I was prescribed this medication and used it for years. However, I have a huge surplus, and not sure what to do with it.

I know exactly how expensive this medication is- as I loathe insurance about halfway through treatment and the kindest internet stranger sent me a month supply - gratis.

I’d love to pay it forward if I can. Any suggestions?

I got food poisoning April 7th of this year and was queasy for two weeks after. I decided to stop eating but once every other day. I was eating bland and took alka Seltzer in the meantime to calm my stomach in between meals. Then prescribed Zofran (nausea). Did a comprehensive stool test and was positive for c diff. Did 10 day fidaxomicin. Now it’s April 30 and the start of being constipated and by early May passed some hardstool. Was eating bland and normalish while taking antibiotics. Shortly after finishing the course, I was experiencing extreme nausea, pain in abdomen especially upper region after ANYTHING I drank or eat. So I stopped eating altogether. By late May, I was taking Famotidine which made acid reflux come about then prescribed a ppi. Was on the ppi for 9 days before I stopped for a h pylori test which came back negative. The symptoms continued. I have had five small(3 spoonfuls of rice) since May 19, 2026. Doctors don’t care, I had CT, ultrasound, endoscopy and lost 60 pounds and had 4 bowel movements in 3 months. I have oral thrush which I’m taking fluconzale for but the taste in my mouth is terrible and have been taking zofran which is probably what made me extremely constipated. I’m also emetophobic which is why I been using zofran regularly for the past three months. I’ve been on Linzess which barely helped. I’m suffering and currently waiting for my SIBO test results, which I heard may be invalid if I’m severely constipated. I ready to leave the earth if this will be my life.

Thanks for reading.

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I have on and off Sibo, my stomach is almost always bloated after meals and not a lot seems to help. I’ve tried nearly every supplement and medicine under the sun at this point. I recently fell victim to an Ad and purchased this “Inno Cleanse” supplement on prime day, it’s been a week and my stomach has been flat for 6 days straight now, I’m sooo happy and feel so much more like my old self! The first two days I had a lot of BMs and felt like it really cleaned me out, that kinda slowed down not sure if it’s bc I went on vacation (which always slows me down) or if it started to not be as shocking to my system. Anyways, prob not curing my sibo but thought I’d share for those who are constantly frustrated by bloating! Note I am in no way affiliated with that brand.

I'm trying to improve my MMC (migrating motor complex) because I think it's underactive.

Unfortunately, I can't take ginger because it irritates my stomach and causes pain.

Are there any other supplements that can help support MMC without upsetting the stomach?

Hey guys! Im asking for help one more time here. My husband can’t get ride of shortness of breath caused by IMO. He already tried antibiotics ( rifaximin and metronidazole), Atrantil, B1 and so on. But once he gets bloated, his shortness of breath is incredibly intense. HELP!

Did anyone notice a difference in symptoms within one day of taking a motility agent?
I’m taking a ginger and artichoke one and it already feels like my belly feels empty and less heavy.
(I have cleared sibo, fixing my root cause now)

Genuinely at the point where I don’t know what else to look at. I’ve been dealing with severe chronic bloating/distension for a long time now and it feels like I’ve tried nearly every obvious SIBO/gut route.

My main symptom is constant bloating/distension, often there even when I haven’t eaten. It can cause back pressure/soreness and makes me feel trapped in my body. I’m not looking for sympathy as much as I’m trying to figure out what I’m missing. Is this still SIBO? Is SIBO just a symptom of something deeper? Motility? Bile? Pancreatic enzymes? H. pylori? Mold? Pelvic floor? Nervous system?

My sibo test was hydrogen, but I sometimes get the eggy farts, but h2s was negative... i dont even know what to believe.

