A good friend with IBS turned out to have SIBO. The treatment is antibiotics. In her case the improvement from the antibiotics lasted about 4 months and then the problem returned. The doctor offered another course of antibiotics but she decided against this.
That's interesting. I'm feeling I may have this issue but since it's symptoms are very similar to IBS.
I'm not sure.
I'm expecting to go for a lactose intolerance test soon and will see what that turns up but after following low FODMAP and trialling lactose, I'm pretty convinced lactose is an issue for me.
How was your friend diagnosed with SIBO?
Was there any reason determined why your friend relapsed?
The SIBO test was quite long. I believe it was a breath test and nothing invasive, but took about 3 hours, as far as I remember. She did not continue with the antibiotics because they gave her a headache. Also, she can sort of manage her IBS.
I am lactose intolerant as well. I did not have the test. My doctor suggested eliminating lactose, so I switched to lactose free milk, yogurt, etc. and the symptoms went away immediately. One interesting thing is that the only cheese that is completely lactose free is brie.
I found that the lactose tablets did not work for me. I have completely eliminated it. It hasn't been very difficult as the stores here (I'm in US) sell lactose free milk, half & half, yogurt, kefir, sour cream, etc. I can tolerate a very small amount in coffee if I am eating out.
The lactose free milk in the US is the same -just lactase added. I think the difference from the tablets is that the lactase is in the milk longer - maybe a few days- and has a chance to completely eliminate the lactose. In your stomach the tablets don't do such a complete job. My doctor has said the tablets don't work for everyone. I will try the expresso.
Guess there's not a lot we can do about mixing the Lactase in our stomachs more effectively apart from maybe taking more tablets if just one isn't effective enough.
Some people seem to recommend taking one tablet just before and then also one just after the dairy.
I seem to be getting by with just the one before and with only very mild symptoms.
My next big challenge is deciding which of the remaining three FODMAP food groups I attempt to introduce next!
Hi John, I had symptoms like you and for years suffered. I saw a post a few months ago where someone claimed that Bimuno (available in Tesco and online for £10) was a cure for IBS. I didn't believe it, but have found that it is basically TRUE, and really offers hope for SIBO and IBS sufferers - but you have to stick to it every day. If you stop taking it, within a few days you go bad again. But it definitely works. By selectively "feeding" the good bacteria it restores the balance for your guts to work properly. I also generally follow a low FODMAP diet, but far from strictly, and take 1 x Bimuno a day, I am not perfect, but life is almost normal. I am 46, and have never been more in control than I am now. I have absolutely no financial interest in the Bimuno company, I only buy their product which you have to try to believe. If it works for you, spread the word.
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