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Doctor insights on: The Advantages Of Taking Probiotics With Rifaximin To Treat Sibo

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Probiotic (Definition)

Probiotics, by definition, are beneficial bacteria that live in our intestinal tract to help us maintain health intestines and colon. There are several species of these bacteria that are helpful to us including lactobacillus acidophilus. The meats we eat contain antibiotics that kill our natural bacteria that reside in our gut. Today, you will replace these ...Read more


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How is rifaximin best Taken for IBS/SIBO? With meals? Probiotics? Any diet likely to affect outcome? Any supplements help eg high quality multivitamins?

How is rifaximin best Taken for IBS/SIBO? With meals? Probiotics? Any diet likely to affect outcome? Any supplements help eg high quality multivitamins?

PROBIOTICS 4 IBS: IBS =diagnosis of exclusion. SX can be managed You need a full exam and blood work. Especially screen for BLOOD/ H pylori/parasite/. you also need a baseline EGD/colonoscopy. While you are getting these items checked out you should stick to a GF diet. Ie gutbliss. Com and Wholeapproach. Com. Also 64-80oz water. REJUVENATION-SCIENCE. COM For vitamins. PROBIOTICS :UDOS&DR. OCHIRO ...Read more

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Wat is a good probiotic. Can they help or treat sibo? Or do u need meds for that? Culture. Florastar. Vsl3. Or any u perfur

Wat is a good probiotic. Can they help or treat sibo? Or do u need meds for that? Culture. Florastar. Vsl3. Or any u perfur

Many good ones, help: I feel good probiotics are an essential part of treating sibo, though one also needs antimicrobials- but herbs can be useful alternatives to antibiotic drugs.
Many brands have been proven beneficial, including culturelle, florastor, vsl3, dr. Ohirra's ; natren.
Orthobiotic by omp is one of my favorites. No single brand is best for everyone ; the best benefit may be from rotating different ones. ...Read more

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Xifaxan (rifaximin) for sibo. Can this med cause c diff. I read it can. Then I read can be used to treat c diff?

Xifaxan (rifaximin) for sibo. Can this med cause c diff. I read it can. Then I read can be used to treat c diff?

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). Xifaxan (rifaximin) is also curative for c.Difficile in appropriate dose ; settings. ...Read more

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How to treat SIBO that has been off and on for 7 years and antibiotics and probiotics aren't working.”?

How to treat SIBO that has been off and on for 7 years and antibiotics and probiotics aren't working.”?

New therapies: It depends on what antibiotics you've tried and what your symptoms are. One of the new ones that has come out for diarrhea predominant IBS is Xifaxan (rifaximin). Viberzi is another one indicated for IBS-D. I also have my patients keep a food journal and track potential food triggers with a low FODMAP diet (first link to stanford's website on google search is a good one). Feel free to consult me for more? S ...Read more

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Been treated for sibo with xifaxan (rifaximin). Still get gas everytime I eat no matter what I eat. What else could it be?

Been treated for sibo with xifaxan (rifaximin). Still get gas everytime I eat no matter what I eat. What else could it be?

Feeling gassy...: Feeling full of "gas" may reflect malabsorption of food (like gluten, lactose), intake of poorly digested food, or choosing foods known to promote gas (beans, fizzy drinks). Sometimes its more complicated--a stomach emptying too slowly, bacterial overgrowth syndrome, delayed intestinal function, partial obstruction from any cause, infection, rectum problems, and pelvic pathology outside the gut. ...Read more

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Sibo. Takin rifaximin. Wats my chances of a c diff infection from this med? I read it can. Then I read it can treat it. 550mg every 12hrs

Sibo. Takin rifaximin. Wats my chances of a c diff infection from this med? I read it can. Then I read it can treat it. 550mg every 12hrs

What's going on?: Small intestinal bacterial overgrowth? A real diagnosis, or a pop self-diagnosis for your self-described tiredness? If the latter, i'd urge you to maintain a healthy skepticism but your experiment is basically safe. If you're going to do this, at least be alert to the warning of pseuomembranous colitis and get treated by an evidence-based practitioner if it happens. ...Read more

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Breath test shows positive for SIBO. Only symptoms is Bloating. Can I treat with probiotics alone? If so, which ones are best for SIBO and bloating?

