u/CodeTailor

I have had bloating and treatment resistant SIBO, slow motility and hard stools. Also fatigue.

I have been testing and trying every therapy for SIBO. I did a 2 week elemental diet. Bloating did not reduce.

I recalled a long time ago, as part of mental health work up, I had the methyl gene tested and it was positive for something

So I asked doc for homocysteine test and it was... Slightly elevated?

Reading of 23, reference range normal is less than 15. Is that high ? Note however this was with a few days of supplementing activated b12 before the blood draw because I didn't want to wait.

Does this mean I need b12 shots ? Or sublingual is ok?

When can I expect my gut to feel better.

After just a few days of b12 I feel...like my stress response is a bit elevated, not very comfy, is that normal

I am constantly bloated/distended and it is driving me mad. For 5 years it's been this way, 99p of the time, but it gets worse through out the day as I fill up and less in the morning.

I finished 14 days of peptamen whey based elemental diet plus some added MCT oil. Then I added chicken and eggs to the diet for 5 days, and since then I have reintroduced low fodmap cooked vegetables for a few days, so I'm on day 21 and I'm still bloated.

I'm also taking 1 mg prucalopride and 1000mg ginger a day. And also taking megaspore and boulardii since I finished first 14 days of the diet.

In the past I have tried many things including rifaxim multiple times and herbals. Tried a bunch of different probiotics also and other supplements

I rarely hear my stomach being loud so I thought maybe I have a motility problem but no idea why. I had pelvis MRI and enterography with no obvious findings from the typical radiologist.

What the **** is going on ?

I'm on day 13 of elemental with near zero bloat improvement.

AI told me that if I lay on my back and the bulge disappears, then it's APD.

Is it true or no. I do look skinny when I lie on back

I've been having some bleeding with BM for 5 months but the pain was mildish. Never had problem sleeping.

Finally get it checked yesterday. Doctor did a proctoscopy. It was only for a second but I cried with pain. Then after the pain seemed to die down until night and then it became really loud.

He found a pea sized hemmerhoid and a small tear, according to him.

Well now the fissure is much more painful and idk what to do. It took many hours and Tylenol to fall asleep last night. It feels much worse and I'm afraid a BM might send me the hospital or infect an open wound

I've been on a liquid diet anyway trying to treat SIBO but only doing that for 2 more days

Will I be ok ? What should I do