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Hi all,

I'll apologize now for the long post - thanks for taking the time to read.

I was diagnosed with ibs about 8 years ago and this has been confirmed with recent colonoscopy, small bowel MRI, stool samples, blood work, and endoscopy. It mostly caused me frequent bowel movements (but not loose stool) and stomach cramping (which was the most dire symptom). Over the years I got it totally under control with diet, exercise and mental health practices. I would have a painful flare maybe twice a month.

About 7 months ago, I got a horrible anal fissure, likely from the frequent bowel movements. I was in the worst pain of my life. I was scheduled and rescheduled for surgery after about two months without healing. I am having surgery next week, finally.

In the meantime, I was prescribed morphine sulphate to take as needed - and it was needed. The pain was so horrible I would vomit and shake, on a nearly 24/7 basis.

Eventually my fissure symptoms eased off slightly, and I began to get bad stomach pains. I assumed it was from the morphine. I was not constipated, as I was taking miralax daily, but I had started to have lots of gas. I went through withdrawal for a few days after stopping morphine, with flu like symptoms. I had diarrhea and increased stomach pain. It has now been 2 months since stopping morphine and the diarrhea has not stopped, and I the stomach pain has eased only slightly - it is like I'm having a mild ibs attack everyday. I have a LOT more gas than I ever did pre morphine. The pain could be from the gas.

I'm taking double dose of Tu-zen probiotic and eating only safe foods for me. I may have one good day here or there, but mostly painful and gassy. It is different from my pre morphine ibs pain.

When I went to my gastro with this, he prescribed amitryptiline, which has helped slightly with the D but not with the pain, gas, and cramps. He also prescribed pantoprazole at an earlier visit - I think this only made things worse.

I'm wondering if this could be small intestinal bacterial overgrowth? Maybe I'm making things worse taking amitryptiline?

I've read some studies that SIBO can be more prevalent in patients who have taken ppi's (which reduce stomach acid, meaning less breakdown of food and more bacteria thriving) and opiates (which slow motility, which can lead to greater amounts of bacteria in the small intestine). The bacteria in turn lead to gas (which I have tons of at both ends) and can lead to diarrhea - if gas propels food too quickly through the intestines or absorption of fat is altered.

Again - sorry for the long post. Has anyone out there had similar symptoms after taking opiates? Is SIBO a possibility, or is this some crazy long withdrawal?

Thanks all,

-GG
 

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Hi

so sorry for all your continuing problems. you have been through way too much.

i had a number of surgeries in 2015 and was on opiates (primarily oxycodone) for almost a year due to chronic pain. i did not have any of the symptoms you described after weaning off oxy. we're all different, plus you were on morphine so i really don't know if withdrawal is still causing your symptoms or not. it does seem like an unusually long time to still be experiencing withdrawal symptoms, though.

being tested for sibo is definitely a good idea. sibo can cause diarrhea, bloating, abdominal pain and gas, among other things. i was dx'd with sibo about three years ago,

i am so glad you are finally having your surgery next week. wishing you all the best with that and hope you have a quick and complete recovery. take good care.
 

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Anything is possible. The easiest way to know would be to get the simple lactulose breath test. It costs about 180-200 with cash, but your insurance might cover it. If your regular doctor is not willing to get the test for you, try finding a naturopath in your area.

siboforum.org
 

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Discussion Starter · #4 ·
Annie7 - thanks for your reply. I'm sorry you've suffered with chronic pain - I know realize how awful it can be. Thanks for the well wishes also!
Just wondering, how did you treat your sibo?

J390 - thanks for the response - I am in Canada so unfortunately I can never get anything done quickly...currently trying to get an appointment with my gastroenterologist but it is easier said than done. I have seen a dietician in the past - I will ask her thoughts on it. Thanks for the tip.

In a lot of pain today. It feels like my intestines are totally out of synch. I feel so crampy and sore inside. On mornings when I am able to pass gas and have a bm easily I am fine. Other mornings, I have the same cramping, but do not pass as much gas and do not have a bm. When I finally do have one it is diarrhea. It's strange, I have such difficulty having a bm but then the stool is very loose. And I have no GI to talk to, they will see me once every 4 months at best.
 

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my gastro doc wanted to prescribe rifaximin for me to treat my sibo but my insurance would not pay for it. so instead he rx'd augmentin. a course of that did clear it up and afterwards i stuck to a low carb diet.

it did eventually come back, though, as sibo often does. i've read that you have to eliminate the cause of your sibo or it will keep coming back. in my case, sibo was caused by my lack of an ileocecal valve. i had previously had a right hemicolectomy due to a cecal volvulous. the surgeon had to remove half my transverse colon as well as the ascending colon up to and including the terminal ileum, which also included the ileocecal valve.

when the sibo came back, i did another round of augumentin and that cleared it up again, for the time being at least.

this link--maybe you've seen it-- has a lot of info on sibo including diets, etc.

http://www.siboinfo.com/

i'm sorry it takes so long for you to see your gastro doc. that's terrible. will your regular doc refer you for the test? seeing a dietician in the meantime is a good idea, at least for diet tips, etc.

i had my sibo test at the university hospital where my gastro doc works. the test was covered by my insurance. i think there are home breath tests that you can order and then send back for diagnosis---not sure how reliable they are but people here have said that they've done that.
 

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Does anyone know any good doctors in Toronto that specialize in SIBO? I'm looking to do the SIBO breath test and then whatever treatment I need. I think I might need to take rifaximin. I caught pneumonia a few years ago and had to take antibiotics and during that time I developed intense itching all over my skin and was sweating profusely to the point where I was soaked at night.

Also before that I have taken antibiotics a few times because of diverticulitis. It's been a few years since the pneumonia and the itching started and I still have intense itching everyday, for which I have to take a benadryl for, brain fog, fatigue, bloating and some burning in my chest (I have gastritis as well and I have taken PPI for this which has further messed up my stomach and made a great breeding ground for bacteria) Also before that I have taken antibiotics a few times because of diverticulitis.

I am very sure I have been suffering with SIBO & leaky gut for some time now and need a doctor that knows what they are doing. My regular doctor has no clue and keeps referring me to the same specialist that thinks i'm crazy and making things up. I'm currently on a low fodmap diet and restricted carbohydrate diet and have eliminated all foods that nourish SIBO. Going crazy with this. Please help!

Tosan
 
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