the right doctor to give it to me. Gastrointestinal doctors don't seem to know what it even is. It would be helpful to me if I knew what your symptoms are. Thank you in advance, Sonja

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I was ordered the SIBO tests (it consists of 2 tests, I believe) by one of my gastroenterologists at Duke. I have several. I have been under their care since 2022. I have had chronic constipation interrupted with incidents of diarrhea for over 2 years and a constant bitter taste since Sept 2023. Not sure if they are related, I have had no heart burn that I am aware of. I have had 2 normal colonoscopies, except for a few minor things. I wonder if I don’t have SIBO and this antibiotic is affecting something else in my body or I do have it and the med is attacking it. I have had no relief from this terrible constant taste for over 17 months, so I am desperate for any sign of improvement. Oh, the constipation is currently resolved and no diarrhea either. It’s been that way for a couple of months before I started the antibiotic.

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Profile picture for celia16 @celia16

I’m gong to take this Amoxicillin for 7 days and see what happens. The SIBO test that was rescheduled for early April will have to be rescheduled again though….due to these antibiotics.

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Yesterday was my 1st full day off of a 10 day amoxicillin clav prescription. I felt ok and wanted to try a "regular breakfast". I ordered a child's plate with one scrambled egg, 1/2 waffle and 1 thin piece of bacon. I had no appetite but slowly ate it and it seemed to settle ok in my tummy but I absolutely had zero appetite the rest of the day and couldn't eat anything. I've decided to stay away from dairy and act like I'm lactose intolerant and try not to eat gluten. So today, I had again no real appetite but cooked a serving or organic whole oats, cooked apple with no peel, cinnamon and 1/4 cup almond milk and 2 tsp pure maple syrup, all mixed together. I had a cup of black coffee and a glass of filtered water. I only ate half the oats and apple. So far, 2 hours later, my tummy feels good. I have a feeling like yesterday this is the only meal I can tolerate today tho. Why no appetite? I do feel a few taste buds are kinda back.

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Profile picture for celia16 @celia16

I was ordered the SIBO tests (it consists of 2 tests, I believe) by one of my gastroenterologists at Duke. I have several. I have been under their care since 2022. I have had chronic constipation interrupted with incidents of diarrhea for over 2 years and a constant bitter taste since Sept 2023. Not sure if they are related, I have had no heart burn that I am aware of. I have had 2 normal colonoscopies, except for a few minor things. I wonder if I don’t have SIBO and this antibiotic is affecting something else in my body or I do have it and the med is attacking it. I have had no relief from this terrible constant taste for over 17 months, so I am desperate for any sign of improvement. Oh, the constipation is currently resolved and no diarrhea either. It’s been that way for a couple of months before I started the antibiotic.

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How many different antibiotics have you been prescribed since the beginning of seeing all the doctors for your symptoms and in what time frame?

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Profile picture for swischard5 @swischard5

I have excessive hydrogen SIBO. I took one round of xifaxin and it helped a little but won't take anymore because I've had a lot of antibiotics in my life.
The atrantil has helped my bowel movements along with FC-Cidal and Dysbiocide by Biotic Research and I'm feeling better with my sensitive gut.
But I am still very bloated for the last 4 months. I'm working with a GI doctor and a naturopath. I'm 78 yrs old active woman - but how do I get rid of this bloating. My naturopath suggested I stop the atrantil but I don't think I can or I will be constipated.

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I think I will get the best help with a Naturopath from Mayo Clinic. Most MD's get very little training in nutrition/gut issues . . . not even my GI doctors.

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Profile picture for robal19 @robal19

How many different antibiotics have you been prescribed since the beginning of seeing all the doctors for your symptoms and in what time frame?

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Two. But neither was prescribed for SIBO.

The day my metallic (later turned bitter) taste hit me hard was Sept 2023. I took 1 antibiotic pill… think it was Microbid for a UTI. Was so severe within an hour, I pulled my car over and called the doctor. I took 1 more the next day before doctor called and said don’t take anymore culture was negative. The bad taste has never left. But, it greatly reduced on Monday this week.

I had no antibiotics since then until last Friday and started the Amoxicillin for an infection in my gum. I got a popcorn kernel stuck in my gum beside a wisdom tooth. It was a recent thing and not a longtime infection.