Testing and findings so far

• Hydrogen positive SIBO pattern with early rise
• Dysbiosis on stool testing
• Klebsiella overgrowth noted
• Fungal/Candida concerns
• Very low beneficial flora, including very low Lactobacillus
• High gut permeability markers, including high zonulin
• Mold/mycotoxin concerns, including elevated ochratoxin/gliotoxin type findings
• Histamine/MCAS type symptoms
• Past H. pylori history, not sure if it fully stayed gone
• Concerns about bile flow, liver/gallbladder function and pancreatic enzymes
• Some blood/mineral issues, including copper/zinc imbalance concerns in the past
• Symptoms often feel worse with fermentation, carbs, histamine foods, stress and gut stagnation

Things I’ve tried..Probiotics and microbiome rebuilding

• S. boulardii
• Spore probiotics
• Seed probiotic
• Custom probiotic blends
• L. gasseri
• Ruscio style probiotic approach
• Considering coconut kefir
• Past bad reaction to L. reuteri, which seemed to trigger a major SIBO style flare
• Tried to rebuild flora but I’m worried probiotics may also worsen small intestine overgrowth

Antimicrobials and antifungals

• SF722
• Caprylic acid
• Berberine type approaches
• Oregano type approaches
• Antifungal thinking for Candida/SIFO
• Biofilm/NAC type thinking
• Mastic gum for H. pylori concerns
• Herbal antimicrobial phases
• I’ve tried killing approaches but I’m not convinced they fixed the terrain

I even did elemental for 3 weeks, and a 4.5 fast as someone said that fixed them! Not for me...Even did rifaximin.

Gut lining support

• GI Revive type formulas
• L glutamine
• Zinc carnosine
• DGL
• Colostrum
• Slippery elm/mucosal support type thinking
• Considering Colilen or gut coating products
• Trying to calm permeability and irritation rather than just kill bacteria

Motility support

• Ginger/artichoke motility complex
• Iberogast
• Artichoke leaf
• Magnesium
• Meal spacing
• Walking after meals
• Considering prokinetic route more seriously
• Wondering if MMC dysfunction is the actual root

Bile/liver/gallbladder support

• Artichoke
• Liver herbs
• Bitter/digestive support
• Considering taurine, phosphatidylcholine, sunflower lecithin, TUDCA
• Liver/gallbladder flush
• Coffee enemas
• Binders during detox/mold protocols
• I’m wondering if low bile flow is allowing overgrowth to persist

Binders and detox

• Charcoal
• Zeolite type binders
• Modified citrus pectin
• Chlorella type thinking
• Coffee enemas
• Liver flush
• Mold detox style protocols
• Glutathione/NAC thinking
• My concern is that mold/mycotoxins could be keeping the immune system and gut inflamed

Constipation and bowel clearance

• Magnesium citrate/oxide
• Oxy powder style products
• Coffee enemas
• Colon cleansing style approaches
• Trying to keep things moving without over irritating myself

Nervous system / physical / structural work

• Osteopath work
• Vagus nerve approaches
• Nurosym trial
• Iqoro considerations
• Breathwork and nervous system work
• Considering pelvic floor physiotherapy
• Considering visceral manipulation / abdominal massage
• Wondering if diaphragm, pelvic floor, fascia or abdominal guarding is keeping gas trapped
• Stress and nervous system definitely seem to affect symptoms

Other angles I’m considering

• H. pylori recurrence or incomplete eradication
• Low stomach acid
• Poor pancreatic enzyme output
• Poor bile flow
• Gallbladder sludge or bile stagnation
• Mold exposure and mycotoxins
• MCAS/histamine intolerance
• Mineral imbalance / HTMA
• Copper/zinc imbalance
• Long Covid/post viral type immune dysfunction
• Laryngeal sensory neuropathy / reflux like symptoms
• Pelvic floor overactivity rather than weakness
• Biofilms
• Parasites, oxalates, sulfur issues, although I don’t know if those are central

My main question

What am I missing?

