SIBO Pt 3 - Antibiotics, Herbal Antibiotics, Elemental Diet Flashcards Preview

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Flashcards in SIBO Pt 3 - Antibiotics, Herbal Antibiotics, Elemental Diet Deck (9)
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1
Q

What are symptoms of die-off?

A
  • Fatigue (can’t get off the couch/out of bed)
  • Flu-like sx (or cold/URI sx): Body aches, h/a, swollen nodes, congestion; ‘feel like getting sick/coming down w/something’
  • Worsening of current GI sx (ugh!): Diarrhea, constipation, bloating, nausea, pain…
  • Worsening of any other existing sx (Rosacea flare)
  • New GI sx (cons or diarr when used to have other)
2
Q

What is the most suitable pharmaceutical antibiotic(s) discussed for a patient suffering from SIBO-Diarrhea type, with elevated hydrogen only on SIBO breath testing?

A

Rifaximin

550mg tid x 14-21 d

3
Q

What is the most suitable pharmaceutical antibiotic(s) discussed for a patient suffering from SIBO-Constipation type, with elevated methane only on SIBO breath testing?

A

Rifaximin + Neomycin OR

Rifaximin + Metronidazole

4
Q

What is the most suitable pharmaceutical antibiotic(s) discussed for a patient suffering from SIBO-Constipation type, with either hydrogen only or both hydrogen and methane elevations on SIBO breath testing?

A

Rifaximin + Neomycin OR

Rifaximin + Metronidazole

5
Q

What are the herbal antibiotic options for a patient suffering from SIBO-Diarrhea type, with elevated hydrogen only on SIBO breath testing?

A

Berberine, Oregano, Neem (choose 2)

Berberine + Neem OR
Berberine + Oregano
Neem + Oregano occas

6
Q

What are the herbal antibiotic options for a patient suffering from SIBO-Constipation type, with methane elevation on SIBO breath testing?

A

Berberine/Oregano/Neem (choose 1) + Allicin

7
Q

Why do an in-house LBT at 2 weeks of Elemental Diet?

A

To determine if you should do a 3rd week of the elemental diet.

8
Q

Of the 3 treatment options (Abx, HAbx, Elemental Diet) which one can lower gas levels the most in one treatment course?

A

Elemental Diet

9
Q

Of the 3 treatment options (Abx, HAbx, Elemental Diet) which one(s) tend to be best for sensitive (highly reactive) patients?

A

Abx