1

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Well, what now? Gastroendoscopy showed negative results for bacterial overgrowth

Answered on August 19, 2014
Created January 14, 2013 at 9:04 PM

I've been suffering from GERD for five years. Additional symptoms include: frequent belching, constipation, stomach pain, a strange rash down the length of my arms and feet, as well as anxiety (treated with anti-anxiety Buspar) and depression (treated with vitamin D) and sleeplessness (treated with a sleep supplement).

If not SIBO, then what could be causing my GERD? Hypochlorydia? And if so, what's causing low stomach acid and how do I fix this? I've tried hypochlorydia supplements. Apple Cider vinegar has not been a cure rather extremely beneficial inregards to this whole deal. I did have a yeast overgrowth in the past however cider vinegar has held them at bay.

ADDITIONAL INFO:

Biopsies were performed during the gastroendoscopy and tests did not show bacteria overgrowth

I have been Paleo since September. A typical day's worth of food includes: 4 tablespoons of almond butter, organic paleo herb seasoning (includes garlic, onion, oregano, parsely, basil, black pepper, etc.), coconut milk, uncured bacon, sea salt, free range chicken legs, 1 date , carrots, ghee, 2 teaspoons pure 100% maple syrup, grass-fed skirt steak, red onion, bell pepper, green beans, sesame seeds, coconut aminos, broccoli, vanilla extract (vanilla bean flakes in alcohol), coconut oil, fermented cod liver oil

My rash tends to react most highly to anything with sugar in it.

I am 160 pounds 5'11" Male (not overweight)

I don't get acid reflux when taking bragg's apple cider vinegar

Blood tests show no nutrient (vitamin, mineral) deficiencies. Eosinophils were above average in these tests.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on February 08, 2013
at 07:57 PM

It is true - I have SIBO and my BM were always normal due to fiber. I am constipated when I don't eat fiber though.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on January 15, 2013
at 12:04 AM

There isn't any test that I know of. Try elimination. Google and you will find some food lists. Nuts, onion, broccoli and green beans give me trouble, but everyone is different.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 11:06 PM

I'll be sure to get tested, thanks. Any other ideas?

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 10:53 PM

I have tried L-glutamine and it has not been effective for my digestion. Digestive enzymes have also done nothing.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 10:52 PM

I have tried this in the past and this has not done anything.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 10:46 PM

Thank you for all of your guys's help!!!

Cfc7dee889a66db9cd76c4f348109294

(1652)

on January 14, 2013
at 10:36 PM

Chris Kresser suggests the breath test or the urine organic acids test: http://chriskresser.com/rhr-testing-for-sibo-graves-disease-and-all-about-anemia If not SIBO, find a good doc that will help you keep testing. Good luck!

Cfc7dee889a66db9cd76c4f348109294

(1652)

on January 14, 2013
at 10:35 PM

Obviously, it's IBS, but IBS is not really specific. I disagree that SIBO means diarrhea. There are many cases of constipation-predominant SIBO.http://ndnr.com/web-articles/gastrointestinal/small-intestine-bacterial-overgrowth/

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7 Answers

2
6df687f771c8c3bbf2c37b2333645991

on January 14, 2013
at 09:34 PM

Paul, I am confused about how gastroendoscopy can diagnose SIBO? I thought you had to have a hydrogen breath test. Can you elaborate on how they test you that way?

In regards to GERD, are you eating Paleo yet? Eating Paleo has almost completely cured my GERD. I take this particular digestive enzyme when I have any issues: http://www.amazon.com/American-Health-Products-chewable-tablets/dp/B00013Z13M/ref=sr_1_2?s=hpc&ie=UTF8&qid=1358199139&sr=1-2&keywords=chewable+papaya+enzyme

