1

votes

FODMAPs, SIBO, gut healing with limited options?

Answered on August 19, 2014
Created March 26, 2013 at 12:18 AM

I have been having major issues with mostly bloating and some pain in my intestines for a little while. My stools seem to be okay mostly, but sometimes a bit too hard.

My problem started after switching back to a diet with more carbs after being on an almost ketogenic diet. I never intended to eat ketogenic, I simply stopped eating certain carbs. I had severe problems being on a vlc diet. My thyroid flared up, my liver enzymes skyrocked, i was weak, tired, lost hair, started having weird periods that were very painful and started having acne.

Adding more carbs in* (140-190g a day atm) helped my problems but now I do get painfully bloated after eating it seems. I notice it more with veggies but anything gets me bloated really. I was hardly bloated on Vlc and even before I only experienced minor bloating. Now I look 6 months pregnant when I had it badly.

It would be hard for me to follow a gut healing protocol bc it would cut out my carbs again it seems. And I don't have a spare liver or thyroid so what can I do? I also need to eat calorie rich since I tend to get underweight and only a decent amount of carbs and fat keeps my weight up.

*increased carbs starting late January

3959828c57f2aeddc08e5f374e92ad36

(87)

on April 12, 2013
at 01:08 AM

Does it work with SIBO though? My bloating can be very painful if I don't eat the right thing.

Cc69a51b427eaad36251cce9dcca4d3a

(1074)

on April 11, 2013
at 11:10 PM

try ZC or cut out all sources of fructose including most vegs, all fruits and most grains. white rice/white potato, meats/eggs/seafood etc

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 27, 2013
at 09:49 AM

I see, I will try to find a good hospital then. Thanks!

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 27, 2013
at 03:38 AM

Some naturopathic/holistic doctors know about it, some don't. But they wouldn't be able to give you the test anyway, only some major center in gastroenterology can do it.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 27, 2013
at 03:36 AM

SIBO is pretty common in acne and IBS/IBD patients. What is uncommon is that very few doctors know about it, because the research is quite recent. So if I were you, I would find a major hospital, call them and inquire whether or not they have a 3 hour lactulose test for SIBO. Don't take the glucose one, only lactulose. The doctor who gives you the test is the one who will be able to interpret the results. A doctor can test for a low stomach acid, but for some weird reason my doctors always refused to do so.

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 08:18 PM

Someone else on this forum suggested I may have low stomach acid too? And that there are supplements for it. Can a doctor also test for low stomach acid?

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 08:09 PM

They do cover everything basic, but I wasn't sure how common this is. My insurance does not allow all naturopathic and holistic doctors. Mostly the standard doctors. Then Antibiotics are definitely out of the question. I plan to nurse until he self weans. What are other ways to treat it? Is that test a breath test? I have done this before (fructose and gluten) and was really sick for days. Sigh...I guess that is the only way? There are no blood tests?

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 05:48 PM

Find a good gastroentherologist, the one who knows about SIBO.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 05:48 PM

I am totally against antibiotics while breastfeeding. Unless you are like dying or something - do not use antibitotics because it will be in your milk. NO WAY. Good for you that you are breastfeeding. This is the best thing you can give your child. If you do have SIBO, don't take probiotics - they will aggravate the situation. I don't know about Germany, but I know 100% that they have methane hydrogen tests in the UK. They are the ones making them for Europe. I thought your health insurance covers like everything? I could be wrong though.

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 12:49 PM

Hello to the umh..."masters of SIBO" ? Lol. Is SIBO a commonly known thing? I live in Germany and I am not sure I can find such a doctor, paid by my insurance too. I could noT afford paying out of pocket. We barely have enough to eat decent. If I can't find a specialist, would it be possible guiding a doctor that specializes in digestion and such to help my problem? Would it be a good idea to start of probiotics now to ease symptoms a bit? If so, what type would you recommend? Will the antibiotics affect my baby? I'm breastfeeding a 19 month old and he still relies on a good amount of milk

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 01:49 AM

Paul, I hope there will be a day when I will never have to mention the word "SIBO" again. Not sure when though.

77877f762c40637911396daa19b53094

(78467)

on March 26, 2013
at 01:46 AM

If there is anything on SIBO, me VB and DavidHill will most always comment lol

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 01:39 AM

Could you send me a link for a leaky gut protocol? Thanks!

3b031bce7c181c10452ee202e2b54dc6

(803)

on March 26, 2013
at 01:25 AM

I wonder if SIBO could be "fixed" through a leaky gut protocol.

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4 Answers

2
F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 01:23 AM

I recommend going to a SIBO specialist. Not just any regular doctor, but the one who is trained to deal with SIBO patients.

You will be required to take a 3 hour SIBO test and then will probably put on antibiotics.

Mild SIBO cases and food intolerances can be cured with gut healing protocol. Some cases are just too severe and you cannot deal with them with food alone.

The treatment is usually a combination of 1. prokinetics to restore gut motility - this is probably the most crucial piece 2. antibiotics to kill off the bacteria in your small intestines 3. a very strict diet (SCD), which does not mean a low-carb diet, you will just have to pick and choose your carbs. Don't worry, there are plenty to choose from and you can be both Paleo and SCD.

