Hey Dr, listen you should do more videos about how to cure sibo, common mistakes, go over the medicines commonly used, common symptoms, if this then that…. Ive had hydrogen sibo for 4+ years starting at 19th old. I’ve watched every sibo video online, and I like your idea for the channel, but it just isn’t giving enough info or specific info about sibo and how to cure it. I bet you are extremely knowledgeable on sibo but these videos need to be more specific to help people like me. Just a suggestion, thank you for all the info that you have put out.
Hi, Rowena here from The SIBO Doctor. Thanks for your comments - we always appreciate feedback so we can provide the best quality resources to our community. We have an excellent patient education program, which does provide more specific information about treatment of SIBO - you can find it here: www.thesibodoctor.com/sibo-success-plan/
I don't really know what else needs to be said. I had a big health scare last year (brown urine for two weeks, couldn't eat for 3 weeks due to excessive mucus and my stomach felt like it was on fire), and the previous guests helped a lot in diagnosising my infection. In particular, the Portland doctor who spoke about sulfur sibo convinced me to do a meat-only diet with supplement support and it seems to be working. The conventional doctors weren't helpful, so I mostly had to treat my illness alone. Thanks for what you do and I'm glad you make these podcasts easier to find with TH-cam.
Yup, Dr. Google is what helped me figure out what my issues were. MD's did jack-sh*t to help me. Even ND's were next to useless. Figured out it was SIBO, took the antibiotic protocol and got my life back. Now working on figuring out underlying cause. Looks like low stomach acid.
I was diagnosed with IBS last year. But it wasn't extremely problematic... Intermittent and occasional diarrhea, constipation, bulky, light colored, malodorous stools, gas and bloating. I am very health conscious - eat nutritiously, exercise daily, and drink plenty of water... I have eliminated suspect foods. About 10 days ago, I started having severe constipation out of the blue, it lead to hemorrhoids and I am miserable! I have made an appointment with a gastroenterologist. ( my primary care doctor has been basically ignoring me.) In the meantime, I have done a lot of my own research and strongly suspect SIBO... I will have the doctor do the breath test and labwork to check for gut microbes and gases like methane, etc.
Thanks for this info, Doctor! I was diagnosed with IMO, so this was very helpful. Would love to hear your opinion on Ox Bile, which my functional medicine doctor has prescribed for me.
Hi! A topic I would like information on is what to do if you're not tolerating antimicrobials...they cause lots of diarrhea, but you've already done rounds of Rifaximin and the sibo is still there.
Would your treatment for IMO change in pediatric patients? My 7 y/o daughter was diagnosed with it this week after 7 months of chronic mild/moderate abdominal pain. She has had 2 prior abdominal surgeries (the second due to adhesions caused by the first), so the likely culprit is additional adhesions which cannot really be "healed" so I hope we can at least rid her of the methane that could be causing gas pain. The first thing her GI did was prescribe metronidazole.
Hi, Rowena here from The SIBO Doctor. The evidence suggests that the effectiveness of Rifaxmin is increased with concurrent administration of Partially Hydrolysed Guar Gum (PHGG), however, we recommend starting with small doses, as it is not always well tolerated by everyone and in some cases, is best left until after treatment has been finished.
I’ve been having stomach issues since I was 15 . I’m 46 now . No doctor has ever helped me . Just anti acid and prescription for ibs and gerd . Always had issues with acid reflex , really extreme . And constipation . Stomach issue run in my family but no one has had positive results from doctors. 2 years ago I got to where I seemed allergic/ intolerant to all my foods . Went to the doctor, no help so I figured it out myself . Was fine for almost a year and lost 30 pounds . Then it hit me again and gained weight back , get tired, migraines , nausea, bloating , pain etc . Someone told me the other day maybe gallbladder . Everytime I eat I’m a mess even fuzzy thinking , get super cold , tired like my blood pressure lowers Idn just guessing . Last year for 3 months my hair just started falling out . I now have about half the amount of hair prior to falling out. Does any of this seem like it can be my gallbladder or SIBO ? Please let me know I’m exhausted with all this ! Both these issues sound like they have what I’m fighting. I’ve been trying to change eating , do research , take herbs etc . Trying so hard to figure this out, it just keeps getting worse the older I get .
