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Hello, I Did A SIBO Breath Test 4 Months Ago

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Posted on Tue, 28 Jan 2020
Question: Hello, I did a SIBO breath test 4 months ago and test results have shown that I had sibo and it was hydrogen dominant. I took 8 weeks of herbal antibiotics, then took a break for 2 weeks with strict SIBO diet. I did the breath test again and my result was that the hydrogen got a bit less, but the methane count doubled. Should I start taking pharma antibiotics such as Rifaximin?

My hydrogen count now is 75 ppm
Methane is 29 ppm

I don’t have any constipation or diarrhea.
I burp a lot, and I have trouble breathing because of the irritation the gases has caused my throat tissues.
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Follow up: Dr. Ramesh Kumar (0 minute later)
Hello, I did a SIBO breath test 4 months ago and test results have shown that I had sibo and it was hydrogen dominant. I took 8 weeks of herbal antibiotics, then took a break for 2 weeks with strict SIBO diet. I did the breath test again and my result was that the hydrogen got a bit less, but the methane count doubled. Should I start taking pharma antibiotics such as Rifaximin?

My hydrogen count now is 75 ppm
Methane is 29 ppm

I don’t have any constipation or diarrhea.
I burp a lot, and I have trouble breathing because of the irritation the gases has caused my throat tissues.
doctor
Answered by Dr. Ramesh Kumar (17 minutes later)
Brief Answer:
Take a 2 week course of Rifaximin 550 mg twice.

Detailed Answer:
Hi,
Thanks for choosing "Ask a Doctor" service for your query,
Have seen your details my dear and have gone through your reports,

"I burp a lot, and I have trouble breathing because of the irritation the gases has caused my throat tissues"-As food reaches intestines it is acted upon by million's of good bacterias and fungus which causes complete fermentation of food.However in patient with SIBO there are colonies of bad bacteria's also.These bad bacteria's causes incomplete fermentation of food causing production of large amount of toxic gas like hydrogen sulphide methane etc which kills the good flora of your gut.To eradicate such bacteria's a course of Rifaximin is given(As per protocol).
You don't need to go for very strict diet.The only thing to remember is avoid eating outside.
Have food rich in fibres..Almost all fruits and grain and veggies are good for you.
Eat home cooked food.
Avoid meat for few weeks.
Take a course of Rifaximin 550 mg twice daily for 14 days.
Along with it take lots of yoghurt and fermented food(available in your country).
As i am a doctor of modern medicine i can't make a genuine comment on Herbal antibiotics..You can use them along with Rifaximin.

Secondly i would like to tell you one thing we never treat numbers we treat symptom's and patient.
Don't worry too much about methane hydrogen and various other gases.They are just suggestive of the fact that there is something wrong with food and digestion.Millions of parameters atre there in our body we can't keep each number to ideal every day.

Suggestion,
Take Proper course of Rifaximin for 2 weeks and you would be fine.
Hope i was easy to understand and clear,
Follow ups are welcome,
Thank you!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ramesh Kumar (0 minute later)
Brief Answer:
Take a 2 week course of Rifaximin 550 mg twice.

Detailed Answer:
Hi,
Thanks for choosing "Ask a Doctor" service for your query,
Have seen your details my dear and have gone through your reports,

"I burp a lot, and I have trouble breathing because of the irritation the gases has caused my throat tissues"-As food reaches intestines it is acted upon by million's of good bacterias and fungus which causes complete fermentation of food.However in patient with SIBO there are colonies of bad bacteria's also.These bad bacteria's causes incomplete fermentation of food causing production of large amount of toxic gas like hydrogen sulphide methane etc which kills the good flora of your gut.To eradicate such bacteria's a course of Rifaximin is given(As per protocol).
You don't need to go for very strict diet.The only thing to remember is avoid eating outside.
Have food rich in fibres..Almost all fruits and grain and veggies are good for you.
Eat home cooked food.
Avoid meat for few weeks.
Take a course of Rifaximin 550 mg twice daily for 14 days.
Along with it take lots of yoghurt and fermented food(available in your country).
As i am a doctor of modern medicine i can't make a genuine comment on Herbal antibiotics..You can use them along with Rifaximin.

