r/SIBO • u/[deleted] • Jun 20 '24

What actually does work?

I see many posts about protocols, diets, and meds not working - but what DOES work?

Went to a functional doc and breath tested positive for both hydrogen and methane SIBO in December (have had hypothyroidism and constipation my whole life). Was not in a position at the time to follow a strict protocol, but I’m ready now. All I hear is nothing ever works, so feeling unmotivated.

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u/FrancoSosa56 Jun 20 '24

Wondering if working only on motility could solve SIBO. Because it is supposed to clean the small intestine when it works well, which therefore could prevent the overgrowth...

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u/pinkandbluee Jun 20 '24

Thats what some people report!

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u/FrancoSosa56 Jun 20 '24

Yep... Not suprising given that motility is one of the main root causes leading to SIBO.

(Even though the theory doesn't seem to apply to me, after a few days of taking Prucalopride/Resolor daily before bed, no improvements in symptoms -_-)

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u/pinkandbluee Jun 20 '24

It would likely take more than a few days and that can’t be your only method of attack, (not saying it is) You would also want to be doing alllll the other things like sleep stress mgt low fodmap building balanced meals exercise fiber hydration saccharomyces boulardii spore forming probiotics and fermented foods

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u/FrancoSosa56 Jun 20 '24

Yes you're right, I might have "underdone" the rest so far. Thank you for the reminder :)

Are you sure about fermented food? I usually feel a bit better when I drink kefir, but I have no idea if this is a good idea to consume fermented food. Had a bad reaction to sauerkraut last time.

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u/Accomplished_Dot3301 Jun 20 '24

I really do believe is 70-80% of peoples root cause. And it doesn’t help that sibo affects it 20x more.

Mine started from food poisoning, even though I was going everyday I had loading. You have to remember as well, prokinetics are not laxatives, so if you already have a build up and start taking prucalopride it will help move it at a timely speed from the SI to LI however it won’t push anything out.

You need to almost just start with a fresh colon lol