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Profile picture for retiredbabe @retiredbabe

A low fodmap diet is the most difficult diet ever. But you can purchase fodzyme from Monash university in Australia and put it on your food. Doesn't work on polyols but still not bad. I did this for six months along with Atrantil and megaspore biotics. Watch probiotics. Some are worse for SIBO. I have methane, the worst, and my score was 71. After six months of fodzyme and those supplements my score dropped to 54 only so I took the xifaxin. I'm on 2nd round. SIBO is very difficult to get rid of. Now I've added kirkman biofilm defense because SIBO warriors build protective shields. They are insane bacteria that fight to kill you.

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@retiredbabe
Yeah, I am on a restricted diet like you are, but I’m not taking any antibiotics. I do take Atrantil THREE TIMES A DAY
I don’t do any dairy. I do almond milk and almond milk yogurt. Lots of fish and chicken, rare meat meaning I hardly ever eat it. I have an enema every day and my stool is quite Soft. Unfortunately, I’m getting a lot of bloat and I’m trying to eliminate as much solid food at night and at lunchtime as I can. Any suggestions? I should tell you I’m on a low FOD map diet in addition to what I’ve told you above. I am also using FODZYME On the foods that need it. I use the Monash application all the time. Thanks for your help

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Profile picture for swischard5 @swischard5

I have excessive hydrogen SIBO. I took one round of xifaxin and it helped a little but won't take anymore because I've had a lot of antibiotics in my life.
The atrantil has helped my bowel movements along with FC-Cidal and Dysbiocide by Biotic Research and I'm feeling better with my sensitive gut.
But I am still very bloated for the last 4 months. I'm working with a GI doctor and a naturopath. I'm 78 yrs old active woman - but how do I get rid of this bloating. My naturopath suggested I stop the atrantil but I don't think I can or I will be constipated.

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@swischard5
I am like you except I have Parkinson’s, gastroparesis, chronic constipation as a result of all the Parkinson’s meds, chronic insomnia, and I rarely get more than four hours of sleep a night. I’m taking over 30 different medications and supplements.
I am taking the nonalcoholic version of iberogast And I don’t know if it’s the same without the alcohol. The medication’s in it are the same and I get it from Amazon.
I also take atrantil Three or four times a day and sometimes more when I’m really bloated. It seems to help the bloating. I’m also taking align Probiotic with vitamin B 12 from Costco. I take a lot of carbidopa levodopa in the form of Rytary , A long acting version. I’m taking high doses at least eight times a day spread out starting at six in the morning.
My problem is severe bloating, and even though I’m trying to make an effort to eat small meals, it’s very difficult. I Eat a lot of blueberries and pineapple and raspberries. Everything I eat is low FOD map for

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Profile picture for retiredbabe @retiredbabe

Is difficult to find reliable sources. Itrust atrantil product and get a
lot of podcasts by email from them. A low fodmap diet starves the
bacteria. The problem is that it is so restrictive and for people like me
who are not malnutritioned because of the bacteria, it is not helpful. But
i discovered fodzyme, an enzyme invented by a doctor with SIBO at Montash
University. It stops the bacteria from recognizing the food so they don't
steal your vitamins and minerals. The problem is that fodzyme doesn't work
on poloyls, the perfect in fodmap. Polyols are sugar alcohols which are in
my favorite foods like cabbage, Cauliflower, mushrooms, apples, peaches,
and cherries. Plus you can't have any sugar substitute like Stevie,
mannitol, erthyitol. It is helped me but I still needed the antibiotics. I
research the crap out of every article I read on SIBO because most of it is
advertisement disguised as articles. I get a lot of info from atrantil and
fodzyme along with AI Copilot who doesn't contain AS MUCH misinformation.

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@retiredbabe I've been on fodzyme for over two years. Atrantil, spore biotics and tons of other supplements also on the list plus 4 rounds of antibiotics. Still have SIBO. I just took the jona health stool sample per University of Chicago recommendation even though their overall plan would have caused me to lose tons of weight and I'm already severely under weight. Now, the 6th doctor is referring me to Mayo clinic but haven't seen anyone here that says they helped them. I went on reddit and no one said mayo helped them but several said, don't bother, they just put you on antibiotics.

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