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Hi all!

Looking for some opinions please.

3 years post takedown and having 8 to 12 bms a day, often explosive and feeling incomplete. On taking a Cipro or Pepto within 2 hours they're more easy to pass, less explosive and reduce to 6 to 8 but after 5 to 7 days of use the same symptoms return. Have tried Codeine, Psyllium, Rifaxamine and Immodium and all work in the same way. If I rotate things it helps but find it best to take nothing for 7 days and then start again. Had a scope 2 years ago and all was well.  Careful with my diet except for a beer or two everyday and take Beano before gassy foods which isn't often.

I'm thinking since Cipro and Pepto work so well and so quickly (if only for a short period) it could be Sibo or is it just the constipating side effect. When not taking anything or when the meds are not working I often feel bloated after eating and at night get hunger pangs. I can hold on and rarely have urgency. 

I guess the only way to control Sibo is with diet and beer, wheat, yeast etc are bad.

CTBarrsiter, I read your post under "how many bms a day do you have" about excercising in order to fully complete a bm and will try this. It was an interesting post.

Thanks in advance

Paul

Original Post

I had similar explosives episodes starting 5/6 yrs ago. Diagnosed Chrohns. With zero symptoms.GI Dr started remicade - 1.5 yrs or so-didn't work. Then couldn't empty fully, followed by a fistula, seton,multiple stricture procedures-to eventually not being able to empty. Anal area eventually developed infection. Finally had to change surgeons and sought out Dr Remzi- who agreed no chrohns, but plenty of adhesions,infection,fistula and stretched out jpouch causing the fistula. I think for me when no medication was working, it was clear it was mechanical. Happy to say I had a pouch redo last step of 3 on10/3- and it's been amazing. Having conplete control after a sucky 6 yrs.  wish I didn't suffer in silence for so long. It only got worse and was making me crazy.

Hope you find some answers.

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