SIBO treatment with Xifaxan
Posted 24 March 2010 - 12:04 AM
Posted 24 March 2010 - 06:13 AM
Posted 25 March 2010 - 07:53 PM
Posted 25 March 2010 - 09:09 PM
Posted 26 March 2010 - 08:53 AM
Unfortunately, no. At least not that I've been able to find anywhere... the latest article about SIBO recurrence that I've read was dated a couple of years ago and they actually state in the first paragraph, "No data concerning SIBO recurrence are available."Here's the link, but you may need a login for the site:http://www.medscape....warticle/579303Basically, though, what causes it to recur is whatever caused it in the first place (so you need to determine that at least). I think with post infectious SIBO I've heard that a percentage of people get recurrences for a few years or so and then it just stops (I read that somewhere, might have been on this board).
Is there any new findings on what can cause SIBO to recur?
Posted 27 March 2010 - 03:50 PM
I assume that's if it gets treated after each occurrence.On another note, I'm actually feeling rather sick, like bad cold sick, for the past 2 days. Maybe a virus has taken over my innards. And, I'm having quite a bit of gas. Maybe I have a resistant bacteria. The last time I had an antibiotic, I was practically gas free.
Basically, though, what causes it to recur is whatever caused it in the first place (so you need to determine that at least). I think with post infectious SIBO I've heard that a percentage of people get recurrences for a few years or so and then it just stops (I read that somewhere, might have been on this board).
Posted 09 April 2010 - 10:06 PM
Posted 13 June 2010 - 03:19 PM
Posted 27 June 2010 - 11:01 AM
I'm taking metronidazole 500mg three times a day for 7 days to treat possible SIBO. I didn't get the test, because I live in Canada, family doctors can't order these tests here. in fact, most family docs never even heard of it here...so I convinced my doc to do an empirical...I'm on day 3, so far the first two days I felt alot better and the symptoms are not 100% gone but I'd say improved by at least 70%, my bowel movements were never formed like this though it's still not the normal perfect type, but I'm only on day 3...the problem now is that I figure this probably means I possibly have SIBO but it's ganna return some time in the short future(cuz I havent treated it with any meds in the past 4 years)...and when they return I'm afraid the metronidazole won't be effective as this time. Rifiximan isn't even available here in canada...so the outlook is very bleak...anyone had experiences of treating SIBO with Metronidazole?
I'd like to chime in here.I'm on my second round of xifaxan in three months. I was diagnosed w/SIBO in early March, took the antibiotic, but the problem never fully resolved itself. The symptoms (gas & bloating) resurfaced in early June. I'm back on the antibiotic (day 4 now). The only time I feel human/normal is when I'm on the medication. It makes me feel better knowing the diagnosis is most likely correct, but I'm worried the problem is going to return again.Has anyone had any success getting rid of SIBO permanently? If so, what worked (diet, meds, etc...)?Thanks.
Posted 27 June 2010 - 11:21 AM
Posted 27 June 2010 - 11:32 PM
Thank you for the information...I want to respond to the last thing you mentioned, two weeks before starting this round of metronidazole high dose, I was on the prevpac for possible H.Pylori(tested negative but convinced doc to do empirical), the two antibiotics amoxicilin and clarithromycine not only DIDN'T help but also worsened my diarrhea problem Immediately after I take the meds in the morning...I had to stop at day 9 out of total 14 days my doc prescripted...anyways, I'm ganna finish metronidazole cuz it's working...but if they return, I don't know how I'm ganna get xifixan...here is another study that's really interesting and couraging...I also suffer from skin problems I believe is linked to my SIBO condition:http://www.rosaceagroup.org/The_Rosacea_Forum/showthread.php?t=21036
Before Rifiximan was ever on the market anywhere metronidazole and other antibiotics were used to treat "Classic SIBO".http://www.medicinenet.com/small_intestinal_bacterial_overgrowth/page6.htmIBS-SIBO should respond to all the same antibiotics.
Posted 28 June 2010 - 06:18 AM
Posted 29 June 2010 - 06:24 PM
This's really educational thanks so much...Do you think that SIBO is causing me to have a malabsorption condition since I havn't treated this diarrhea problem since it first occurred about 4, 5 years ago...and now(before taking the metronidazole) my symptoms(aside from all typical gut symptoms) are mainly fatigue, I'm just tired all day even without doing anything and especially in the morning waking up is like meeting satin for me..., muscle twitching(which i believe is also due to malabsorption of minerals or vitamins), low grade inflammation of the eyes and skin problems, my facial skin had developed this dry oily and somewhat flaky ichy with few boils and folliculitis(around the mouth) type of condition resembles seborrheic dermatitis and rosacea symptoms...I think it's due to the malabsorption of Vitamin Bs in the small intestines for a prolonged period of time...something interesting I noticed is that while I'm on the 5th day of metronidazole 500 TID, I have two boils developed on my face and several small folliculitis around the mouth I havn't had boils since I started taking florastor about 2 weeks before I started metronidazole 5 days ago...now they're not hurting anymore, but I mean shouldn't these problems be much milder or gone while I'm on the high dose of metronidazole? And if after I finish this course of metronidazole, they return should I take another course or should I take rifaximin? I know you're not a doctor but I'm just open to all sorts of ideas and discussions since my family doc is no better than you "experts" here on this...but I'm still glad he agreed to prescribe me metronidazole as empirical...
Different antibiotics kill different things so not all of them are going to work for SIBO, but some are more known for killing off the types of bacteria in the gut flora than others.Antibiotics also can have direct side effects, so you always have to balance what you tolerate with what kills the bacteria.Some of the antibiotics, especially erythromycin, speed up the transit through the gut in addition to other activity and low dose erythromycin (lower than what they usually use to kill bacteria) is sometimes used for those that need the gut to speed up. Sometimes it is used to extend remission of SIBO because it speeds things up enough it makes it harder for the bacteria to get re-established in the small intestine.
Posted 30 June 2010 - 07:56 AM
Posted 11 July 2010 - 03:51 PM
Posted 11 July 2010 - 07:18 PM
Hi Brad a few years ago after an antibiotc amoxicillan I actually had an overgrowth and was given cipro not for the overgrowth because my doctor did not know what was wrong with me and could not get a referral to a gi doctor but I had a 5 day curse of cipro after the first day I was almost back to normal. After the medication was done I did have ibd symptons for months.
Im taking xifaxan now for about 6 days. Of course like most on here we have to be our own doctors. I have not been tested for SIBO but I think this is the direction I am heading next. I got my GI to perscribe me a two week course. So far not that great a result. Maybe a little better. I actually have crohns that is under control but have bad IBS D with urgency. I have had surgery and my ileocecal valve area was removed many years ago. Anyway by coincidence I had to take the antibiotic cipro a while ago and to my amazement my bowels became almost normal. Im talking NORMAL! I would go to the rest room for a day and would have no urgency but unfortunatly once I stopped it my symptoms slowly came back.Has anyone else had any experience with Cipro for SIBO and or repeated use of it. Brad
Posted 12 July 2010 - 02:10 PM
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Posted 16 March 2012 - 10:14 AM