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Reply to "Emptying pouch"

Scott F posted:

Pouchbro, since you’re being treated for SIBO that probably explains most of the gas problem. I’ve not heard of rifaximin being used for that - mine was treated with doxycycline. It can take a few months, which gets tiresome if the first medication doesn’t do the job.

Simethincone doesn’t prevent gas or make it go away. It emulsifies the gas, turning large bubbles into smaller ones. I’m not sure how useful it is for J-pouchers, but some folks here seem to like it.

Beano only works on gas produced by specific vegetables (mainly cruciferous). It does that, and only that, very well.

Sugar alcohols can be a problem with or without a J-pouch, though I don’t know if the tiny amount in a Beano Meltaway is enough to trouble you. Your SIBO probably makes more gas than that.

It’s best to think of sugars and starches as identical foods for our purposes - both are digested to sugar in the gut. So cutting out sugar but eating starch will generally have no effect.

Dairy bothers some people but not others. Cutting out dairy will only help if you are sensitive to it. Most dairy-sensitive folks are lactose intolerant, so any source of lactose (milk sugar) sets them off. A few folks are allergic to (for example) a protein in cow’s milk, and they may do fine with goat’s milk.

Gluten is probably a red herring, IMO. I’d be surprised if it’s causing gas for you.

Do you eat quickly? Swallowing air can cause problems for some folks.

How long have you been on the rifaximin?

I try my best to avoid eating quickly however I will try to slow it down and see if that has any effect. 

 

The amount of gas I'm talking about is insane. I stopped counting after the 30th time today however I've expelled tremendous amounts of gas over 30 times today. I usually don't feel bad for myself, however today I feel bad for my body. I really need some help on what to eat and how to stop the SIBO/gas. 

 

As far as starches go, should I stay away from potatoes? How about white rice? Could chicken be the problem?

What am I supposed to eat? I've been trying to do grilled chicken however at this point I'm loosing weight and becoming malnourished. Would fried chicken be easier for my body to digest and therefore cause less gas? I know it comes out liquid however my body needs some fats to absorb. I have extreme fatigue and I literally cannot take this anymore. I need to get rid of this SIBO as fast as I can. 

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