Breath test shows positive for SIBO. Only symptoms is Bloating. Can I treat with probiotics alone? If so, which ones are best for SIBO and bloating?

Would also use herbs: You can try this but are likely to have more success if you also use herbs. A recent research study shows herbs like oregano oil, garlic, olive leaf extract, Hu Zhang and andrographis can be even more effective than the standard antibiotic used to treat SIBO- see http://tinyurl. Com/hmjrogm
See and click on the link to the study.
Many diff. Probiotics can help. See http://www. Probioticsguide. Com ...Read more

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I'm being treated for SIBO with Xifaxan (rifaximin). I feel so weak and tired from a week long attack of diarrhea, anxiety and cramps. What can I do for energy?

I'm being treated for SIBO with Xifaxan (rifaximin). I feel so weak and tired from a week long attack of diarrhea, anxiety and cramps. What can I do for energy?

Test first: Xifaxan (rifaximin) is an antibiotic that is not absorbed but kills bacteria in the G.I. tract. It is used for travelers diarrhea (e. coli)and to help prevent Hepatic encephalopathy in liver disease. It does cause diarrhea, weakness, nausea, etc, but it can also lead to Clostridium difficile infection which needs to be diagnosed and treated. ...Read more

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I'm taking Xifaxan (rifaximin) for SIBO. 550mg 3x a day for 14 days. I'm having a really hard time on the pills. Would it be ok to take 2 pills a day instead of 3?

I'm taking Xifaxan (rifaximin) for SIBO. 550mg 3x a day for 14 days. I'm having a really hard time on the pills. Would it be ok to take 2 pills a day instead of 3?

Okay as twice a day.: A few questions:
What makes taking the Xifacan three times a day difficult for you?
How long have you been on the drug?
Has a culture been done on your fences?
What are the symptoms you're having?
Have been on any other antibiotics for your SIBO?
You can take Xifacan twice a day and assess the differences in symptoms. Diet is also very important. Ask WebMd re: diet ...Read more

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After I'm done w/ 10 days of antibiotics for SIBO, can I go back to eating a normal diet right away, or should I stay on SCD while taking probiotics?

After I'm done w/ 10 days of antibiotics for SIBO, can I go back to eating a normal diet right away, or should I stay on SCD while taking probiotics?

Stay on SCD: I would carefully introduce prebiotics that are appropriate for the SCD diet. Continue the SCD diet for a while symptoms improve. When ready gradually reintroduce foods that are organic one at a time to evaluate your response to them. ...Read more

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I took Xifaxan (rifaximin) for SIBO. It's been a week and a half since I finished and my lower GI hurts more. I can't work. Could I have done permanent damage?

I took Xifaxan (rifaximin) for SIBO. It's been a week and a half since I finished and my lower GI hurts more. I can't work. Could I have done permanent damage?

Probably not: Xifaxin can help with certain forms of IBS; your trial of treatment has not worked; this does not mean that you have experienced any permanent damage as a result; consult with your GI doc once more; perhaps try a higher dose of amitriptylline, or some other approach; ...Read more

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Am taking xifaxan (rifaximin) 550mg for sibo, is it normal to be cold all the time and always feel thirsty?

Am taking xifaxan (rifaximin) 550mg for sibo, is it normal to be cold all the time and always feel thirsty?

Sorry, but no...: Xifaxan (rifaximin) is generally well tolerated, and not likely to cause the distress you describe. Please ask your physician to next address your new symptoms with some simple blood work to check electrolytes, glucose, thyroid, etc, (these should be a good start). ...Read more

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What is the success rate for Xifaxan (rifaximin) for a permanent cure of SIBO after one use? I'm reading so many different numbers.

What is the success rate for Xifaxan (rifaximin) for a permanent cure of SIBO after one use? I'm reading so many different numbers.

Maybe temporary fix: If U have ibs due to sibo (small intestinal bacterial overgrowth)--antibiotics like xifaxan (rifaximin) may help (is being studied 4 repeat use). 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 curative for C.difficile in appropriate dose & setting. ...Read more

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I have been prescribed rifaximin. According to the literature that I have read, I can take probiotics. When should I take the probiotics and how much?

I have been prescribed rifaximin. According to the literature that I have read, I can take probiotics. When should I take the probiotics and how much?