This sounds a lot like what I went through. My whole family has stomach issues too so for me it was ‘normal’. My family doctor never thoroughly investigated my stomach\gut issues either. I found a great naturopath in my area and after trying an elimination diet, which didn’t have the results we hoped, she then referred me to a clinic for a sibo test. It was a take-home test. I tested positive and I’m so relieved I finally have an answer and can start healing. Try a naturopath if you haven’t already because they place much more attention and importance on gut health as per my personal experience.
Hi Christine, please read this: You most likely have a HISTAMINE or TYRAMINE INTOLERANCE. Have you also been experiencing insomnia during these periods? It can be a consequence of SIBO. I'd suggest you read about this. I'd suggest you take a SIBO test (all three gases; hydrogen gas, methane and hydrogen sulfide), and also a histamine and tyramine prick test at the allergologist/dermatologist. The latter test shouldn't check for wheal intensity, but for the duration it takes for the wheal to disappear, that's very important information. Only go to one that is knowledgeable about histamine/tyramine/-amine intolerances. It's one of the only clinical ways to test for it. In short: Your body produces histamine for a lot of bodily processes. They are both a product of immune reactions as neurotransmitters. They bind to neuroreceptors that regulate A VERY LARGE AMOUNT OF BODILY PROCESSES. From the skin, to the heart, to your digestion system, to you central nervous system. Normally, your body can get rid of histamine by means of an enzyme, called Diamine Oxidase ("DAO"). If your body somehow produces too much of histamine, or doesn't produce enough DAO, you will get excess histamine, which disrupts these forementioned bodily processes. This can make you dizzy, brainfoggy, fatigued, insomniac, cause you stomach problems, skin issues, heart rhythm problems, even bone marrow problems. Your small intestine produces a lot of DAO. If the cells that produce this are damaged, you might produce too little of this enzyme. Also, food that has been fermented also contains it, as bacteria can turn histidine into histamine. The same goes for tyrosine being turned into tyramine because of bacteria. If you have too much of these bacteria that can do this, and you consume a histidine or tyrosine rich meal, you might get a reaction. And given that a lot of food contains this, it might explain why you think that you get a reaction from "everything". Foods to avoid are: - All cheeses, especially hard cheeses such as parmezan - yoghurt - processed meat - meat that has been slaughtered longer than 2 days ago (most supermarket meat is older than 10 days (!!), so buy from a local slaughterhouse) - All sea food - citrus foods (as they don't contain neither histamine nor histidine, but cause your cells to release the histamine already contained in your body) - lots and lots more. Look up a food guide for these intolerances Don't dispair, most likely you won't have to follow this diet for the rest of your life; often it's a consequence of gut problems such as SIBO, hence why I suggested you take a SIBO test. Good luck, and I hope you read this.
I am experiencing very similar symptoms... See a gastroenterologist and endrocrinologist, have them do a breath test, stool culture and bloodwork. You need to get a correct diagnosis in order to get proper treatment.
Going to an integrative doctor…she did a stool study and diagnosed me with SIBO, gastroparesis, leaky gut. How can you diagnose this just through a stool study? I have severe constipation due to a spinal disease.
Wow! Your comment is exactly what I am experiencing... I have cervical spinal stenosis and lumbar disc herniations. I was diagnosed with IBS but think there is more going on! I will be having all of the tests done soon. I don't know the answer to your question, but I will be doing more self research because this information is interesting and important to know.
