Kickas.org Forums Thread Like Summary - SIBO and possibly a better solution

After many years experience with NSD and antibiotics, and subsequent many years remission without antibiotics and eventually no dietary restrictions, I came to the conclusion that my AS was controlled--in considerable portion--by SIBO. The reason I alternated between antibiotic types (bactericidal and bacteriostatic) was so that, hopefully, the Klebsiella pneumoniae would not develop resistive strains that could populate what I have come to realize were massive colonies.

In our group discussions about the time required to trigger a flare, so many people observed that they eat some provocative food and within 20 minutes and up to two hours; in an impossibly short time, according to the model (that is, Klebsiella living in the lower gut and proliferating there). Instead of 20 minutes, the process might instead require at least FOUR HOURS.

ENTER Small Bowel Intestinal Overgrowth. My protracted (over a decade no abx and eating a terrible diet) remission has a single most reasonable explanation, as does The "time constant" characteristic I had been grappling with for many years. Apparently, my cycles of switching antibiotics was not only effective in preventing resistive strains, but I was gradually chipping away at the SIBO and massive other displaced colonies of our nemesis germ. Truly, I had no idea of this happy consequence. Again, I was very lucky taking these drugs.

I just listened to Dr. Wm Davis in light of another posting that asked the question of which bacteria are we taking that helped AS (presumably as a probiotic or fermented food). It is a difficult question for me because I did not use probiotics, but when overseas took "Yakult" and when returning to US I would take small quantities of Stonyfield Farms yoghurt (about 2 oz every other day when recovering from harsh abx); it is difficult to take yoghurt because of the sugar and also because of the lactose which in excess can trigger a flare.

As an alternative to taking antibiotics, I would follow MOST of the advice here: Dr. William Davis interview by Jesse Chappus [youtube.com]

HEALTH,
John

Hello John,

Good to see a few posts... I stuck with Stoneyfield Farms in States when I could tolerate yogurt. Still eat it here... just in last year labeling requirements here changed and now there is warning of excess sugar on all yogurt labels from what I have seen.

Have had issues with sugar in past at times... but not in 4-5 years now. Started with intermittent fasting and really think that has helped with healing my gut. Other than yogurt, blueberries and raisins do not eat any sugar.

Best to you,

Tim

Hello, Jonathan:

Sorry for the late reply; busy here in Philippines now.
I was not offended by Your post, but there was something You said that made me quit reading; I shut down early because I did not want to wade into the weeds too deeply again!
1) I believe that our nemesis bacterium does, in fact, work its way up into the small bowel, albeit such a massive SIBO takes perhaps many years to establish. One of my early observations about the diet is that my GERD cleared up. Yes, because of the timing of the flares and the thorough seeding by the time the chyme reaches the large intestine, it seems very plausible that the small intestine is involved.
2) The problem with antibiotics is that they not only affect the target bacterium, but are broad spectrum and adversely affect the entire mucosa, which is knit together by a lot of similar bacteria. This mucosa covers up damage to the epithelium, turning dormant lesions into active ones. This exposes more of our immune system (lymph nodes in the gut) to the triggering Klebsiella. This is another reason that antibiotics should only be used in conjunction with the diet and intestinal cleansings. Your observations are quite valid in this regard.
3) I haven't noticed that people on the restrictive diets, long-term, do worse but they are continually frustrated from apparent lack of improvement and stealthy starches. They should be taking supplements and gut-friendly foods in addition to the draconian restrictions they self-impose.
I am convinced that a healthy gut can help us become much more starch-tolerant. Good observations on Your part and I will try and review what I missed in previous post.
HEALTH,
John