SBBO/SIBO... anyone know about this?

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Date Joined Oct 2010
Total Posts : 776
   Posted 3/29/2011 1:00 PM (GMT -6)   
After a second colonic transit test has come back 'normal'.. my doctor is now suggesting i have something called SIBO or SBBO - small bowel bacterial overgrowth and I'm starting on antibiotics tomorrow. I'm not getting a breath test yet, as have to travel to London for it and he wants to do a therapeutic trial with the antibiotics to see if it works.

Apparently it is something which can happen after bowel surgery, esp ileostomy - and common in those with crohns, diabetes etc. It doesn't seem that it can be cured though, so the treatment is alternating antibiotics - month on, month off - forever :-( A friend of mine who is a GP in the UK has never heard of it..

My symptoms tick some of the boxes, but the main symptom is diahorrea which I don't have. I'm also now concerned I have some nutrition deficiencies going on as feeling very breathless, rapid heartrate etc... so getting some bloods done too.

The only thing that makes me think it might be possible, is that when I've had antibiotics for other things over the last 6 months, the bloating has gone down a bit.

Does anyone know of this or anyone got it???
Sarah - 38 year old mum of 2 boys, competitive runner/triathlete, health and fitness writer

June 2010 - Peritonitis caused by perforated diverticulitis. Emergency surgery.
August 2010 - Partial colectomy and temp ileostomy
October 2010 - Ileostomy reversal - but didn't go well and struggling since.
Currently - Investigating motility and bloating issues ...

Veteran Member

Date Joined Feb 2011
Total Posts : 1059
   Posted 3/29/2011 5:00 PM (GMT -6)   
I had heard of it from the crohn's threads but I thought it was caused by bacteria migrating from the colon inti the small bowel where it shouldn't be so after your reversal I suppose this could happen. Have a look on the CD forum and there are some posts on there about it, from memory think it was 'Nanners' who had it but my memory could have got that wrong.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.
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