• Welcome to Phoenix Rising!

    Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.

    To become a member, simply click the Register button at the top right.

Do all gastroenterologists recognize SIBO?

outdamnspot

Senior Member
Messages
924
@be_lovely_ I'm in Australia, so the test isn't covered unfortunately.

@BeADocToGoTo1 I'm aware zero carb isn't healthy and appreciate the reading material suggestions but I didn't end up at this point out of choice. I'm profoundly intolerant to histamine, salicylates, carbohydrates, eggs, nuts, dairy, seeds and fiber, which rules out almost every food other than meat. And slowly reintroducing these foods, as the specialist and my doctor suggested, seems completely pointless because a) I'm effectively bedridden and can't function in my current state, so hardly have the patience to be messing around with eating like 1 teaspoon of peanut butter a day in the hopes of eventually tolerating it, and b) my understanding is that there is a kind of 'bucket' involved in these things and once it fills up you get symptoms, so I can't see how going slower and building up would really stop me eventually getting sick from these foods, not to mention the cross-reactivity.

Australian doctors seem to have this paradoxically harmful 'do no harm' mentality which effectively lays the blame on the patient. I don't see it as my responsibility anymore to try and tolerate foods when I've been living like this for 7 months -- alternating between eating carbs/histamine/salicylates to try and function (in my limited state) and ending up with almost psychotic depression/anxiety as a result; or cycling onto zero carbs and seeing huge improvement in symptoms but becoming so weak I can't even do stuff around the house. Neither 'state' leaves me able to function at all and they are both profoundly distressing and cognitively disabling, so I end up stuck in the house, unable to plan anything beyond trying to get to the next day, pray I don't have some awful reaction to a food etc. (and I'm so cognitively challenged now I wouldn't be able to read the books you mention or even listen to a podcast).

I apologize if I sound irritated at you; I'm not. I'm just angry things can reach this point and after making it out to see my doctor her idiotic suggestion is to 'eat more fiber'. Why not just do a trial of Rifaximin, since it's obvious I can't exist in this state forever? I've done so much other absurd stuff to my body and can barely eat, so I can't envision how much worse an antibiotic could make me.
 

BeADocToGoTo1

Senior Member
Messages
536
Hi outdamnspot,

No need to apologize, I just wish I could help you more.

If you do find a willing doctor, in my experience Rifaximin alone is not effective for methane related SIBO, for example. And you will also need supplements to attack the biofilm, pre- and pro-biotics. I took a 10 day course of both Neomycin and Rifaximin together along with all the other steps. For Candida yeast overgrowth some of the steps are similar, but the anti-fungal I used was Nystatin (From a compounding pharmacy, 1 million units per day for a month is what I did) along with things like botanical agents, enzymes, molybdenum, probiotic yeast, biofilm attacking supplements. It really is best to find a functional/integrative medicine doctor who has experience with this.

A little side note, have you had your water supply tested? Is it chlorinated? Water quality is often overlooked as possible causes of microbiome dysbiosis and chronic health issues.

Do you have a slowcooker? For a long time I could not tolerate most food and was nauseous all the time. But chucking a bunch of healthy things in with bone broth, meat and veggies, in a slowcooker made it tolerable over time. It also provided an easy nutrient rich batch for multiple meals.
 

grapes

Senior Member
Messages
362
I'm curious if anyone in this post did a stool test and found themselves with unabsorbed carbohydrates in their stool as I did?