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Sibo And Probiotics: Good Or Bad?
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I suspect I may have SIBO or a yeast overgrowth, but I have yet to be tested (scheduled for early 2012). My doctor told me to go on probiotics to help the healing process. I've done so, but I'm concerned about whether I should be taking them if I do have SIBO. Does anyone know the impact of probiotics on SIBO? Either way, should I also be taking enzymes? Thank you!

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I suspect I may have SIBO or a yeast overgrowth, but I have yet to be tested (scheduled for early 2012). My doctor told me to go on probiotics to help the healing process. I've done so, but I'm concerned about whether I should be taking them if I do have SIBO. Does anyone know the impact of probiotics on SIBO? Either way, should I also be taking enzymes? Thank you!

I had 5 different SIBOs, which my ND treated with antibacterial agents (some herbal, some traditional drugs) during a 4 year period. (I also had 2 parasitic infections and candida during that time.) I successfully treated all those 'gut bugs' (no SIBO or 'bugs' on subsequent stool tests). After each treatment I took high dose probiotics (127 billion live cells per dose) to replenish my good bacteria for a week. I now just take a 50 billion live cell capsule daily for preventative maintenance.

Although high dose probiotics (20-50 billion live cells per capsule) will help a little, you may need to treat the yeast problem with an antiyeast agent like Nystatin (which worked well for me). There's lots of talk about 'starving the yeast' by eating a low carb and/or sugar free diet. That may help prevent a yeast infection. However, once you have been diagnosed by a stool test with yeast overgrowth, you may need stronger drugs to kill off the yeast quickly, rather than enduring a long period of low sugar/carb restriction to 'starve' the yeastie beasties.

However, I'd highly recommend you get a reliable test for yeast, bacteria, and/or parasites in your gut. You could have any of those gut bugs, but you need a treatment specifically designed to kill your specific gut bug. If you have candida, you'll need an antifungal agent or treatment. If you have a bacterial infection (overgrowth), you'll need an antibiotic or antibacterial agent. If you have a parasite, you'll need an antiparasitic treatment. A good (stool) test will also indicate to which drugs (treatments) your specific bacteria or fungus is sensitive (which drug will kill your bug). With parasites, docs tend to either follow a drug guidebook or just guess. Good luck!

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Thank you! This is so helpful. I will call my GI and ask them if they ran these tests--they collected samples several times, but I don't know for sure which panels they used. I'll request another test if needed. Thank you!

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    • I figured I would update those who were wondering.  I have gotten the appt. so far moved up to August 30. I am waiting to have gene testing done via swab for all 3 of my kiddos tomorrow. My daughters celiac antibodies came up negative but her IgA is low which the ped said could cause false negative antibodies for celiac so she will need to see a GI dr. also. The pediatrician is going to call the GI to try to get them in sooner. I am keeping them all on a gluten diet until the GI dr. decides what to do. I am on the cancellation list already for my son, however I am not going to be persistent with my phone calls to them until I have the results of the gene test. I really want that result in my hand before going to the GI dr if I can. Maybe if he is positive, along with his bloodwork and my history they can forgo the endoscopy. But he will eat gluten till then.  My husband and I have been very honest and upfront with him as to what is going on and the possibility of the endoscopy and what that entails and although scared in general he seems ok after assuring him that since I have it he has me to help him every step of the way.  Going through his current diet with him I realized that he is truly on such a low gluten diet that I am actually surprised his bloodwork shows antibodies at all!  So I told him to make a list of allllll the gluten he could possibly think of eating and he needs to pound it until the GI visit or endoscopy. Funny thing is everything he keeps thinking of to want to eat...is already gluten free!  The other night we were at a friends and he asked if he could be done with his hotdog. I made him finish just the bread 😂 Thanks for your help and advise and I will keep y'all posted on both kids!  My oldest is a ok as far as all his antibodies. Just actually had a follow up for other immune issues and all his levels are now normal!
    • I like your plan Cara, I may have to include it in my sons.    Poor little guy is still very very sick. I think he is resisting and cheating, despite having the support of two other siblings and a 100% gluten-free home. 
    • Despite it being a nightmare, I did wait for my kids to get biopsies. At one point I had one severely ill child gluten-free and two more waiting having to eat it. It was worth the wait though and I think long term a biopsy may be worthwhile, especially for school. I have already had issues with schools and camps so having a firm diagnosis has been helpful. 
    • Knowing that the reaction to gluten in celiacs is an uncalled for immune system reaction, I was thinking of how a cure would be possible. Maybe a medicine that somehow turns off the immune system. The only thing that i've heard do that... HIV.  obviously that's way worse than celiac. Just some food for thought.
    • Well, you can probably get an apple or something.  You might be able to get someone to boil you some eggs.  But be careful of things like nuts that should be naturally gluten free.  They have almost always been soaked in a flavor solution that usually containes caramel coloring, "soy" (wheat) sauce and other aditives.  If I am really hungry and must eat in a Chinese restaurant, I order plain white rice and steamed vegetables.  But even so, you must monitor it carefully.  The rice sometimes has other substances added to give it a better texture, and very often the vegetables have in fact had "just a little bit" of soy sauce added.  To be fair, celiac disease is hardly ever found in East Asians, so understandably people are not tuned it to it.  Also, culturally, with the exception of fruits, it is generally thought that the flavor of foods needs to be enhanced, so it is had to find anything natural even in the "western" gorceries. Even in the western restaurants, be careful.  Fish and meat and often vegetables are usually pre-marinated. I will not even attempt to address the issue of cross-comtamination, since that is a whole higher order of things. I do know what I am talking about; I have celiac and have worked here for nearly 7 years.  
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