Probiotics are good!: You should take probiotics at least 2 hours before or after your antibiotic. Selecting probiotics is the more confusing part because of how many are out there! Chose one that has a wider variety of bacterial strains look for one that has at least 7-20 strains. Follow directions on the packaging as some may be once or twice daily. If antibiotics are short term, continue for at least 7 days after. ...Read more

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Can you get SIBO after taking antibiotics with probiotics?

Can you get SIBO after taking antibiotics with probiotics?

Possibly: Depends on type antibiotic, diet, underlying medical conditions, etc. More important than actual overgrowth is likely type (e.g., gas or toxin-formers) or diversity of bacteria, which can be altered greatly w antibiotics. Probiotics and good prebiotics (diet fostering good bacteria) daily would be helpful in general, and avoid unnecessary use antibiotics. ...Read more

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I've been prescribed Rifaximin (550mg x2 a day) for suspected SIBO. Is it ok to drink alcohol while taking this medicine?

I've been prescribed Rifaximin (550mg x2 a day) for suspected SIBO. Is it ok to drink alcohol while taking this medicine?

Rifaximin/ETOH: Both of these substances have potential hepatotoxicity. Taken together in moderate amounts should not be an issue. There are not serious interactions. ...Read more

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I am going to be taking Neomycin and XIFAXAN (rifaximin) 2x a day to get rid of my SIBO. Should I take them both at the same time or spaced apart?

I am going to be taking Neomycin and XIFAXAN (rifaximin) 2x a day to get rid of my SIBO. Should I take them both at the same time or spaced apart?

Shouldn't matter.: You should be able to take those two medications either way, together or separate. However, I would defer to whatever your doctor told you they wished you to do. Good luck. ...Read more

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How many people are cured of SIBO from first treatment of 550mg, 3x a day, 14 day dose of Xifaxan (rifaximin) and never have it come back?

How many people are cured of SIBO from first treatment of 550mg, 3x a day, 14 day dose of Xifaxan (rifaximin) and never have it come back?

Ask users: Small Intestine Bacterial Overgrowth (SIBO) has many treatments, and the long term studies don't seem to be very comprehensive or well constructed for validity.
In the meantime, try posting on
http://www. Ibsgroup. Org/forums/topic/119286-sibo-treatment-with-xifaxan/ ...Read more

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I've read conflicting info on probiotics to heal gut. Yes, if gut flora is just off, but may make SIBO worse? No holistic dr by me, trying to heal self

I've read conflicting info on probiotics to heal gut. Yes, if gut flora is just off, but may make SIBO worse? No holistic dr by me, trying to heal self

Depends on probiotic: It's complicated. There are many different probiotics and some common ones may aggravate SIBO. Prescript-Assist and Sacchromyces Boulardii are likely to help. See http://chriskresser. Com/treating-sibo-cold-thermogenisis-and-when-to-take-probiotics and scroll down to the section on "The most effective treatment for SIBO" for a good discussion of treatment by a reliable authority.
Good luck! ...Read more

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Is it advisable to take probiotics if you have sibo (small intestinal bacterial overgrowth)?

Yes: It can help by filling your intestine with healthy bacteria. The healthy bacteria can crowd out the bad bacteria and improve your digestive well being. ...Read more

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Had SIBO. 10 days Cipro, (ciprofloxacin) probiotics done. Still some discomfort under left rib and occasional soft stool. How long until I'm feeling well again?

Had SIBO. 10 days Cipro, (ciprofloxacin) probiotics done. Still some discomfort under left rib and occasional soft stool. How long until I'm feeling well again?

Cont colon problem: Continue the probiotics it can take 1-2 months to return to normal. Also it could be a yeast over growth that is giving you the problem. Talk with your Doctore ...Read more

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I took Xifaxan (rifaximin) for my IBS/SIBO and I don't think it helped at all. Am I always going to be sick? Can I do anything else? On Elavil and bentyl. No help

I took Xifaxan (rifaximin) for my IBS/SIBO and I don't think it helped at all. Am I always going to be sick? Can I do anything else? On Elavil and bentyl. No help

Talk to GI: Depending on the type of IBS you have, there may be other treatment options available. If you have diarrhea predominant IBS, the options are limited for now. You could try Donnatal (phenobarbital atropine hyoscyamine and scopolamine) or Imodium. You could enroll in a Clinical Trial if you have exhausted in all other options. Talk to your GI doctor about your options. ...Read more

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I took lactulose breathe test and showed I had Sibo. Doc prescribed xifaxan (rifaximin). I heard sibo is likely to reoccur. How can I prevent it from coming back?

