Doctor insights on:
Medicine For Bacterial Overgrowth Of Small Intestine
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Don't understand: I'm not sure what your question is referring to or how this was even diagnosed. Everyone has bacteria in their intestines--it is completely normal. Sometimes the composition and relative amounts can change after antibiotics or certain foods but there is no such thing as "bacterial overgrowth" despite many labs saying they will test you for it. ...Read more
Well: Probiotics Or AvtiviA type yogurt can help.healthtap or primary care doctor visit for specific diagnosis and treatment ...Read more
In some cases...: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). Xifaxan (rifaximin) is also helpful for c.Difficile in appropriate dose ; settings. ...Read more
I have been diagnosed with small intestine bacterial overgrowth (sibo) for the third time. What other things should I be doing besides rimaximin?
Trial of antibiotics: Usually start with a short course of antibiotics to see if your symptoms improve. ...Read more
See Integrative Dr.: Sibo can cause many things. The best bet is to consult with an integrative physician, who specializes in this near you. You had an appendectomy in the past, so this also plays into your equation. Let them go over your entire medical, surgical, trauma, stress history to give you the best answer on this. This is not a simple question. However you will get many good answers from your consult with the integrative doctor. ...Read more
Could someone please list all the vitamins that may get depleted in the body by bacterial overgrowth in small intestines?
SBO: The major issue is with B-12 which is absorbed in the last part of the small bowel, and patients may then develop a megaloblastic anemia with large red blood cells. In older adults, small bowel bacterial overgrowth is associated with a higher frequency of diarrhea, a lower body mass index, and a significantly lower serum albumin concentration. Not aware of other vitamins lost thru this. ...Read more
Does small intestine bacterial overgrowth cause stomach rumbling, above average flatulence, foul smelling flatulence, and bloating? I Have Crohn's.
Sure, but...: ...so could your Crohn's. Best get checked, since there are ways to distinguish & treat the two possibilities mentioned, most importantly if your symptoms represent an early Crohn's flare. ...Read more
I was told after some tests that I may have bacteria in my small intestine. Is there something ican eat or take?
Does ileitis (inflamed and thickened walls) cause liquid (pus) outside the small intestine? Can the latter carry bacteria? Thanks
Yes: Ileitis also called Crohn Disease is associated with mucosal inflammation and in some cases abscess formation. You can sometimes expect rectal seepage that can contain bacteria. I hope you are under the care of a gastroenterologist as this can turn out to be more than a simple illness. ...Read more
Maybe temporary fix: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). ...Read more
How to check for small intestinal bacterial overgrowth means what tests to check you are suffering from them?
Maybe temporary fix: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). ...Read moreSee 1 more doctor answer
Not expired ones: There are many good brands and blends of probiotic cultures that may be recommended by your GI or primary doctor. My patients like the align brand for the gastrointestinal tract. Just don't buy expired probiotics and if they are supposed to be refrigerated, make sure they are. ...Read more
Diagnosed w/ small bowel bacteria overgrowth and carb intolerance (secondary). What could cause each?
They are related: Sibo or small intestine bacterial overgrowth is a result of a multitude of things, det included. Carbohydrates, including fruits and grains feed the bacteria in the gut and causing the bacteria to grow in abundance. This then interferes with the digestive process and this leads to fermentation of certain foods (carbs)- causing gas, bloating, etc. Seek a functional medicine md to "heal your gut". ...Read more
SIBO: With small intestinal bowel overgrowth, you want nutrients that are quickly absorbed, leaving less for any bacteria to consume. A low carb, high fat and high protein diet is best in this case. Popcorn and white rice would fall outside this category -- and are best avoided while your gut is healing. http://www.siboinfo.com/diet.html. ...Read moreSee 1 more doctor answer
What blood test would reveal small bacteria overgrowh in the intestines? What are the symptoms and causes?
Folate (folic acid): Agree with dr. Larsh. Bacterial overgrowth can also cause abnormally high serum folate (folic acid) levels in the absence of supplement use, along with low vitamin B12 levels. Bacterial fermentation increases the folate (folic acid), and they compete for the b12. Bacterial overgrowth can be confirmed with breath hydrogen testing after lactulose (poorly digestible carbohydrate) load. ...Read moreSee 1 more doctor answer
Unlikely: No link between the two has been demonstrated. ...Read more
Why are there different prep instructions before having a sibo small intestinal bacterial overgrowth test? Can I have Ensure shakes a few days before
Prep instructions.: You have heard the saying "there are different ways to skin a cat." Different doctors have found different preps that have worked for them or that they have learned in their truing programs. I would says if it says you can have Ensure then yes. Otherwise unless you call and receive permission then no. Sometimes the littlest changes in preparation can ruin the test. ...Read more
What are investigations to find small bowel bacterial overgrowth and available treatment methods?
