Upon much research, I've found through my own symptoms and what so far has been studied when it comes to gastrointestinal complications, that an overgrowth of methan-producers/methanogens causes constipation/bloating. It's associated with SIBO.
So far, one of the greatest remedies that consistently shows up is garlic (precisely, kyolic/allium, derived from garlic).
A year ago, I treated candida with an intense garlic supplementation protocol given by my doctor. A few months ago, assuming I had SIBO, I combined garlic with berberine herbs, which seemed to help.
However, the constipation/bloating has returned- I've tried magnesium, d-limonene (as now I'm getting reflux), extra probiotics (Garden of Life Dr. Formulated 90 Billion, Prescript Assist, AOR Probiotic, Primal Defense Ultra, Renew Life Critical Care), more fat in my diet, fermented foods and drinks (kefir, kombucha, kimchi, fermented veg), Triphala, fiber (acacia, psylium, flax, chia)/ resistant starch (FOS, diet), bitters, etc. I believe the issue is with an overgrowth. My insurance is funny right now, and when I saw my doctor last, I had my stool tested for any parasites or yeast- nothing showed up. Insurance doesn't cover the breath test for SIBO or the antibiotics used to treat it.
So after the research, I want to know how to treat the methanogens in my intestines. I'm not severely constipated, as the above remedies work to an extenct, but it's getting worse and the trick is to at least 'go' until I can find a solution for removing those pesky buggers. I also know that stimulating the MMC is essential, which I ignored when I first treated SIBO.
Overall, I'm looking to boost my diet and supplement accordingly.
Diet-Wise- Continue with fermented foods. I don't bloat, get cramps/headaches/pain, or feel any adverse symptoms with these guys. I tried cutting them out for a month, and still get constipated. So they're back in. But for food, I'm looking at mostly fish (which are high in omega 3's and minerals), pastured eggs, and liver for 'protein'. Most of the diet is based, however, on leafy greens (esp dandelion), cruciferous vegetables, minute servings of fruit (grapefruit/kiwi/pineapple/berries, as occasional garnishes once or twice a week on a salad), and some squash, plantains, or sweet potatoes every now and then, especially if I've been active. Plenty of fats from animals but also avocado, coconut/olive/flax oil, nuts/seeds, and coconut. I'm also going to integrate more sea vegetables, which are mineral rich.
Supplement-Wise, I continue to use L-Glutamine for gut repair, as well as Zinc Carnosine, Fish Oil (Carlson brand), a standard Multivitamin (PURE Encapsulations O.N.E), and magnesium (CALM formula and a topical magnesium spray over my stomach; it's on sale at Sprout's, and I've found that compromised guts struggle to absorb enough magnesium, even if it is supplemental).
On top of all this, I'm looking into supporting my liver, so any specific brands/products would be appreciative. Leaning towards Body Ecology's LivAmend. I'm also prone to stress, and while meditation and personal care helps tremendously, perhaps another formulation for the short term may help. Maybe-I also don't want to go overboard on the supplements.
Restoring MMC is essential, and I've tried Iberogast with mixed results; seemed to lose its effects over time. Looking at MotilPro by PURE Encapsulations, which contains 5 HTP and ginger, and few other ingredients.
There's only one more product that I have and it's Colostrum. I have not yet taken it, but the research and response to its incorporation when it comes to boosting immunity/gut health, so I hope this will help in the short term or even as a maintenance going forth.
Whew! That's a lot of info, but I hope this helps!
asked byTheDragonReborn (15)
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on July 29, 2015
at 10:25 AM
I would start here: http://drbganimalpharm.blogspot.com/2013/11/how-to-cure-sibo-small-intestinal-bowel_10.html and I'd keep reading stuff from that forum.
The conversations there in the comments seem to have a lot of very good detailed info. On the candida front, if you wake up with a coated tongue, one thing you could try is sesame seed oil. I tried that one night and in the morning my tongue, which used to be coated with something the thickness of cream cheese was totally clear. You should also consume some sesame oil on food if candida is an issue. There's a paper on it, but sadly I can only see the abstract: http://www.ncbi.nlm.nih.gov/pubmed/24057219
I'm not sure what would work well for methanogens, but I'd bet somewhere on that forum, you'll find the answer.
The 3rd article in the series has comments that mention that inulin, magnesium, and sulfur can be used against these guys, so you're on the right track with the magnesium. (L-Glutamine and Zinc Carnosine are good steps too though not mentioned there):
Constipation is multifactoria -- too many methanogens, not enough inulin/OS rich foods in the diet, sometimes a mineral/magnesium deficiency
When the gut is broken, mag isn't absorbed via the gut. Need to go topical with mag oil or sprays or Epsom salt baths. Very super soothing too!!
Sulfur rich vegetables will shift out methanogens. (some people report great gut results and resuming gut acidity with Opti MSM (hat tip Christie!))
--all brassica family
--garlic, onions, leeks (also inulin rich of course)
One thing I've personally found that helps prevent reflux at night is activated charcoal. I take 3-4 pills of AC at night right before sleep, and this absorbs whatever the evil little bacteria/yeasts are pushing out, most likely LPS. There's an article on Chris Kresser's site about esphageal leakiness that mentions that flora can produce LPS and for some reason the LES can open up when exposed to LPS: http://chriskresser.com/is-heartburn-caused-by-leaky-esophagus/ :
One possibility lies in the esophageal microbiome. The esophagus houses a community of microbiota similar in complexity to the intestinal microbiome, and the makeup of this bacterial community is different in healthy people compared to people with GERD. The microbes found in the esophagus of GERD patients are primarily gram-negative, while the microbes in the esophagus of healthy people are primarily gram-positive. (9)
Increased numbers of gram-negative bacteria can trigger inflammation by exposing epithelial cells to lipopolysaccharides (LPS), a component of gram-negative bacteria that causes immune responses in the body. (10) The inflammatory cytokines released in response to LPS can then lead to loss of tight-junction integrity, resulting in esophageal permeability. (11, 12)
Exposure to LPS can also cause the LES to relax, promoting reflux and increasing acid exposure time – again, creating a vicious cycle.
Please reply back if you find out anything more or with what you did to get it under control when you've fixed your issues.
on July 31, 2015
at 10:41 PM
It is very intersting that so many people with SIBO problems come to Paleohacks.
As a former SIBO sufferer (and I had methane-producing bacteria), I must tell you this: SIBO has to be diagnosed and treated by a qualified physician. Surely, you can suspect you have SIBO but you cannot verify it without a proper test. Even the test sometimes fails!
I understand that your insurance is funny, but I don't think SIBO test is that expensive. It is only $125 and you will know for sure. I beleive only the supplements will cost you as much. You really need to get tested if you suspect you have SIBO.
There are two different ways of treating this condition: a medical one and a naturopathic one. Methane-producing bacteria is almost impossible to get rid of using naturopathic medicine. You need antibiotics (actually, two different kinds), you need prokinetics, you need your test interpreted correctly. There is absolutely no way you can do it without a doctor.
Good luck to you but my advice is: seek proper medical treatment first.