Reply to "Excessive gas"

Jan DollarModerator, RN, retired

You can't diagnose SIBO by looking in the mouth. I think you are right that he was talking about oral thrush. You can do it by examining small bowel aspirate, but it is more common to do a hydrogen breath test.

https://en.m.wikipedia.org/wik...bacterial_overgrowth

That said, I am not sure that in our case any testing is neccessary. The symptoms and treatment are the same as pouchitis. If antibiotics quickly resolve your symptoms, you have your answer. A low carb diet or a FODMAP diet may curb overgrowth too.

My GI has seen active pouchitis on scopes and that is good enough for him, along with my description of my symptoms. I don't have frequent scopes just to see what's going on in there. My GI trusts me to take the lowest dose of antibiotics to keep things going well. I try to stay off them as long as possible and rotate antibiotics to hopefully reduce resistance.

Jan

10/4/154:01 PM

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