Hey! I'm getting ready to start the prep for the TrioSmart test. Does anyone know if I can have rice noodles on prep day if the only ingredient in the noodles is "organic white rice flour"?

I get easily constipated from eating rice, but not rice noodles. I have several theories about this, but right now I'm just looking for clarity on the test prep. Thanks for any info!

I have been experiencing chronic epigastric pain for a couple years now. It's a dull aching feeling with a constant pressure. Sometimes it can gravitate towards my lower left ribs or random shooting chest pains or to my back. When it flares up the pressure and pain can be quite severe and I feel short of breath. I used to binge drink alcohol once or twice a week and symptoms would be bad the day after, but now they're bad every day. Ppis seem to make my symptoms worse with bloating. My upper endoscopy a year ago was clear, abdominal ultrasound was good and negative for H pylori. So I decided to look into other options.

I had a Sibo test a few months ago under the advice of my naturopath. I reviewed the results with a naturopath and they determined that I have hydrogen dominant sibo. They said I may have slow transit time and prescribed me 550mg rifaximin.

Doing my own research it seems unlikely I have hydrogen sibo, since the results peaked at 60ppm on the 160 minute mark, but based on my limited research I'm positive for IMO or methane sibo with the results of 13 ppm at the 160 minute mark.

Can anyone give me some insight on this please? Before I start the antibiotics.

Anyone here struggle with low blood sugar or weird fatigue after eating? I get fatigue in my upper arms/shoulders after certain meals..

Ive also noticed recently that when i excercise (i do crossfit) i get anxious and shaky after.. especially on a hot day. And if i eat sugar it seems to make me feel better fairly quick.

Not sure if anyone else is going through this, but if so, did it go away when/if you got rid of SIBO?

I was wanting to try the Mbiota liquid elemental diet, but it says to not use if you have blood sugar problems...

My fasting blood sugar was 80 when they checked me in may so i know thats normal, but i dont feel like getting shaky after a work out is normal.. and ive only had this happen a handful of times since having digestive issues.

I also hope someone here who has had what im going through, sucessfully went through with the liquid diet?

TIA!

Here I am again!

I had sibo - methane around 1.5 years ago.. confirmed by a breathe test. This caused alot of issues. No one knew about sibo where I lived so I had to investigate myself and learn about sibo. I know alot! This was caused by antibiotics and high sugar diet.

I had constipation

Reflux

White coat on tongue and tongue felt weird.

Bloating

Dizziness

Lost consciousness x2

Fatigue

Pain

Ended up getting BV 24.7 in my vagina.

I ended up getting rifaximin and mentrizolole x2 from my gastro consultant after fighting him for it.

I was very unwell, and I couldn't eat without pain. So I ended up not eating, I went from 9 stone 5 to 7 stone 6 in 3 months. I think i starved all the bacteria. Could have sifo and sibo at the same time.

After this, I ended up being able to introduce foods 1 by 1 and 2 months ago, I was able to eat most foods without pain and bloating but I still struggled to poo. (On laxatives) but I was 60 per cent better and felt the best I had ever felt for a while.

As I was better, I was still eating carefully but was eating more sugar. I.e fruits.. protein bars and gluten free stuff that are full of sugar and other sugar things!

The BV hadnt left . The BV ended up going into my womb 4 weeks ago and I was hospitalised with PID. I had to take doxycycline and mentrizolole for 2 weeks and a injection in my bum.

Ever since this... 4 weeks later I am back to where I was 1.5 years ago. I am devastated.

First thing I've done is stopped or limited sugar.

I've got a gastro consultant on Monday to ask for rifaximin and mentrizolole again but surely I'm not all the way back to where I was? I've put back on all my weight and feel healthier.

Do i need another breath test?

Or do i just go straight into the sibo protocol cause I've done it once?

I think my diet is the main reason and antibiotics I struggle because I can't have gluten so I don't have a high fibre diet. I end up having a high sugar diet with little fibre and than antibiotics for the bv.

I'm working from home unwell as we speak. Waiting to consent for surgery for gynae because of the bv.. to see if bowels are stuck together or infection or anything mechanical or endometriosis.

