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SIBO: Should You be on SCD (or GAPS) at the SAME TIME as taking the bacteria killing ANTIBIOTICS or "flare up" the bacteria by eating "normal" so the antibiotics can kill them easily?

Answered on August 19, 2014
Created May 09, 2013 at 2:47 AM

I have SIBO. I have not started the GAPS, SCD, or low FODMAPS diet yet (the FODMAP one was recommended by doc). I have been prescribed antibiotics to kill the SIBO, but I am wondering if I should WAIT to start the healing diet until AFTER the round with antibiotics as if to "kill the bacteria while they are in action." What should I do?

F5a0ddffcf9ef5beca864050f090a790

(15515)

on May 10, 2013
at 04:57 AM

It is only for 10 or 14 days, right? If you want to exercise, make sure not to overexert yourself and don't go very low carb - just go with what feels right to you and avoid high carb. Bad bacteria thrives on sugar. I wrote "go as low as you can" and it varies for different people.

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 10:09 PM

Slightly unrelated, but should i worry about exercise at this time (during treatment)? (Seeing as I will have to go very low carb, maybe exercise would be too much stress, etc?).

F5a0ddffcf9ef5beca864050f090a790

(15515)

on May 09, 2013
at 06:53 PM

Good luck! Let me know how rifaximin works for you. Also, read some on siboinfo.com.

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:11 PM

Oh also, I LOVE ginger and I tolerate it just fine :).

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:10 PM

Thank you so much for sharing your story. At the moment (and I have been for 18 months), I am gluten free, largely grain free (except for oats sometimes) and mostly dairy free (probably still eat yogurt 3 times a week though). I also (last 6 months) do not eat strarchy veggies, but I'm sure my carbs are still high. Just started the antibiotics today (rifaximin). The iodine seems like a good idea.

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:06 PM

I am just using rifaximin. I had a hydrogen breath test that was positive for SIBO. Yes I had a parasite test-it was negative. My doctor recommended low FODMAP, so I will be doing that I guess. I don't even know how I developed this but I want to get rid of it more than anything right now :/.

3327924660b1e2f8f8fc4ca27fedf2b2

(2919)

on May 09, 2013
at 04:09 AM

There's no benefit to delaying probiotics. You should be getting a consistent source of probiotics.

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3 Answers

1
75d65450b6ff0be7b969fb321f1200ac

(2506)

on May 09, 2013
at 11:43 AM

Although your situation might be very different from mine I can only advise you based on what I went through. My IBS used to be horrendous. I also suffered from acid reflux. Oh, I was also diagnosed with H. pylori. So indeed by digestive tract was a mess. Here is what I did:

1) Over a three year period I refined my diet. I first went dairy/gluten free. I then went grain free. Then finally eliminating starchy veggies. Keeping carbs below 100 grams/day is best for me; in other words, an SCD diet is what I am on (,now and forever). All this improved my digestion TREMENDOUSLY. I would say I was 70% healed.

2) I took two antibiotics for 10 days as part of a (successful) H. pylori treatment regimen. Over a period of several weeks afterward my IBS seemed to have cleared, close to a full recovery. I don't think it was the eradication of H. pylori itself that did the trick but rather all the antibiotics killing off SIBO.

3) In the past couple of months I have been supplementing with iodine which, among other things, seems to be killing off excess Candida. Although my IBS was largely gone I feel that iodine, through Candida eradication, has made the stools firmer. (..sorry, TMI!)

If I could do it all over again I would have done all the above 3 steps at once and saving SO MUCH time (and suffering).

I hope this helps. Best of luck!

_Lazza

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:10 PM

Thank you so much for sharing your story. At the moment (and I have been for 18 months), I am gluten free, largely grain free (except for oats sometimes) and mostly dairy free (probably still eat yogurt 3 times a week though). I also (last 6 months) do not eat strarchy veggies, but I'm sure my carbs are still high. Just started the antibiotics today (rifaximin). The iodine seems like a good idea.

1
F5a0ddffcf9ef5beca864050f090a790

(15515)

on May 09, 2013
at 08:23 AM

  1. What kind of antibiotics are you using? The best combination is Flagyl/ metronidazole plus rifaximin depending on the bacteria. Flagyl should be low (750 mg), and rifaximin at its max.

  2. How do you know you have SIBO? What kind of tests did you go through?

  3. Are you sure you do not have any parasites? Have you been tested for any parasites? My belief is that in many cases SIBO is cased by parasites or infection.