I tested positive for hydrogen and methane SIBO. What should I do? And is it curable? I tried taking berberine but my sugar level dropped to 47 last week and I feel like I took a big step backwards since then. I now have a low appetite and today had diarrhea
May I ask you when to add probiotics - in which phase? After how many weeks of diet and treatment with allicin, berberine, etc.? Can all this be taken together (allicin, berberine, etc. + probiotics and S.Boulardii - in the same phase of treatment )? And what do you think about adding S.Boulardii?
@@OrbMan97 now ..... now I take something called tudca . Its like ox bile Betaine hcl was good but my problems kept comeing and going I got up too 34 500mg capsules with one meal until I felt warm feeling and a change ... that alot lol ? I also had 30 and 32 capsules that day with 2 other meals Tudca has changed my life and maybe saved it . I take 1 or 2 250mg capules at the beginning of every meal . Now my bloating truely has gone but its good to relax for 45 minites after eating just to help it along and also try to chew I also have 1 tea spoon of salt with every meal around 10grams a day tho all my food are pure ingredients. No added salt to start with ... plus I have a very physical job so I need extra salt . Plus acv watered down 30 mins before a meal but tudca is my main thing I think my bile had become thick and stagnant Have you tryed tudca or ox bile ? I think alot of people miss this subject Native Americans would use ox bile .. they were smart people
@@vanessaoliv4091 you won't beleive this but I got upto 84 500mg capsules in 1 day once ... between 3 meals Most days I was taleing 7 with a meal . It'd alot of money and tho it helped it couldn't last and it isn't natural so I tried other things I now take something called tudca which is a bile salt and that is amazing. I take 1 or 2 with each meal sometimes at the start sometimes near the end of the meal It stimulates your bile which can become stagnent or blocked I'd totally give that a try It's not cheap but it's only 2 or 3 capsules a day ... I also make sure that iam getting enough salt so I take a full tea spoon with each meal . Just make sure your eating loads of potassium foods to balance and the salt intake so loads of boiled potato.and veg and salad and squash I also make sure my calcium and magnesium are right HA and most of all now iam after foods with molybdenum ... I beleive i struggle to metabolise sulphur foods well so I need alot of molybdenum foods to help this and its totally working so far Lentils and beans chickpeas and green peas Eat proper foods like don't eat beansthat are in a tin with added sauce and sugars an crap . Tin beans in water only an salt maybe ... that's what u want Try tudca and molybdenum foods Tudca is on amazon. Double wood is a good brand maybe tho there's others too
The 2 duets just cause them to burrow deeper and make biofilms stronger and the person gets more and more deficient and thyroud gets damaged and much more...all while no symptoms because its never dealt with properly.
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Hey Dr, listen you should do more videos about how to cure sibo, common mistakes, go over the medicines commonly used, common symptoms, if this then that…. Ive had hydrogen sibo for 4+ years starting at 19th old. I’ve watched every sibo video online, and I like your idea for the channel, but it just isn’t giving enough info or specific info about sibo and how to cure it. I bet you are extremely knowledgeable on sibo but these videos need to be more specific to help people like me. Just a suggestion, thank you for all the info that you have put out.
Hi, Rowena here from The SIBO Doctor. Thanks for your comments - we always appreciate feedback so we can provide the best quality resources to our community. We have an excellent patient education program, which does provide more specific information about treatment of SIBO - you can find it here: www.thesibodoctor.com/sibo-success-plan/
Thanks Dr Jacobi, that is fantastic information! Answered a few questions for me and made me re-think a few things.
I don't really know what else needs to be said. I had a big health scare last year (brown urine for two weeks, couldn't eat for 3 weeks due to excessive mucus and my stomach felt like it was on fire), and the previous guests helped a lot in diagnosising my infection. In particular, the Portland doctor who spoke about sulfur sibo convinced me to do a meat-only diet with supplement support and it seems to be working. The conventional doctors weren't helpful, so I mostly had to treat my illness alone.
Thanks for what you do and I'm glad you make these podcasts easier to find with TH-cam.
