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- 75
Well I just noticed something interesting (albeit I'm so frustrated that I didn't notice this sooner), so the typical sign of Hydrogen Sulfide /H2S SIBO is a 'flat line' on the breath test. Mine showed 0 fermentation, and then when it reached the large bowel a, a small amount. The practioner who interpreted the results said she wasn't sure if it was a false negative or not.
Now I can't be sure either, however stupidly I never bothered to compare my results with other peoples, to get an idea as to what level of fermentation you typically expect to see when it reaches the large intestine. Mine showed a combined gas producting peaking at 6PPM... Turns out that's as good as 0!! Other people results seem to be showing combined gas productions of 10-20x that in the lage bowel (where you expect to see these gases.) So effectively, mine was as good as a flat line!! I pretty confident this does indicate infact that SIBO and Hydrogen Sulfide is my problem.
Especially as my GI Map showed no reason to believe there are any reasons for me to have low fermentation in my large bowel (no dysbiosis, no lack of strains, etc!) So now I'm frustrated A) with myself for not even doing this due diligence almost a year ago when I had the test done and B) naively trusting the practioners interpretation when I dubious about her knowledge anyway (she didn't inspire me with confident when we spoke on the phone, she really didn't sound like she was as clued up as she'd like to make out.)
But this then would make sense of my symptoms, and why probiotics have made this worse. But, if this is the case, the question still remains as to why it was there in the first place, and how I fix it.
H2S SIBO seems to be even more of a grey area than the other 2 forms, with no actual test available at the moment to be sure, and no real certainity on best course of treatment. Aghhh!!
But, this makes so much sense again now - if I've got it correct (I could be wrong still.)
It really does make me all the more tempted to roll the dice on Rifaximin though. Although it's hard to know if H2S should be paired up with other antibiotics. Hmm.
The other difficulty is knowing what to do with diet! Historically last year when I trialled a low sulfur diet my meat intake was high, and I was consuming a fair amount of fat through animal fats and oils - however some people seem to suggest a high fat diet should be avoided with H2S, and that even animal proteins should be limited as the high methionine/cysteine content can lead to fermentation...
But once you cut meat right now, cut sulfur vegetables, unless you live off sugar and starch ( which is also invariably not likely to be conjucive to success) - you're left with diddly squat!! Lettuce and Cucumber diet.. lol!
Going to have to think long and hard about this Rifaximin decision over the next few days. I mean even if it doesn't clear it entirely, I wonder if it'll undo some of the mess I may have created by gulping so many probiotics over the last few years (as presumebly I had SIBO before I even touched them, which is what made them problematic in the first place.)
Now I can't be sure either, however stupidly I never bothered to compare my results with other peoples, to get an idea as to what level of fermentation you typically expect to see when it reaches the large intestine. Mine showed a combined gas producting peaking at 6PPM... Turns out that's as good as 0!! Other people results seem to be showing combined gas productions of 10-20x that in the lage bowel (where you expect to see these gases.) So effectively, mine was as good as a flat line!! I pretty confident this does indicate infact that SIBO and Hydrogen Sulfide is my problem.
Especially as my GI Map showed no reason to believe there are any reasons for me to have low fermentation in my large bowel (no dysbiosis, no lack of strains, etc!) So now I'm frustrated A) with myself for not even doing this due diligence almost a year ago when I had the test done and B) naively trusting the practioners interpretation when I dubious about her knowledge anyway (she didn't inspire me with confident when we spoke on the phone, she really didn't sound like she was as clued up as she'd like to make out.)
But this then would make sense of my symptoms, and why probiotics have made this worse. But, if this is the case, the question still remains as to why it was there in the first place, and how I fix it.
H2S SIBO seems to be even more of a grey area than the other 2 forms, with no actual test available at the moment to be sure, and no real certainity on best course of treatment. Aghhh!!
But, this makes so much sense again now - if I've got it correct (I could be wrong still.)
It really does make me all the more tempted to roll the dice on Rifaximin though. Although it's hard to know if H2S should be paired up with other antibiotics. Hmm.
The other difficulty is knowing what to do with diet! Historically last year when I trialled a low sulfur diet my meat intake was high, and I was consuming a fair amount of fat through animal fats and oils - however some people seem to suggest a high fat diet should be avoided with H2S, and that even animal proteins should be limited as the high methionine/cysteine content can lead to fermentation...
But once you cut meat right now, cut sulfur vegetables, unless you live off sugar and starch ( which is also invariably not likely to be conjucive to success) - you're left with diddly squat!! Lettuce and Cucumber diet.. lol!
Going to have to think long and hard about this Rifaximin decision over the next few days. I mean even if it doesn't clear it entirely, I wonder if it'll undo some of the mess I may have created by gulping so many probiotics over the last few years (as presumebly I had SIBO before I even touched them, which is what made them problematic in the first place.)