Secondly i would like to tell you one thing we never treat numbers we treat symptom's and patient.
Don't worry too much about methane hydrogen and various other gases.They are just suggestive of the fact that there is something wrong with food and digestion.Millions of parameters atre there in our body we can't keep each number to ideal every day.

Suggestion,
Take Proper course of Rifaximin for 2 weeks and you would be fine.
Hope i was easy to understand and clear,
Follow ups are welcome,
Thank you!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (6 minutes later)
the one with the 83 ppm hydrogen and 12 ppm methane is BEFORE herbal antibiotics.

the one with 75 ppm hydrogen and 29 ppm methane is AFTER 8 weeks herbal antibiotics and 3 weeks strict bi phasic diet.
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Follow up: Dr. Ramesh Kumar (0 minute later)
the one with the 83 ppm hydrogen and 12 ppm methane is BEFORE herbal antibiotics.

the one with 75 ppm hydrogen and 29 ppm methane is AFTER 8 weeks herbal antibiotics and 3 weeks strict bi phasic diet.
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Follow up: Dr. Ramesh Kumar (36 minutes later)
I also have a problem with low ferritin. I want to start taking iron supplements. How long after the antibiotic treatment can I take the iron supplements?

I was told I have to wait 4 weeks after sibo is cleared, and only then can I take the iron supplements. Mainly because iron feeds SIBO.

What’s your suggestion?
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Follow up: Dr. Ramesh Kumar (0 minute later)
I also have a problem with low ferritin. I want to start taking iron supplements. How long after the antibiotic treatment can I take the iron supplements?

I was told I have to wait 4 weeks after sibo is cleared, and only then can I take the iron supplements. Mainly because iron feeds SIBO.

What’s your suggestion?
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Follow up: Dr. Ramesh Kumar (10 minutes later)
Since the SIBO issue started, I’ve been experiencing tightness in my throat and the feeling of my throat being “raw” and “swollen”, making it difficult to breathe. When I try to breathe deeply, the muscles of my throat get really tight, preventing me from breathing deeply.

I don’t have any issue in my chest area, it’s just the throat and consistent congestion in my nasal passages as well. Congestion in the nasal passages is swollen tissue as well, not mucus.

I’ve tried many natural remedies such as gargling with salt water, drinking turmeric for inflammation, honey, throat sprays with sage and honey, drinking warm water, ingesting berries/salmon/extra virgin olive oil to combat inflammation, sucked on throat relieving lozenges, but I haven’t seen any results at all.

I’m sure you’ve had clients who went through this issue due to consistent gases and acids irritating the throat tissues.

let me know what’s the best treatment for this as it is extremely exhausting when it interferes with my breathing.

You can check the attachment for a clear idea of where the tightness/swelling is.

And what do you think of a Prokinetik supplement after the course of antibiotics? Do you suggest D-Limonene?


And after the course of antibiotics, how do I rebalance my gut flora again?

And in case of a food poisoning incident again, what is the first thing I should do to clean my system so I won’t have an issue with sibo again?
default
Follow up: Dr. Ramesh Kumar (0 minute later)
Since the SIBO issue started, I’ve been experiencing tightness in my throat and the feeling of my throat being “raw” and “swollen”, making it difficult to breathe. When I try to breathe deeply, the muscles of my throat get really tight, preventing me from breathing deeply.

I don’t have any issue in my chest area, it’s just the throat and consistent congestion in my nasal passages as well. Congestion in the nasal passages is swollen tissue as well, not mucus.

I’ve tried many natural remedies such as gargling with salt water, drinking turmeric for inflammation, honey, throat sprays with sage and honey, drinking warm water, ingesting berries/salmon/extra virgin olive oil to combat inflammation, sucked on throat relieving lozenges, but I haven’t seen any results at all.