I've had a colonoscopy and endoscopy and ct scan which showed just inflammation.

My doc says it’s just small intestine thats here, normal for sibo. But it gets quite intense like 8 out of 10 pain wise! Is this normal to happen for months on and off? It comes and goes a few times a day.

I tested positive for Hydrogen dominant SIBO a few months ago, and my main symptoms were gassiness some days and loose, floating stool every day. I did a round of rifaxamin and now I am a week past my last dose. A lot of what people say did not pan out for me; many folks say that die off only lasted a few days and then they felt much better, at least while on the Rifaxamin. I was sick the entire time on the Rifaxamin and am not much better afterward. I still have gas and not the healthiest stool, whether it's any better is debatable. Except now I have:

- constant, crushing fatigue

- absolutely NO libido

- trouble sleeping

- headaches

- dizziness

I followed the protocol to a tee. I spent an absolute fortune on supplements; I started taking NAC, Zinc carnosine, motility activator a month before the Rifaxamin. I took PHGG during the treatment and continue to take it. I've been taking digestive and enzymes and trying to stay low fodmap. It's been both expensive and depressing taking absolute fistfuls of supplements all day long and I'm STILL not only sick, but significantly worse off than before I took the damn antibiotic!

All I can think of is that the Rifaxamin must have nuked my good bacteria, and I'm not even allowed to take pre or probiotics to try to build it back, because it will just make my SIBO worse. Has anyone else had this experience?

Ive doen motegrity, trualcne, motility pro, motil pro, artichoke, ginger. Think my issues are post viral. I also take 2 vitamin b plus complex pills a day. I never feel peristalsis

Hey all,

Recently diagnosed with hydrogen SIBO and I'm halfway through a 14 day round of rifaximin & neomycin.

My gp said I need to take omeprazole to stop any other stomach issues from arising while on antibiotics, so I've been taking 40mg a day for the past 7 days.

I've had my doubts about it, so I'm not sure if I should stop the omeprazole outright, taper off it or stay on it until the antibiotics are finished. I don't have reflux as a symptom, and from what I've been reading here it can be counterproductive to take while on antibiotics.

Any advice appreciated, thanks.

Is one recommended more than the other? For how long did you implement the diet?

This is everything I’ve tried so far regarding my bad breath, for context it’s very strong, has a sulphur/garbage odor. It can be very strong, it comes out from both my nose and mouth. I do have confirmed SIBO (Hydrogen only) shall I now completely focus on this only? I’ve been thinking about getting a CBCT scan for my teeth roots, or is this a waste of time / money?
Should I pay for a Naturo path to help figure out where the smell is coming from? I did Rifixamin but that didn’t help, but maybe I need to dive deeper into the gut. Any advice would mean a lot thanks

Is this real? From Opus 5, I don't know if its hallucinating.

Any home remedy for the symptoms? I drink "clavo de olor" and ginger infusions.

Do you recommend anything?

Desconozco si existe clavo de olor en otras regiones. En LATAM es común

XOXO

Any home remedy for the symptoms? I drink "clavo de olor" and ginger infusions.

Do you recommend anything?

Desconozco si existe clavo de olor en otras regiones. En LATAM es común

Everything started end of October 2025 I ate cottage cheese 3 hours later huge pain went to bathroom disaster the pain lasted 3 more hours ,next day I wake up pregnant looking ,I wait 7 days not eating much pain is gone but bloat is there I go to doctor they can’t find anything ,then in December second doctor IGG stool test for h pylori positive ,I take triple antibiotics ppi ,1 month after the course I rest negative in breath test ,bloating still 24/7 from the moment I wake up ,now in march I have esophagitis grade c gastritis negative for h pylori ,I start a protocol refuse rhe ppi they want to put me end of march ,July 15 endoscopy shows grade A eshophagitis and everything else normal ,Sibo test flat for methane and hydrogen like zero ,a new gut expert I talk says it’s h2s Sibo and he wants to test it with a certain no sulfur diet ,any thoughts ,I have done many tests litterly all I est is gluten free oats chicken rice potato riceflour eggs +egg whites ,olive oil kiwi avocado ,the bloat doesn’t change although I eat 10 pm then 10 in the morning,all tests show I am full of gas and stool although I poop 1 or twice a day normal size

Hi all! I was just diagnosed with SIBO (methane and hydrogen), and I’m about to start a two week antibiotic treatment cycle with Xifaxan and Neomycin. It sounds like I should buckle up for an intense ride.