I also take this L-glutamine supplement per my (paleo) doc: http://www.amazon.com/Glutagenics-powder-9-27oz-259-8g-servings/dp/B0049YYYMS/ref=sr_1_1?ie=UTF8&qid=1358199194&sr=8-1&keywords=glutagenics I mix 1 teaspoon in water and drink it first thing every morning. Any days I forget it, I end up with heartburn by the end of the day. It took about two weeks for me to start noticing a change with the glutagenics powder. It also contains DGL and Aloe Vera.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 10:53 PM

I have tried L-glutamine and it has not been effective for my digestion. Digestive enzymes have also done nothing.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on January 14, 2013
at 10:36 PM

Chris Kresser suggests the breath test or the urine organic acids test: http://chriskresser.com/rhr-testing-for-sibo-graves-disease-and-all-about-anemia If not SIBO, find a good doc that will help you keep testing. Good luck!

0
75d65450b6ff0be7b969fb321f1200ac

(2506)

on September 07, 2013
at 12:44 AM

Try going VLC for a week to if your symptoms improve. It seems like you have some sort of gut dysbosis.

Although a long shot, get your thyroid checked. Low stomach acid might be a symptom of hypothyroidism.

_Lazza

0
32652cb696b75182cb121009ee4edea3

(5802)

on January 15, 2013
at 01:39 PM

Paul, have they looked at your gallbladder? Those symptoms could be gb.

I was never officially diagnosed with SIBO (test is fairly unreliable) but I ate this paleo SIBO protocol for a few months and it made a huge difference:

http://www.eat-real-food-paleodietitian.com/paleo-diet-and-SIBO.html

(Eliminating onions has made a HUGE difference for my gut. I so still eat some broccoli, but I take enzymes when I do.)

0
F5a0ddffcf9ef5beca864050f090a790

(15515)

on January 15, 2013
at 04:01 AM

Take a hydrogen/methane test (and I insist on methane part).

Then take a GI effects complete stool profile from Metametrix. Then sue your doctor to pay for the expenses.

There is absolutely no way gastroendoscopy is the golden standard for SIBO diagnosis. It is only good for gastritis, ulcer, H. pylori.

This is just so sad.

0
Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on January 14, 2013
at 10:58 PM

Ugh, I see a LOT of high FODMAPS foods in your diet.

Those foods are likely the culprit for many of your digestive symptoms.

And the rash could be due to a nightshade intolerance.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on January 15, 2013
at 12:04 AM

There isn't any test that I know of. Try elimination. Google and you will find some food lists. Nuts, onion, broccoli and green beans give me trouble, but everyone is different.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 11:06 PM

I'll be sure to get tested, thanks. Any other ideas?

0
C6a5f0bffb38030c8d0f11a367c2c9bf

on January 14, 2013
at 09:48 PM

When I started taking a magnesium supplement (natural calm) my anxiety and sleeplessness went away within days.

77877f762c40637911396daa19b53094

(78467)

on January 14, 2013
at 10:52 PM

I have tried this in the past and this has not done anything.

0
62442eec80b7d248ccfa08f98f736748

on January 14, 2013
at 09:34 PM

If this is what I got for a patient history, I would say it is IBS.

An important question is if you get an relief with defecating? Or do you feel you have periods where you have to pass stools more often?

Is the pain localized or diffuse?

Are you overweight? Losing weight is a proven lifestyle mod that helps with people w/ IBS.

It's not SIBO... then you'd be getting diarrhea...and maybe but hopefully not B12 def which has neuro implications. also GERD and hypochlorydia are sort of mutually exclusive...

Cfc7dee889a66db9cd76c4f348109294

(1652)

on January 14, 2013
at 10:35 PM

Obviously, it's IBS, but IBS is not really specific. I disagree that SIBO means diarrhea. There are many cases of constipation-predominant SIBO.http://ndnr.com/web-articles/gastrointestinal/small-intestine-bacterial-overgrowth/

F5a0ddffcf9ef5beca864050f090a790

(15515)

on February 08, 2013
at 07:57 PM

It is true - I have SIBO and my BM were always normal due to fiber. I am constipated when I don't eat fiber though.

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