Get GI doc to help: Stool cultures and stool analysis, along with EGD endoscopy can pinpoint problems in the small bowel to find out if overgrowth is an issue, along with a detailed history of you eating and drooling, GI -related signs and symptoms. If you don't feel you are getting good advice from your GI, maybe you should seek s consultation on HealthTap ! ...Read more
No: People don't eat gluten, they ear foods that contain gluten. These are grains, which contain some poorly digestible carbohydrates. Bacteria in the gut ferment these, can cause gas, bloat, pain, diarrhea- similar to symptoms of celiac sprue gluten bowel disease. The latter is immune related, the former is digestive. Important distinction re: diagnosis, and rx. Celiac lifelong exclusion;. ...Read more
Does small intestinal bacterial overgrowth make you feel like you have a lead ball in your stomach?
U mean like in IBS?: If you have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help. Sibo may also occur from anatomic variations in the small bowel, altered small bowel motility, or a variety of systemic conditions that prevent permanent cure (e.g. The bacteria just grow back). ...Read more
Can bacterial overgrowth in the colon or small bowel cause loose or watery stools which are. Sometimes pale?
If I am taking xifaxan (rifaximin) for small intestinal bacterial overgrowth, is it okay to drink alcohol with it? Or will it adversely affect the antibiotic
Nope: It is generally very unwise to consume alcohol while on any antibiotic - but since your intestine is trying to recover from infection I wouldn't take the chance of causing any more irritation until fully healed. Stick to water - freshen it up with slices of cucumber as this has antioxidant properties and may help with some of the irritation. http://www.webmd.com/drugs/2/drug-91340/xifaxan-oral/details#interactions ...Read more
How is good bacteria overgrowth in the intestines distinguished from bad bacteria overgrowth? Should I see a gastro for my suspicions?
Multiple ways: There are multiple ways this is determined. While not commonly done, a quantitative aspiration of bacteria from the small intestine can be done. But hydrogen or methane breath test and D-xylose testing can be also done. Also very common is seeing a patient's response to an empiric(trial) course of antibiotics; if one improves with antibiotics that it suggests overgrowth. ...Read moreSee 2 more doctor answers
Does the "beneficial bacteria" in yogurt kill candida albicans overgrowth in your intestinal tract?
Candidal overgrowth: This urban myth has not been scientifically proven, but it has not been disproved. The "balance" between bacterial flora and yeast cells in the intestinal tract (colon) is generally regulated by what you eat. If you choose to add unpasteurized yogurt to your diet it may well change the character of your stools, since it contains lactobacilli. Same available as a probiotic for oral use. ...Read more
Can intestinal yeast or bacterial overgrowth cause pink rash both sides of butt crack? Can it come through the feces and affect the skin there?
Get evaluated: GI doctor, colorectal surgeon, dermatologist can help you. They will first perform a visual inspection & digital exam after taking your history as to circumstances, duration, quality, timing of symptoms & your risk factors. They may then determine topical treatment or ask to perform further evaluation of the rectal lining. Problem may be dermatologic, infectious, inflammatory, functional, etc. ...Read more
Bloated for 2 weeks. More bloated in lower abdomen area. Very uncomfortable, alot of gas. Normal bowel movements. Papsmeer is clear, only bacterial infection. What can it be?
All the medicines are absorbed in blood stream through small intestine? How it reaches its destination?
No, most though: several such as suboxone are set up to be absorbed directly from the inside of the mouth. It goes against the 2nd law of thermodynamics for drugs to "run directly to a spot". They diffuse like a drop of ink in water. for more detail on this. a directed question to me, the only MD PhD pharmacologist would be good. ...Read more
Hydrogen breath test with glucose. Wats it test for? Think bacteria overgrowth in small intestine? Wat do they do if u have overgrowth?
Lactose intolerance: This is most often used to confirm the persons inability to digest certain sugars like lactose or fructose. As many as 1/4 of the adult population looses the ability to digest lactose, the main sugar in cow milk. This leaves it behind for germs to feed on & when they thrive they produce gas and loose stools. Fructose (fruit sugar) is similar but rare. ...Read moreSee 1 more doctor answer
Differs among people: Some people can lose a significant length of their intestine and still maintain relatively normal function. Other people can retain their entire intestine length and still have poor function. Historically, adults require about 100cm minimum to function without supplemental fluids or nutrition. However, this depends on presence of large intestine and the valve between the small and large intestine. ...Read more
All but 150-200cm: All of the intestine can be removed. However, most adults need to keep at least 150 to 200 cms of small intestine to maintain enough function to avoid complications such as dehydration, severe diarrhea, and vitamin/mineral deficiencies. When you have less than that amount, you may require supplemental IV fluids of nutrition into the vein. Some patients receive intestine transplant, if necessary. ...Read more
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