I’m sure you’ve had clients who went through this issue due to consistent gases and acids irritating the throat tissues.

let me know what’s the best treatment for this as it is extremely exhausting when it interferes with my breathing.

You can check the attachment for a clear idea of where the tightness/swelling is.

And what do you think of a Prokinetik supplement after the course of antibiotics? Do you suggest D-Limonene?


And after the course of antibiotics, how do I rebalance my gut flora again?

And in case of a food poisoning incident again, what is the first thing I should do to clean my system so I won’t have an issue with sibo again?
doctor
Answered by Dr. Ramesh Kumar (20 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,
I also have a problem with low ferritin. I want to start taking iron supplements. How long after the antibiotic treatment can I take the iron supplements? -Not related to each other just take iron capsules 15 minute after taking antibiotic.
Actually iron usually is associated with severe gut upset therefore you were advised to take iron supplement once your gut is normal.However these days iron polypeptide 8mg tablets are available which don't cause stomach upset.You can have them with Rifaxamin or any other medicine.
From throat congestion i would suggest you to take Rabeprazole 20 mg twice daily(empty stomach) for 5 days and revert back how you feel.

And what do you think of a Prokinetik supplement after the course of antibiotics? Do you suggest D-Limonene?-Definitely yes if its over the counter you should take it.
Your problem is due to gastroesophageal reflux disease while antacids would prevent formation of excessive acid and adding a prokinetic would prevent reflux of this acid back into esophagus and throat and would be very helpful.

And after the course of antibiotics, how do I rebalance my gut flora again?-Why after along with rifaximin take a probiotic like Econorm three times a day.This would replete the gut flora side by side.
And in case of a food poisoning incident again, what is the first thing I should do to clean my system so I won’t have an issue with sibo again? -Take a three days course of oflox oz twice daily for 3 days to kill bad bacteria's causing it.

Hope i was helpful,
Follow ups are welcome.
Thank you

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ramesh Kumar (0 minute later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,
I also have a problem with low ferritin. I want to start taking iron supplements. How long after the antibiotic treatment can I take the iron supplements? -Not related to each other just take iron capsules 15 minute after taking antibiotic.
Actually iron usually is associated with severe gut upset therefore you were advised to take iron supplement once your gut is normal.However these days iron polypeptide 8mg tablets are available which don't cause stomach upset.You can have them with Rifaxamin or any other medicine.
From throat congestion i would suggest you to take Rabeprazole 20 mg twice daily(empty stomach) for 5 days and revert back how you feel.

And what do you think of a Prokinetik supplement after the course of antibiotics? Do you suggest D-Limonene?-Definitely yes if its over the counter you should take it.
Your problem is due to gastroesophageal reflux disease while antacids would prevent formation of excessive acid and adding a prokinetic would prevent reflux of this acid back into esophagus and throat and would be very helpful.

And after the course of antibiotics, how do I rebalance my gut flora again?-Why after along with rifaximin take a probiotic like Econorm three times a day.This would replete the gut flora side by side.
And in case of a food poisoning incident again, what is the first thing I should do to clean my system so I won’t have an issue with sibo again? -Take a three days course of oflox oz twice daily for 3 days to kill bad bacteria's causing it.

Hope i was helpful,
Follow ups are welcome.
Thank you
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Hello, I Did A SIBO Breath Test 4 Months Ago

Hello, I did a SIBO breath test 4 months ago and test results have shown that I had sibo and it was hydrogen dominant. I took 8 weeks of herbal antibiotics, then took a break for 2 weeks with strict SIBO diet. I did the breath test again and my result was that the hydrogen got a bit less, but the methane count doubled. Should I start taking pharma antibiotics such as Rifaximin? My hydrogen count now is 75 ppm Methane is 29 ppm I don’t have any constipation or diarrhea. I burp a lot, and I have trouble breathing because of the irritation the gases has caused my throat tissues.