  4. I would go for a low FODMAP Paleo version (check out Aglae the Paleo dietitian). For the duration of the treatment make sure not to consume any grains and keep your carbs fairly low. The lower the better.

  5. Taking probiotics during or right after the treatment is not recommended. The only more or less credible recommendation is taking S. boulardi one hour prior to taking antibiotic (which means before meals because you are taking antibiotics with your meals to make sure bacteria has some).

  6. You can start taking a special prebiotic right after the treatment. If you are interested, I can email you the name of it.

  7. You can start a probiotic ten days after you finish your antibiotic. Make sure to buy one that was refrigerated. They lose their potency really fast.

  8. You need to take a prokinetic together with your antibiotic. The best prokinetic is Resolor but also make sure to eat tons of fresh ginger. If you cannot stomach ginger, it means you have a die off reaction and you have some kind of parasites.

Good luck - but remember - if you do not treat the cause of SIBO, it might come back.


EDITED

So to answer your question:

Go as low carb as you can. Vegetables (especially low FODMAP such as carrot, zuccini) and meat, fish should be your best friends. But you can have any low carb vegetables if they are well tolerated.

Use vegetables low in FODMAPS.

No fruit, no grains, no starches, NO SUGAR, no dairy.

Look up Aglaee the Paleo Dietitian protocol - she has it on her website.

Good luck!

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:11 PM

Oh also, I LOVE ginger and I tolerate it just fine :).

F5a0ddffcf9ef5beca864050f090a790

(15515)

on May 09, 2013
at 06:53 PM

Good luck! Let me know how rifaximin works for you. Also, read some on siboinfo.com.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on May 10, 2013
at 04:57 AM

It is only for 10 or 14 days, right? If you want to exercise, make sure not to overexert yourself and don't go very low carb - just go with what feels right to you and avoid high carb. Bad bacteria thrives on sugar. I wrote "go as low as you can" and it varies for different people.

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 06:06 PM

I am just using rifaximin. I had a hydrogen breath test that was positive for SIBO. Yes I had a parasite test-it was negative. My doctor recommended low FODMAP, so I will be doing that I guess. I don't even know how I developed this but I want to get rid of it more than anything right now :/.

C997308836b5d0bc66bf49129e314f44

(35)

on May 09, 2013
at 10:09 PM

Slightly unrelated, but should i worry about exercise at this time (during treatment)? (Seeing as I will have to go very low carb, maybe exercise would be too much stress, etc?).

0
172f8ba4ec140e667f9188c52b9660db

(0)

on June 30, 2013
at 09:08 PM

Actually, the breath test is pretty accurate. I took it and it showed I had too much of the Methane producing bacteria in my small intestine... The problem is the treatment... The Dr. gave me Xifaxan which is the antibiotic that is suppose to help kill off the bacteria.. and i took it, and although it helped for a week, it came right back!

Now I am educating myself more and I am seeing the underlying problem is not the bacteria.. In fact the same bacteria that causes problems in the small intestine is just fine as long as it stays in the large intestine... the problem is the bacteria TRAVELING from large intestine into the small intestine.... that's the problem! .... So why does that happen? ... Well, the big suspect is a valve called ileocecal valve .. This is the valve between Small intestine and large intestine... it is suppose to keep the content of the large intestine in it, but with SIBO suffering individuals this valve is malfunctioning therefore allowing bacteria to come up to small intestine.... Here is a study done recently in Europe on a group of SIBO suffering indivicuals ... what they did was a colonoscopy specifically to see if that valve is malfunctioning, and sure enough it is!........ killing the bacteria with Anti-biotics or even all this diet is not gonna fix the underlying problem is the valve is not closing when it's suppose to and it's letting all the bacteria in the small intestine! Here is a link to that study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520169/

So the key is: 1. Do the test to find out if you have Hydrogen producing bacteria or Methane producing bacteria or both.. (Hydrogen producing bacteria usually causes Diarrhea / where as Methane producing bacteria causes constipation) this is why 1 SIBO patient could be suffering from symptoms completely different from another and why I recommend the breath test to at least get a clue as to what are we fighting here!

  1. Help the valve start to open and close normally again... This is best done with a help of a Chiropractor or if you have a really knowledgeable acupuncturist they might be able to help too.

  2. Then comes the diet and possibly antibiotics...

This is just my 2 cents.... I am a SIBO suffering person myself...

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