Hi Everyone, I thought I would post to update on my search for an answer to my chronic digestion problems. It seems that whilst some PA sufferers manage their digestive issues well, others don't. I don't! I've recently been reduced to eating a few vegetables and fish, anything else gives me intense upper gastrointestinal pain, alternating diarrhea/ constipation, bloating etc. I had a breath test last year which came back with sky high positive results that suggested malabsorption or small intestinal bacterial overgrowth. I resisted antibiotics for as long as I could (as I've had horrendous reactions to them in the past) but when my weight slipped under 7 stone I gave in. I was given Rifaximin but after the antibiotic things were the same. The doctors didn't know what to do, then a new analysis of gut flora became available (I live in France). The results were very interesting. It would appear that the antibiotic did the trick and reduced the strains of my flora which had become pathogenic, unfortunately it reduced my good bacteria to virtually nothing. It also revealed that I'm pumping out enzymes due to the dysbiosis which destroy by red blood cells and provoke leaky gut amongst other things. I've now begun the long process of reducing the inflammation and reintroducing the good bacteria I'm lacking in. However, as, the biologist who interpreted my results pointed out, due to my PA I will always be susceptible to dysbiosis (my intestinal PH came up quite alkaline which is to be expected). I understand that there are some laboratories in the UK that do this type of analysis. If I hadn't had it done (and I paid for it myself) I would still be wondering if I still had SIBO and perhaps be tempted to have more antibioics which would have been catastrophic. I hope this post is useful for anyone in a similar predicament.