Yup, Dr. Google is what helped me figure out what my issues were. MD's did jack-sh*t to help me. Even ND's were next to useless. Figured out it was SIBO, took the antibiotic protocol and got my life back. Now working on figuring out underlying cause. Looks like low stomach acid.
I was diagnosed with IBS last year. But it wasn't extremely problematic... Intermittent and occasional diarrhea, constipation, bulky, light colored, malodorous stools, gas and bloating. I am very health conscious - eat nutritiously, exercise daily, and drink plenty of water... I have eliminated suspect foods. About 10 days ago, I started having severe constipation out of the blue, it lead to hemorrhoids and I am miserable! I have made an appointment with a gastroenterologist. ( my primary care doctor has been basically ignoring me.) In the meantime, I have done a lot of my own research and strongly suspect SIBO... I will have the doctor do the breath test and labwork to check for gut microbes and gases like methane, etc.
Maybe Meckels diverticulum
Have you tried garlic?
Thanks for this info, Doctor! I was diagnosed with IMO, so this was very helpful. Would love to hear your opinion on Ox Bile, which my functional medicine doctor has prescribed for me.
I'm in the same boat as you lol, look into TUDCA i've purchased that it is very good for liver and bile production and detoxification!
Hi! A topic I would like information on is what to do if you're not tolerating antimicrobials...they cause lots of diarrhea, but you've already done rounds of Rifaximin and the sibo is still there.
Do you recommend SIBO testing if you’ve been taking digestive enzymes, etc? Will it be a true test?
Would your treatment for IMO change in pediatric patients? My 7 y/o daughter was diagnosed with it this week after 7 months of chronic mild/moderate abdominal pain. She has had 2 prior abdominal surgeries (the second due to adhesions caused by the first), so the likely culprit is additional adhesions which cannot really be "healed" so I hope we can at least rid her of the methane that could be causing gas pain. The first thing her GI did was prescribe metronidazole.
I'm so, so sorry. I got mine at 23, three years ago. I feel like I have lost 3 years of my life (and counting), I cannot imagine a child having that.
What about small intestinal metaplasia after Many episodes of SIBO.
Do you recommend guar gum with Rifaxamin to treat methane?
Hi, Rowena here from The SIBO Doctor. The evidence suggests that the effectiveness of Rifaxmin is increased with concurrent administration of Partially Hydrolysed Guar Gum (PHGG), however, we recommend starting with small doses, as it is not always well tolerated by everyone and in some cases, is best left until after treatment has been finished.
What do you suggest for a dosage? And if I were to have a bad effect from it would stopping it make it go away?
I’ve been having stomach issues since I was 15 . I’m 46 now . No doctor has ever helped me . Just anti acid and prescription for ibs and gerd . Always had issues with acid reflex , really extreme . And constipation . Stomach issue run in my family but no one has had positive results from doctors. 2 years ago I got to where I seemed allergic/ intolerant to all my foods . Went to the doctor, no help so I figured it out myself . Was fine for almost a year and lost 30 pounds . Then it hit me again and gained weight back , get tired, migraines , nausea, bloating , pain etc . Someone told me the other day maybe gallbladder . Everytime I eat I’m a mess even fuzzy thinking , get super cold , tired like my blood pressure lowers Idn just guessing . Last year for 3 months my hair just started falling out . I now have about half the amount of hair prior to falling out. Does any of this seem like it can be my gallbladder or SIBO ? Please let me know I’m exhausted with all this ! Both these issues sound like they have what I’m fighting. I’ve been trying to change eating , do research , take herbs etc . Trying so hard to figure this out, it just keeps getting worse the older I get .
This sounds a lot like what I went through. My whole family has stomach issues too so for me it was ‘normal’. My family doctor never thoroughly investigated my stomach\gut issues either. I found a great naturopath in my area and after trying an elimination diet, which didn’t have the results we hoped, she then referred me to a clinic for a sibo test. It was a take-home test. I tested positive and I’m so relieved I finally have an answer and can start healing. Try a naturopath if you haven’t already because they place much more attention and importance on gut health as per my personal experience.
