Experiencing sudden problems with the intestines at the moment, abdominal pain and changes in bowl movement I researched details about IBS and SIBO(Small intestinal bacterial overgrowth)
Beside FODMAP diet most of experts prescribe (avoiding fermentable oligosaccharides, disaccharides, monosaccharides and polyols, which are short-chain carbohydrates (sugars) that the small intestine absorbs poorly), most recommend the Collagen, Glutamine, Probiotics , Omega 3 and Curcumin and labeling IBS frequently caused by stress or similar . But I ran into work of doctor Mark Pimentel , whose research shows that most of IBS or SIBO are caused by food poisoning somewhere in past .
Pimentel Research Lab | Cedars-Sinai
By breath testing – SIBO test , which by measuring hydrogen or methane can detect small intestine bacteria overgrowth . Hydrogen is usually increased in cases of diarrhea and abdominal pain, while methane in constipation
The most common species identified in hydrogen presence are Escherichia coli(non pathogenic) and Klebsiella Aeromonas, in methane presence – those characters lives in colon and small intestine ,
So the protocol is used are antibiotics – Rifaximin etc..
The diet he prescribe is low fermentation food, which is less restrictive then FODMAP . Means restricting non digestible hydrates: no fiber no dairy no artificial sweeteners and spacing the meals (5 hours between the meals , in order to have time to clean the gut )
This protocols advise no probiotics if the SEPA shows the presence of pathogens, so if someone experiencing more serious gut problems like pain or IBS symptoms maybe first to check the pathogen presence prior to supplementing since as per this research the probiotic might be counterproductive prior cleaning the E.Coli or Klebsiella and then after the antibiotic clean those it can be proceed with the good microorganisms seed .
