Early on I thought I had pouchitis. I tried Visbiome, it did not help, so I abandoned it as a therapy. My GI explained to me that the small intestine (specifically the pouch) was going to get populated with bacteria that was never meant to be there, and thus probiotics to counter that bacteria. I never understood the whole science behind it, and never understood how a hydrogen breath test diagnoses SIBO but the 1-2 month course of bactrim for my UTIs ended it and it has not returned.
I’ll know when I have it again cause I am on daily canasa for cuffitis prevention, so if the very foul smelling stools return it will probably be SIBO and not pouchititis or cuffitis.
everybodys system is different and while we all share common problems I think that our experiences will be just different enough to confuse the heck out of us and thus some therapies will work for some but not others.
this probiotic debate is a perfect example.