@@emmysapphire2525 awesome thank you so much for your advice!
Hi Christine, please read this: You most likely have a HISTAMINE or TYRAMINE INTOLERANCE. Have you also been experiencing insomnia during these periods? It can be a consequence of SIBO. I'd suggest you read about this.
I'd suggest you take a SIBO test (all three gases; hydrogen gas, methane and hydrogen sulfide), and also a histamine and tyramine prick test at the allergologist/dermatologist. The latter test shouldn't check for wheal intensity, but for the duration it takes for the wheal to disappear, that's very important information. Only go to one that is knowledgeable about histamine/tyramine/-amine intolerances. It's one of the only clinical ways to test for it.
In short:
Your body produces histamine for a lot of bodily processes. They are both a product of immune reactions as neurotransmitters. They bind to neuroreceptors that regulate A VERY LARGE AMOUNT OF BODILY PROCESSES. From the skin, to the heart, to your digestion system, to you central nervous system.
Normally, your body can get rid of histamine by means of an enzyme, called Diamine Oxidase ("DAO"). If your body somehow produces too much of histamine, or doesn't produce enough DAO, you will get excess histamine, which disrupts these forementioned bodily processes. This can make you dizzy, brainfoggy, fatigued, insomniac, cause you stomach problems, skin issues, heart rhythm problems, even bone marrow problems.
Your small intestine produces a lot of DAO. If the cells that produce this are damaged, you might produce too little of this enzyme. Also, food that has been fermented also contains it, as bacteria can turn histidine into histamine. The same goes for tyrosine being turned into tyramine because of bacteria. If you have too much of these bacteria that can do this, and you consume a histidine or tyrosine rich meal, you might get a reaction. And given that a lot of food contains this, it might explain why you think that you get a reaction from "everything".
Foods to avoid are:
- All cheeses, especially hard cheeses such as parmezan
- yoghurt
- processed meat
- meat that has been slaughtered longer than 2 days ago (most supermarket meat is older than 10 days (!!), so buy from a local slaughterhouse)
- All sea food
- citrus foods (as they don't contain neither histamine nor histidine, but cause your cells to release the histamine already contained in your body)
- lots and lots more. Look up a food guide for these intolerances
Don't dispair, most likely you won't have to follow this diet for the rest of your life; often it's a consequence of gut problems such as SIBO, hence why I suggested you take a SIBO test.
Good luck, and I hope you read this.
I am experiencing very similar symptoms... See a gastroenterologist and endrocrinologist, have them do a breath test, stool culture and bloodwork. You need to get a correct diagnosis in order to get proper treatment.
Meckels diverticulum??
What do you think to a lower sulphur diet and higher molybdenum to help cure alot of sibo problems
Excellent. Will send an email asking for effective weight loss, gut bacterias and how to specifically increase them
Going to an integrative doctor…she did a stool study and diagnosed me with SIBO, gastroparesis, leaky gut. How can you diagnose this just through a stool study? I have severe constipation due to a spinal disease.
Wow! Your comment is exactly what I am experiencing... I have cervical spinal stenosis and lumbar disc herniations. I was diagnosed with IBS but think there is more going on! I will be having all of the tests done soon. I don't know the answer to your question, but I will be doing more self research because this information is interesting and important to know.
I AM IN THE USA WHERE DO I GET THIS TEST FOR SIBO
I have sifo too… should I treat sibo first
I tested positive for hydrogen and methane SIBO. What should I do? And is it curable? I tried taking berberine but my sugar level dropped to 47 last week and I feel like I took a big step backwards since then. I now have a low appetite and today had diarrhea
Hey, how are you doing now? I would appreciate it if you informed us about anything that might have helped you!