I took lactulose breathe test and showed I had Sibo. Doc prescribed xifaxan (rifaximin). I heard sibo is likely to reoccur. How can I prevent it from coming back?

Nothing to do: What were your symptoms and did they improve after treatment? There are a number of potential causes but nothing for you to do to prevent recurrence. Should it recur with symptoms of diarrhea or bloating, another course of therapy may be indicated. ...Read more

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Took cipro/flagyl for 2wks. For suspected sibo. Felt great while on it. Now the gas is coming back. Which probiotic should I begin? 38/male.

Took cipro/flagyl for 2wks. For suspected sibo. Felt great while on it. Now the gas is coming back. Which probiotic should I begin? 38/male.

SIBO, documented?: Treatment is often offered empirically when sibo (small intestinal bacterial overgrowth) is suspected. However symptoms recur when the antibiotics are gone. Is this due to underlying ibs, regrowth of bacteria (or resistant ones!), parasites, altered GI transit, or something else? Bifidobacter-containing probiotics may reduce gassiness, a xifaxan (rifaximin) trial may help, but evaluation is best pursued now. ...Read more

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Breath test with glucose. Positive bacteria overgrowth. Doc want rifaximin. Can this cause c diff? Could I just eat bunch yogurt & probiotic pills?

Breath test with glucose. Positive bacteria overgrowth. Doc want rifaximin. Can this cause c diff? Could I just eat bunch yogurt & probiotic pills?

Rifaximin and CDI: Rifaximin is used as an alternative therapy to treat clostridium difficile infection when other treatments fail. There have been case reports of resistance of c. Difficile to Rifaximin but these are rare. In short should not cause you to get cdi. ...Read more

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Told I have SIBO and need Xifaxan (rifaximin). Had hydrogen breath test. Is there other treatment for SIBO other than antibiotics? Can't take Xifaxan (rifaximin) due2 allergy

Told I have SIBO and need Xifaxan (rifaximin). Had hydrogen breath test. Is there other treatment for SIBO other than antibiotics? Can't take Xifaxan (rifaximin) due2 allergy

Drug allergy: Isn't generic, meaning if you're allergic to one drug then u r allergic to all others. Also drug allergy is often confused with adverse drug reactions, so a patient can't tell if it is a true drug allergy or just an adverse reaction. If you are allergic to xifaxan, (rifaximin) other antibiotics are there to use. Also ask your doctor about probiotics, and elemental diet to treat your condition, best wishes ...Read more

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Can xifaxan (rifaximin) & probiotics cause your stool to smell "chemically"? It almost smells like motor oil. Stool looks brownish/orange. No visible blood. Stool culture/o&p = neg.

Can xifaxan (rifaximin) & probiotics cause your stool to smell "chemically"? It almost smells like motor oil. Stool looks brownish/orange. No visible blood. Stool culture/o&p = neg.

Stools: The color, odor, consistency, etc. Of stool can be changed by anything taken orally. This is usually dietary materials, but drugs also possible. Not probiotics which generally make stools like those of breastfed babies and are not malodorous. ...Read more

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I've had stomach pain above my belly button after finishing 2 rounds of xifaxan (rifaximin) for sibo. What could be causing this pain?

I've had stomach pain above my belly button after finishing 2 rounds of xifaxan (rifaximin) for sibo. What could be causing this pain?

SIBO? YOU SURE?: Sibo? Are you sure? It seems to be over-diagnosed currently...Was there any objective evidence for this or was it done as a trial? The latter is ok but it is important to undersand the premise of the therapy. As to the abdominal pain above umbilicus - do you have a small hernia? Please be seen by someone who will examine you (not order a ct scan...). ...Read more

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Hydrogen breath tst for SIBO accurate? Only have tummy bloating no other problems and IBS. GI says test is Pos need Xifaxan (rifaximin). But no symptoms of SIBO.?

