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Reply to "Advice needed :("

Boy, this sure sounds like a familiar story. Those symptoms really do sound like SIBO (small intestine bacterial overgrowth). There could be any number of reasons for it, but it would seem that he needs someone with expert skill in diagnosing j-pouch complications. That would be Dr. Bo Shen at the Cleveland Clinic Pouchitis Clinic. The fine docs at CC also do remote second opinions, where you send them your records for review. That might be a good place to start, if travel to Ohio is out of the question right now.

You may want to do a search here or on Google for SIBO and see if that sounds like his trouble.

I echo Bill's kudos to you for being such a great support to your guy! Also, don't feel that you need to post only in this forum, as you can participate in all the other forums if you wish.

Jan Smiler
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