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Recently I have been battling  rectal pain, ibs and a lot of gas.  My GI dr sent me for a test called siob (small intestine overgrowth bacteria).  The results r positive.  I will soon be starting zifaxian.  Anyone else tried this antibiotic?  I had j-pouch since 2013.  I been battling one thing or another.  This is new to me.  Praying this will help.

Also, any input on Iberogast for ibs or Metagenics sustain inflammx 360 amino acid?  I want to stay with herbals after 2 weeks of antibiotics.   I k peppermint and oregano is a natural antibiotic.  Hyoscyamine  tab sl is helpful for rectal pain.    Thanks for listening.

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The test takes 2 hours.  You drink a small amount of lactose gel.  You breathe into a balloon & a vial is inserted when u exhale.  They do this increments up to 2 hours.  I go to a Dr in Philly and just heard of this.  They are very up to date as a research hospital.  It's worth a shot.    

The test takes 2 hours.  You drink a small amount of lactose gel.  You breathe into a balloon & a vial is inserted when u exhale.  They do this increments up to 2 hours.  I go to a Dr in Philly and just heard of this.  They are very up to date as a research hospital.  It's worth a shot.    

I don't have pouchitis was tested for that a few times.  This is a recent study and xifaxan is the treatment, so they say.  I shall c and let u know.  

I did some more reading and learned a couple of new things. Rifaximin (Xifaxan) is indeed a newer treatment for SIBO, and the treatment course is much shorter than my older experience. I consider this great news (except for the price of Xifaxan). However, the breath test remains a bit of a problem: a positive result seems to fairly reliably indicate SIBO, but a negative breath test doesn't rule out SIBO. In some studies the breath test only turned positive in about one-third of SIBO cases.

Interestingly, herbal therapy might work as well as Xifaxan. The specific herbal therapy studied was "2 capsules twice daily of the following commercial herbal preparations; Dysbiocide and FC Cidal (Biotics Research Laboratories, Rosenberg, Texas) or Candibactin-AR and Candibactin-BR (Metagenics, Inc, Aliso Viejo, California) for 4 consecutive weeks." Here's the article:

Herbal Therapy Is Equivalent to Rifaximin for the Treatment of Small Intestinal Bacterial Overgrowth

I can say that my dr would have prescribed the antibiotic without the test.  I insisted.  These symptoms I have been having could have been over a yr or 2 now.   At some point our dr's don't know what else to say.  My surgeon told me he doesn't have enough knowledge to help me anymore.  He said if I need any other surgery in the future I have to go to Cleveland clinic.  

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