May I ask you when to add probiotics - in which phase? After how many weeks of diet and treatment with allicin, berberine, etc.? Can all this be taken together (allicin, berberine, etc. + probiotics and S.Boulardii - in the same phase of treatment )? And what do you think about adding S.Boulardii?
S boulardii is a life saver. Will not do you any harm at any stage in my opinion. I am not the expert though lol
Can you talk about Gaucher’s disease if you are familiar
Are you familiar with Gaucher’s Disease? If so can you discuss
Will a SIBO test also test for SIFO and if not how is that diagnosed?
I found extreme bloating after meals was low stumuch acid . Took betaine hcl with each meal and wow
How is it going now?
@@OrbMan97 now ..... now I take something called tudca . Its like ox bile
Betaine hcl was good but my problems kept comeing and going I got up too 34 500mg capsules with one meal until I felt warm feeling and a change ... that alot lol ? I also had 30 and 32 capsules that day with 2 other meals
Tudca has changed my life and maybe saved it . I take 1 or 2 250mg capules at the beginning of every meal . Now my bloating truely has gone but its good to relax for 45 minites after eating just to help it along and also try to chew
I also have 1 tea spoon of salt with every meal around 10grams a day tho all my food are pure ingredients. No added salt to start with ... plus I have a very physical job so I need extra salt . Plus acv watered down 30 mins before a meal but tudca is my main thing I think my bile had become thick and stagnant
Have you tryed tudca or ox bile ? I think alot of people miss this subject
Native Americans would use ox bile .. they were smart people
@@OrbMan97 I no longer take betaine hcl . Just tudca and acv . It's been 5 weeks and I feel like iam healing
@ white voodoo man how many tablets did you take with each meal? I’m going through the same problem. Thanks
@@vanessaoliv4091 you won't beleive this but I got upto 84 500mg capsules in 1 day once ... between 3 meals
Most days I was taleing 7 with a meal . It'd alot of money and tho it helped it couldn't last and it isn't natural so I tried other things
I now take something called tudca which is a bile salt and that is amazing. I take 1 or 2 with each meal sometimes at the start sometimes near the end of the meal
It stimulates your bile which can become stagnent or blocked I'd totally give that a try
It's not cheap but it's only 2 or 3 capsules a day ...
I also make sure that iam getting enough salt so I take a full tea spoon with each meal . Just make sure your eating loads of potassium foods to balance and the salt intake so loads of boiled potato.and veg and salad and squash
I also make sure my calcium and magnesium are right
HA and most of all now iam after foods with molybdenum ... I beleive i struggle to metabolise sulphur foods well so I need alot of molybdenum foods to help this and its totally working so far
Lentils and beans chickpeas and green peas
Eat proper foods like don't eat beansthat are in a tin with added sauce and sugars an crap . Tin beans in water only an salt maybe ... that's what u want
Try tudca and molybdenum foods
Tudca is on amazon. Double wood is a good brand maybe tho there's others too
Interview Dr. Grace Liu from The Gut Institute : )
Talk to Stephanie Person. Keto carnivore diet is by far the best treatment for sibo and candida.
The 2 duets just cause them to burrow deeper and make biofilms stronger and the person gets more and more deficient and thyroud gets damaged and much more...all while no symptoms because its never dealt with properly.
@@gratitude2880 How do you know that? I can't help but disgree based on all the evidence I've seen.
KETO IS one thing carnivpre another. 2 different diets.
@@kevinjoseph517 carnivore is very effective for hydrogen.
Removing a Meckels diverticulum helps more than anything!
Does Ivermectin help with SIBO❓❓❓❓❓❓❓
Hi Trisha, Rowena here from The SIBO Doctor. No, it's more effective for parasites rather than bacterial overgrowth.
@@thesibodoctorEffective against a certain virus too! Take it with zinc.
Please get a camera in to the small intestine as it could be Meckels diverticulum!