Could this be SIBO?
#370263 - 09/22/13 07:59 AM
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After taking VSL #3 (a very strong probiotic) for a few days my symptoms have gotten MUCH WORSE. Could this be an indication that I have SIBO? I also react badly to anything fermented or containing probiotics (yogurt, kombucha, sauerkraut). I'm just putting the pieces together and wondering if the bacteria is overgrown in my intestines.
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It is still questionable whether SIBO is involved in IBS. Bad symptoms from VLS#3 is not related to SIBO.
Yogurt has lactose, kombuch and sauerkraut can contain well known FODMAP IBS triggers. Read the first three links in my signature for more information 
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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Hi Syl,
Thank you for your response! I have read a lot about the FODMAP diet and I have been trying to avoid the foods on the list. I have not recently consumed yogurt or sauerkraut because I know them to have triggers, but what would the high-FODMAP be in kombucha? I have also tried Kevita and reacted the same way. Also, why do you think VSL #3 caused a negative reaction for me (if you have ideas on that)?
Thanks!
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Beside FODMAPs there are common GI triggers that need to be removed/reduced. Kombucha is frequently made with tea - usually black tea which contains caffeine a well-known IBS trigger.
BTW - the FODMAP approach is not a list of trigger foods. It is a process of eliminating all high FODMAP foods for 6-8 weeks and then reintroducing foods from each of the five FODMAP groups one at a time. This helps you figure which and how much of each FODMAP groups you can tolerate.
Many people have problems with effective probiotics for a couple of weeks. Did you take VSL#3 for considerable period of time? I believe on the label they say you might experience bloating and things like that for a couple of weeks.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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What is SIBO??
Thanks!
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Originally diagnosed with IBS-C in Spring, 2008. During spring to fall of 2008, had at least 10 acupuncture treatments and Chinese herbs. IBS went into remission. IBS returned in late July 2013 after taking 2 oral contrasts for a CT scan for cancer follow up. Had more acupuncture with different practitioner in summer 2014, but received little benefit.
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Small intestine bacterial overgrowth
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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I only took the VSL #3 for 5 days. I was taking 1 pill for 4 days, but when I upped the dose to 2 pills I was in terrible discomfort from the pressure and bloating and so I stopped taking it. It's been a few days and my intestines have calmed down, so this evening I tried taking 1 pill again. I'll see how it goes. I'd like to believe that my body will adjust but I'm not sure if I can tolerate weeks of feeling the way I did.
Thanks for explaining the FODMAP approach to me. I guess I need to really commit to a strict elimination plan.
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