Hydrogen breath tst for SIBO accurate? Only have tummy bloating no other problems and IBS. GI says test is Pos need Xifaxan (rifaximin). But no symptoms of SIBO.?

No test has perfect: Accuracy. Study: https://www. Google. Com/#q=hydrogen+breath+test+for+SIBO for overview. Medical industry commonly promotes simple ideas for complex issues, yet does not mean true. Who is primarily in charge of your medical decisions? Yourself or others? Do you carefully pay attention to results of suggestions others make/promote and how you possibly accept/implement them? I would suggest doing so. ...Read more

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Which probiotic strain is best for post antibiotic (flagyl-cipro) therapy of sibo. Also highly lactose intol. Sibo symptoms returned very quickly.

Which probiotic strain is best for post antibiotic (flagyl-cipro) therapy of sibo. Also highly lactose intol. Sibo symptoms returned very quickly.

Probiotics: There are several high potency probiotics available, such as klaire complete, and orthobiotic, two of my favorites. A good post antibiotic restorative probiotic should have at least 4 strains of acidophillus and bifido bacteris, and a friendly competitor for candida, like florastor. Ortho biotic has all of those in one supplement. The other thing to look for is billions of cfu (cocloies). ...Read more

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Abnormal bloating and heavy feeling lower abdomen for 2 years. Hashimotos gluten dairy refined sugar free. Itchy feet. Is it sibo? Probiotics help?

Abnormal bloating and heavy feeling lower abdomen for 2 years. Hashimotos gluten dairy refined sugar free. Itchy feet. Is it sibo? Probiotics help?

Elimination process: Eliminating certain foods one at a time will be a practical first approach to take. Other causes could include constipation, thyroid disease, diabetes or gynecological problems. It is worth looking into all the other causes by consulting your doctor. ...Read more

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Breath test positive for SIBO. Have tried Xifaxan, (rifaximin) doxycycline and metronidazole. Symptoms (stomach pain and bloating) continue. Suggestions?

Breath test positive for SIBO. Have tried Xifaxan, (rifaximin) doxycycline and metronidazole. Symptoms (stomach pain and bloating) continue. Suggestions?

Gi consult: Would recommend Gi consult. There may be more than 1 reason for your symptoms. Bacterial overgrowth seems to have been addressed. Upper endoscopy with biopsies should be in place. ...Read more

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Do I need to worry about c diff while taking rifaximine for SIBO? Acidophilus during or better after treatment?

Do I need to worry about c diff while taking rifaximine for SIBO? Acidophilus during or better after treatment?

No: While it is potentially possible for all antibiotics to cause C. diff, it has not shown to be a significant cause in early studies. As this medication is used more extensively in IBS and SIBO we could see C. diff infections, but this should be rare. No need to take Acidophilus during therapy. ...Read more

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I have been diagnosed with small intestine bacterial overgrowth (sibo) for the third time. What other things should I be doing besides rimaximin?

I have been diagnosed with small intestine bacterial overgrowth (sibo) for the third time. What other things should I be doing besides rimaximin?

Consider probiotics: Why the sibo? Had surgery? Taking ppis for acid? Got funny anatomy, like small bowel diverticula?
Consider probiotics such as s. Boulardii, probiotics in food, such as yogurt, kefir, tempeh, miso. ...Read more

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I am taking Aciphex-20 two times. Can I take Schiff Digestive advantage probiotic also? Please answer.

I am taking Aciphex-20 two times. Can I take Schiff Digestive advantage probiotic also? Please answer.

Yes but two AcipHex (rabeprazole) 20 mg a day is a lot: I think a better question would be why do you need this much abdominal medication. A large dose of the medication could impair your magnesium and give you more problems than you started with. Perhaps some lifestyle changes would be good. I suggest avoiding alcohol, nicotine, and caffeine as well as any specific food that upsets your stomach. If you are overweight consider substantial weight loss. ...Read more

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My husband has some digestive issues, and started taking digestive advantage, probiotic gummys. Are they good? What is the best one on the market?

My husband has some digestive issues, and started taking digestive advantage, probiotic gummys. Are they good? What is the best one on the market?

In reality: Probiotics haven't quite born out as well in the literature as people would have hoped. Its not clear which microbes and in what colony forming unit quantity is ideal. So in reality there is no "best" probiotics supplement out there. ...Read more