How to manage SIBO symptoms?

Posted by jacque6977 @jacque6977, Feb 22, 2017

My wife, after years of suffering from debilitating nausea and fatigue, has finally been diagnosed with SIBO as confirmed by a hydrogen breath test. It is estimated the bacteria has had at least two years to grow and may be well established. She has started on Xifaxan, at $35 per pill, but it is estimated that elimination of the SIBO may take up to six months. Her day now starts with her waking up with nausea and when she has a cup of tea and toast in the morning she gets sick within fifteen minutes thereafter. Her sickness is accompanied by violent belching, and at times she regurgitates liquid vile. The only drug she has for nausea is Zofran which does nothing for her. Are there any other SIBO sufferers that are experiencing the same symptoms, and what are you taking to reduce the nausea?

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Profile picture for lizbee78 @lizbee78

I was diagnosed at the Mayo Clinic this past November with SIBO, small bowel damage, and Exocrine Pancreatic Insufficiency. After 25 years of suffering I am finally feeling well. The Mayo put me through a round of 3 different antibiotics to kill the bacteria. I was told to begin taking Align Probiotic daily. Probiotics are very important in keeping the bad bacteria from taking over. I include probiotic rich foods in my diet daily in addition to the Align, such as Kefir, yogurt, Kombucha, supplemented juice blends. I no longer really need anti-nausea medicine, but I used to take Promethazine, which I found to work better than Zofran. I also found that a simple Gas-X chewable would often help with belching and bloating. SIBO creates an excessive amount of gas. I hope this helps, and that your wife feels better soon!

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@lizbee78 I had read that patients with SIBO were not supposed to take probiotics, prebiotics or foods with high fiber, as it feeds the bad bacteria. I had stopped taking Align (which I had been doing for many years), but now I am wondering if I did the right thing.

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Profile picture for pcretella @pcretella

@lizbee78 I had read that patients with SIBO were not supposed to take probiotics, prebiotics or foods with high fiber, as it feeds the bad bacteria. I had stopped taking Align (which I had been doing for many years), but now I am wondering if I did the right thing.

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@pcretella - you might check out this Mayo Clinic Connect discussion related to what you were asking about:

- Probiotics for SIBO? https://connect.mayoclinic.org/discussion/probiotics-for-sibo/

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