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 08:18 PM

Someone else on this forum suggested I may have low stomach acid too? And that there are supplements for it. Can a doctor also test for low stomach acid?

77877f762c40637911396daa19b53094

(78467)

on March 26, 2013
at 01:46 AM

If there is anything on SIBO, me VB and DavidHill will most always comment lol

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 12:49 PM

Hello to the umh..."masters of SIBO" ? Lol. Is SIBO a commonly known thing? I live in Germany and I am not sure I can find such a doctor, paid by my insurance too. I could noT afford paying out of pocket. We barely have enough to eat decent. If I can't find a specialist, would it be possible guiding a doctor that specializes in digestion and such to help my problem? Would it be a good idea to start of probiotics now to ease symptoms a bit? If so, what type would you recommend? Will the antibiotics affect my baby? I'm breastfeeding a 19 month old and he still relies on a good amount of milk

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 01:49 AM

Paul, I hope there will be a day when I will never have to mention the word "SIBO" again. Not sure when though.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 01:39 AM

Could you send me a link for a leaky gut protocol? Thanks!

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 05:48 PM

Find a good gastroentherologist, the one who knows about SIBO.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 27, 2013
at 03:38 AM

Some naturopathic/holistic doctors know about it, some don't. But they wouldn't be able to give you the test anyway, only some major center in gastroenterology can do it.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 27, 2013
at 03:36 AM

SIBO is pretty common in acne and IBS/IBD patients. What is uncommon is that very few doctors know about it, because the research is quite recent. So if I were you, I would find a major hospital, call them and inquire whether or not they have a 3 hour lactulose test for SIBO. Don't take the glucose one, only lactulose. The doctor who gives you the test is the one who will be able to interpret the results. A doctor can test for a low stomach acid, but for some weird reason my doctors always refused to do so.

3b031bce7c181c10452ee202e2b54dc6

(803)

on March 26, 2013
at 01:25 AM

I wonder if SIBO could be "fixed" through a leaky gut protocol.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 26, 2013
at 05:48 PM

I am totally against antibiotics while breastfeeding. Unless you are like dying or something - do not use antibitotics because it will be in your milk. NO WAY. Good for you that you are breastfeeding. This is the best thing you can give your child. If you do have SIBO, don't take probiotics - they will aggravate the situation. I don't know about Germany, but I know 100% that they have methane hydrogen tests in the UK. They are the ones making them for Europe. I thought your health insurance covers like everything? I could be wrong though.

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 27, 2013
at 09:49 AM

I see, I will try to find a good hospital then. Thanks!

3959828c57f2aeddc08e5f374e92ad36

(87)

on March 26, 2013
at 08:09 PM

They do cover everything basic, but I wasn't sure how common this is. My insurance does not allow all naturopathic and holistic doctors. Mostly the standard doctors. Then Antibiotics are definitely out of the question. I plan to nurse until he self weans. What are other ways to treat it? Is that test a breath test? I have done this before (fructose and gluten) and was really sick for days. Sigh...I guess that is the only way? There are no blood tests?

0
3959828c57f2aeddc08e5f374e92ad36

on April 12, 2013
at 04:09 PM

Bump

Anyone know about the banana and butter?

Saw my GP today just for some results and he thinks I have IBS or Colitis when I don't have any symptoms of it really. He thinks it is a good idea to look at my digestive tract, if there is no risks to it, I think I agree.

We are waiting on more bloodwork.

0
1a6ad0d62f779ca50babe92d70ea6a0c

(137)

on April 11, 2013
at 11:21 PM

Try eating some broccoli sprouts (about 1/2 cup a day).

They are supposed to work miracles when it comes to stomach issues. My naturopath told me this and I tried it and it sure enough worked despite still eating starchy carbs. As far as concrete data to back it up, not sure any exists.

If it doesn't work, well, they are healthy so it's not like your doing harm!

3959828c57f2aeddc08e5f374e92ad36

(87)

on April 12, 2013
at 01:08 AM

Does it work with SIBO though? My bloating can be very painful if I don't eat the right thing.

0
3959828c57f2aeddc08e5f374e92ad36

on April 11, 2013
at 11:04 PM

I wanted to update on my progress and ask a few questions.

I have found a good gastroenterologist, but it takes 2 months to be seen! Most offices have a wait time this long. I will be taking a sibo test at a hospital sooner though.

I started eating according to a SIBO protocol with bone broth and everything. The first days went great actually and my skin cleared up fast and Inwas able to keep my bloating at bay. I then made one exception for a dinner with potatoes. I broke out horribly the next day, and instead of clearing up my skin is really going to shit now. I am not sure if it was the potatoes or the fact that I am ovulating.

I had to make a few alterations to my SIBo protocol not to lose weight (I lose weight fast and I am very thin, went to 99lbs last year). I eat Bananas, 3-6 a day for calories and carbs, I eat raw butter for calories, I eat coconut and eggs. I hope these won't mess me up. Can anyone tell me? It would be impossible for me eating 2700 cals cutting out these foods.

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