Treatment FAQ

partially hydrolyzed guar gum dose + using for sibo treatment + how to dose it

by Emerson Renner Published 2 years ago Updated 2 years ago

Does hydrolyzed guar gum relieve symptoms of irritable bowel syndrome?

Background/Aims: Partially hydrolyzed guar gum (PHGG) relieves symptoms in constipation-predominant irritable bowel syndrome (IBS) and may have prebiotic properties. However, the correlation between the effectiveness of PHGG and patient characteristics has not been examined.

What is partially hydrolyzed guar gum (PHGG)?

Partially Hydrolyzed Guar Gum (PHGG) – Benefits for Gut Health, IBS, Inflammatory Bowel Disease and More. As much as I love probiotics, prebiotics like partially hydrolyzed guar gum (PHGG) are just as important. First, I’ll tell you why probiotics have limitations, and what types of probiotics I use to overcome those limitations.

Does guar gum make antibiotics more effective?

So, taking partially hydrolyzed guar gum appears ( based on at least one study) to possibly make the antibiotics more effective. After I finished the courses of antibiotics, I followed a low-FODMAP diet for about six weeks.

How effective is Xifaxan at normalizing SIBO?

I tried both Xifaxan just by itself and Xifaxan along with partially hydrolyzed guar gum (PHGG). Here’s a link to the study that shows PHGG makes Xifaxan more effective at normalizing SIBO breath tests. The only thing that happened when I tried those treatment methods was that I got incredibly bloated from taking the PHGG.

Can you use rifaxamin alone for SIBO?

If you only have hydrogen producing bacteria in your small intestine, you can proceed with the standard herbal treatments or use rifaxamin alone. But if you have methane producing bacteria (which actually aren’t really bacteria, ...

Can you eat high fodmaps while on SIBO?

So, instead of continuing to severely restrict your diet during your SIBO treatment, I recommend consuming as many high-FODMAP foods as you can. This will not only serve to feed the overgrowth and help make the SIBO treatment more effective, but it can also give you a mental break from the constant diet restriction and planning.

Does sunfiber help with SIBO?

Partially-Hydrolyzed Guar Gum (SunFiber Prebiotic) has been proven to make SIBO treatment with the antibiotic Rifaxamin more effective. PHGG is a unique prebiotic fiber that is extremely gentle and is effective at reducing constipation and diarrhea, and improving IBS symptoms. And if you have SIBO - a big contributor to those symptoms - PHGG can ...

Can probiotics cause SIBO?

The bacteria in the small intestine that are overgrown and causing your SIBO symptoms are often of the lactobacillus or bifidobacterium species. This is why many probiotics that contain these bacterial species cause more symptoms in people with SIBO. So, if probiotics haven’t worked for you in the past, but you want to use them to make your SIBO ...

Can you take probiotics after SIBO?

Studies show that using probiotics during and after SIBO treatment can actually make the treatment method itself more effective. This holds true whether you’re using herbal antimicrobials or traditional antibiotics to treat your SIBO. However, some people are hesitant to take probiotics during SIBO treatment because they don’t want ...

Is it impossible to treat SIBO?

While treating SIBO can be difficult, it certainly isn’t impossible. Taking a step back to evaluate what you’re dealing with and smartly enhancing your treatment protocol with a few key supplements can really help to make each round of treatment you attempt more effective. But most importantly, don’t stress if what you’re doing to treat your SIBO ...

Is it hard to get rid of SIBO?

Written By Jess. SIBO is notoriously difficult to get rid of, and anytime we can use a method to make treatment more effective, it’s worth a shot. Thankfully there are some things you can do during and prior to treatment to make anything you attempt to treat SIBO more effective. For more information on SIBO - how to diagnose it, treat it, ...

How much Guar Gum should I take for diarrhea?

It seems that a higher relative dose of partially hydrolyzed guar gum is beneficial for diarrhea — these studies used doses from 5g all the way up to 28g/day with good effect. Given the evidence, I suggest around 10g/day for those dealing with diarrhea.

How long does guar gum take to digest?

Partially hydrolyzed guar gum at 5g/day increases colonic transit time (essentially the speed at which your digestive system moves food through it) by about 12 hours in constipated patients, and by about 22 hours in those with slow transit time.

Can prebiotics help with imbalanced gut bacteria?

I’m a huge fan of pretty much all prebiotics as they can all be useful for those with imbalanced gut bacteria — much like probiotics being strain-specific in their effects, each prebiotic has a slightly different effect on the beneficial bacteria colonies that live in your gut.

Can I put iberogast in water?

Iberogast tastes slightly medicinal, and I don’t like to put it in water for that reason. I prefer to mix it into my ginger tea. For some reason the ginger masks the flavor of the Iberogast really well. As a bonus, ginger also works as a natural prokinetic and digestive aid.

Does Resolor work?

Resolor supposedly works very well, but isn’t available in the U.S. In addition to Erythromycin, I also take an herbal prokinetic, Iberogast, that my doctor ok’d. Iberogast is a mixture of 9 herbal extracts that acts as prokinetic. I’ve found it seems to help with nausea and indigestion as well.

Can you take antibiotics with SIBO?

Often people ask if they should be on a low FODMAP diet while taking antibiotics for SIBO. NO! As Dr. Pimentel and other experts have explained, antibiotics work best when the bacteria are actively replicating. This is when the medicine enters the bacteria to destroy them.

What is the best treatment for bacterial overgrowth?

Antibiotic Treatment. This approach seeks to attack the bacterial overgrowth head on and fairly quickly with antibiotic drugs (Abx). It is the first choice for most gastroenterologists. It must be followed with preventative measures .

Is rifaximin used for SIBO?

Rifaximin may be used for all cases of SIBO. There are 3 excellent dose options currently reported. Neomycin is effective for constipation cases and is used in addition to Rifaximin, as double Abx therapy. Metronidazole is an effective alternative to Neomycin, currently under study at Cedars-Sinai.

Can you take prebiotics with SIBO?

Whether you consume or avoid prebiotics and/or FODMAPs during SIBO treatment does not appear to have a significant impact on SIBO. Published evidence suggests that probiotics may be more effective in treating or enhancing SIBO treatment than prebiotics. Perhaps because probiotics may exert more impact on the small intestine than the large intestine.

Can probiotics help with SIBO?

Probiotics have been shown to be an effective SIBO treatment and help with SIBO and IBS symptoms: Perhaps because probiotics may exert more impact on the small intestine than the large intestine. Dead or ‘heat-killed’ probiotics have positive impact suggesting that living probiotics may not be necessary.

Is prebiotic good for SIBO?

There may also be some novel prebiotics that are safer and more effective for SIBO than standard prebiotic:

How often should I take Xifaxan for SIBO?

When treating SIBO with Xifaxan and Neomycin you typically take 500mg of Neomycin twice a day and then 400mg of Xifaxan three times a day for 10 days. To make it easy on myself, I just took the Xifaxan with every meal and the Neomycin with just breakfast and dinner.

What is SIBO in medical terms?

SIBO, or small intestine bacterial overgrowth, is a condition where gut bacteria from the large intestine inhabit the usually sterile small intestine. Which can cause a host of unpleasant digestive symptoms.

Which antibiotics are most effective for methane dominant SIBO?

Together, Xifaxan and Neomycin have been shown to be the most effective treatment for methane dominant SIBO. The treatment protocol that was used in that study is the one that is used by all of the medical professionals I’ve come across who use these two antibiotics.

Can you be on restrictive SIBO long term?

Like I said before, the goal with restrictive SIBO diets is not to be on them long-term. It’s to use them just to reduce symptoms while you’re addressing the overgrowth.

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