I've been having digestive problems for about 2 years, after picking up a parasite and virus in Mexico. Before then, I was vegan (occasionally some eggs), pretty high-carb, and alcoholic (so more stress on digestive system).
I have symptoms of extreme pressure in my small intestine, complete constipation unless I use laxatives (I use magnesium oxide and alternate with vitamin C), bloating, gassiness, etc - even when following a starch-free paleo low-fodmap approach. Thing is, I still eat fruit often, and kind of ignore the whole fruit fodmap thing. Low-carb makes me feel terrible (tried it for weeks), and I've read a lot about the dangers. My symptoms tend to largely diminish when low carb, though - I just can't function mentally, or have energy. Sometimes it seems as though things take FOREVER to pass through my stomach/small intestine, and I sometimes feel as though I'll vomit if I eat while feeling that pressure - so my appetite is nil - even with fruit, which is supposedly quickly digested.
The point: Recently saw a gastro, who wrote me off as 'having constipation', and that's it. I mentioned sibo, fructose malabsorption, and gastroparesis - he said all three were impossible. Sibo and malabsorption: he said I didn't have diarrhea, so these were possible, as all malabsorption issues come with diarrhea. Gastropresis: Despite things staying forever in my stomach, he said the pressure was caused by me swallowing air, and that gastroparesis had to involve nerve damage and vomiting and I didn't show those.
So. Doctors. My question to you - can Sibo/malabsorption come along with extreme constipation/lack of motility? Should I go see another doctor, or get a breath test ordered privately? (because he won't do it.)
asked bybearfoot (20)
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on May 08, 2014
at 05:54 AM
Samantha, wow my gastroenterologist is frustrating. He will only talk about traditional celiac, and any other reaction to wheat is something he won't accept as a real condition. No Cyrex testing for other peptides besides gliadin. No Cyrex testing for food sensitivities. No Cyrex testing for leaky gut and bacterial LPS in blood. No testing for SIBO. I can't even get a simple capsule endoscopy.
90% of what modern science can test for these guys don't even count as possible diseases.
on May 08, 2014
at 05:23 AM
Yes @pone you are right. But you can check for NCBI " A systematic review of Diagnostic test for small intestinal bacterial overgrowth" which says that tradition has accepted small bowel aspirate (>10(5) cfu/ml) as a gold standard
on May 07, 2014
at 06:01 AM
Samantha, do you have the names of the exact tests that make the SIBO diagnosis? Do you have pointers to labs that provide those? Strangely, I cannot get a gastroenterologist to even talk about this.
on May 07, 2014
at 05:12 AM
SIBO Small bowel bacterial overgrowth can arise dur to GI motility lack of gastric acid secretion or intestinal anatomy, which leads to under nutrition, fat malabsorption and certain deficiencies in vitamin. Diagnosis is by breath test or quantitative culture of intestinal fluid aspirate. Oral antibiotics are one of the suggested treatments.
on May 06, 2014
at 03:52 AM
Your gastro ignored the symptom of extreme pressure in your small intestine? He didn't suggest a capsule endoscopy to just check for obstructions?
I would say get a new gastroenterologist. Seriously. With the next guy, maybe focus in on that symptom and don't press on the other issues until he gives a satisfatory issue about how he is going to diagnose the reason for the pressure.
on May 04, 2014
at 04:38 PM
I look forward to seeing the answers to this.
I experienced pretty much the same exact thing here in America. Doctors are useless for many things, in particular digestive issues. They told me I had IBS-C and that the only solution was to take more laxatives!?!? I had come specifically to get off laxatives...
FWIW I'm doing much better now. What seemed to work best for me was to temporarily minimize fiber but not carbs (and some fiber seemed ok such as sweet potato in moderation). I took plenty of probiotics (mostly krauts and kefir but also some tablets) for a couple months, and a nightly dose of about 800-1200 mg of magnesium citrate, and 1-2 grams of vitamin c in the mornings. I weaned off the vit. C and got down to 480-640 daily mag citrate.
Now I can eat loads of fruit and veggies and tubers with no issues! I've transitioned to relatively high-carb paleo and feel great! I still have to watch out for certain things that will cause issues, such as very large salads or any type of harsh fiber, such as comes in most nuts and grains.
Good luck and don't listen to your doctor!
Edit: Forgot to mention that I started supplementing iodine and/or seaweed and/or kelp capsules pretty regularly. This does seem to have helped, but mostly by overall improvement in health...
on May 04, 2014
at 03:56 PM
Also, I am Canadian, so can't just go find another doctor to consult with. There's a whole referral process, and once labelled with constipation many gastros won't see you here; you're just shunted off to a GP for chronic constipation. And a correction to the above - he said sibo and malabsorption were 'impossible', not possible.
I would have to seek out a naturopath or order a breath test on my own. Getting in to see another gastro may not be possible (they have to refer me) or would take 1+ year of waiting. Already waited 8 months to see this guy,