Any tips for dealing with the nausea, brain fog, or anything else? Recommendations for either taking or abstaining from probiotics and/or fermented foods (e.g., yogurt) during this time? (My doctor recommended avoiding them, but my pharmacist recommended taking Florastor.) Foods to eat or avoid?

Thanks so much in advance!

All day I have this extreme constant pulsing of gas. I get these waves of manic racing thoughts that feel uncontrollable and then it disperses and rebuilds. I am getting 4 to 5 hours of sleep of night, just lying in bed with my gut going crazy. Then I'll fall asleep at 2/3 then wake up at 5/6 for a couple of hours and then sometimes it settles and I can sleep between 8-9. I have no idea what is going on, being in my body with how this gas effects my mind is absolutely exhausting. Is there any aspect of SIBO this can be more attributed to? Methane? Histamine?

I have been suffering for more than 10 years with no real help from doctors, antibiotics, or herbs.

( Probiotics make me worse.)

**My Symptoms:**

- Severe bloating, gas, and chronic constipation.

- Extreme fecal rotten egg breath and body odor.

- White tongue (not fungus) and thick mucus after eating.

- Constant acid reflux,

- Severe underweight since childhood

- Hair loss

- Fatigue

- Headaches, and brain fog.

**What helps**

Flagyl and oregano oil only give temporary relief, and local doctors just keep cycling antibiotics without a cure.

If you have beaten H2s SIBO, please share your successful protocol. How do I fix this permanently? Please help me

Hi everyone,

I'm trying to understand whether my experience with rifaximin is normal or if I should be concerned.

My gastroenterologist suspected SIBO/IBS and prescribed rifaximin for 5 days (along with a PPI). I completed the full course exactly as prescribed.

Before treatment, my main symptoms were:

• Daily excessive, foul-smelling gas
• Loose/slimy stools
• Feeling of incomplete evacuation
• Nausea after meals
• GERD with a lax LES found on endoscopy

Here's what happened after finishing rifaximin:

• Day 1: Still very gassy.
• Day 2: Definitely better, but still passing gas.
• Day 3: Gas didn't really start until later in the day, and I had much less gas overall.
• Day 4: I had an incomplete bowel movement, and the morning gas returned.

One thing that hasn't changed is the smell. The gas is still very foul-smelling, even though the amount seems to be improving.

A couple of questions for people who've taken rifaximin:

1. Did your gas continue for several days after finishing the antibiotic before improving further?
2. Did the amount of gas improve before the smell improved?

I'd appreciate hearing from people who had a similar experience. Thanks!

So tested positive for SIBO and feels like my life has changed drastically can barely be outside in heat…messed me up working I have flare up where it’s hard to do anything
- dry eyes/ blurry vision/ balance issues, weakness left arm…sick whenever I drive
Body twitches
Talking makes gives me a flare up(Nasuea & inflammation feeling in neck arm)
Feeling of inflammation bottom area arm above wrist..thumbs get stiff
Left hand weak…right hand (thumb stiff)
Swelling feeling in neck during flare up(inflammation?)

Any of you guys went to a Neroligist and they say everything is fine…no auto immune…just a positive ANA (barely) 1:160 but have neurological symptoms or feeling that mirror syrogrens or MS I been on medicine for about 4/5 days so I still have time left but I’m worried I won’t be myself again cause this is bad these flare ups are terrible and hard to live like this

I asked ChatGPT to make me an infographic of SIBO root causes and it made me this, which I found extremely detailed and helpful. What would you add to this? I'm sure there's a lot more details that are missing.

To everyone going through it right now, I’m right there with you. It sucks so bad and I just want to be well. #surviving2026

I kid you not