I’m starting to think SIBO might be the symptom, not the root cause. The things I’m most suspicious of now are:

• MMC/motility dysfunction
• Low bile flow
• Poor pancreatic enzymes
• H. pylori/low stomach acid
• Mold/mycotoxin driven inflammation
• Nervous system dysregulation
• Pelvic floor/diaphragm/gas trapping mechanics
• Histamine/MCAS
• Dysbiosis where the ecosystem just will not stabilise

If you had a case like this, what would you investigate next?

What actually fixed your bloating if antimicrobials, diet, probiotics and fasting were not enough?

Would you look more into prokinetics, bile support, enzymes, H. pylori testing, pelvic floor physio, mold treatment, FMT, or something else?

Please ask me anything that would help. I’m really trying to find the missing piece and would appreciate any thoughtful input, especially from people who had constant distension even when not eating.

I cant do this much longer, seriously, it's ruining my whole life.

Im 26 f and i am chronically bloated 24/7. When i wake and when i sleep. I stopped eating diary and drinking coffee and its all the same. Im so insecure now and when i shower i cry.. my belly is so bloated. Is this a persistent symptom of SiBO? I know it says so online but im curious what you guys have to say as people who experienced it firsthand. Peace and blessings x

I spent a long time reading several posts on this sub, and it made me think: does everyone nowadays have SIBO, but some just haven't taken the test? Nowadays, a large portion of people have some sort of digestive issue, and they never find a 'cure', only temporary treatment.

Well, a while ago I was diagnosed with SIBO and fungal dysbiosis. The treatment was a low-carb diet, 3x 20 drops of oregano extract, and 500mg 2x a day of dry garlic extract.

This helped me a lot with constipation, which is practically cured today. However, I still continue to have a lot of gas with a horrible odor, especially after meals.

Today I take 1500mg of Omega 3 after lunch, and 265mg of Magnesium before going to sleep.

Has anyone who has gone through something similar have any insight into how they managed to resolve it?

Una pregunta muy importante: ¿puede el SIBO causar un olor realmente fuerte y desagradable? ¿Tan fuerte como para que alguien al otro lado de la habitación lo huela? Estoy paranoica; no sé qué me pasa. Todos actúan como si oliera muy mal, pero yo no noto nada. Sin embargo, sí veo un patrón: la gente se queja más cuando tengo problemas estomacales más graves. Además, en esos días en que me siento mal, expulso mucosidad que huele a huevos podridos, aunque yo no lo huelo. Aparte de eso, no siento que mi cuerpo desprenda mal olor; me baño todos los días.

Edit: largo tratamiento con antibióticos + omeprazol

Im on week 2 of an herbal protocol. I wake up nauseous everyday and literally pass out and fall asleep every afternoon. I have never felt this exhausted. Im sleeping like 8 hours a night and napping 2-3 hours per day

Currently taking FC-Cidal and Dysbiocide for hydrogen sibo( 2 of ea 3x daily) . Would love to hear others experience with this and if anyone was able to cure their sibo using herbal supplements? Thank you

I’ve been seeing a lot of gut health- related content on Instagram and tiktok since being diagnosed (and treating) my methane SIBo and what I’ve noticed is that so many people have co-opted actual scientific gastro terms to promote anorexia and orthorexia sneakily. It’s so so frustrating.

So often they spam the words ‘gut healing’ ‘bloating’ ‘inflammation’ and what they’re really talking about is looking fat, and the ‘transformation’ they talk about is getting skinny.

I know that eating disorders can directly cause gut problems and SIBO, so no wonder the two communities overlap.

This is what really annoys me about the focus on VISIBLE bloating as the biggest problem in SIBO (I struggle with pretty much every SIBO symptom except visible bloating), so many people are using the terminology to describe feeling fat and feeling large rather than talking about actual painful gas bloating.

SIBO recovery isn’t bloating -> skinny and toned. I for one am actually trying to gain weight because I’ve been on the lower end of a healthy weight for years despite eating loads of fatty foods, and can never gain muscle and feel pretty skinny and weak.

So much of it is pseudoscience and bullshit and all it does is scam people and make us insecure about our looks and whether we’re doing the right thing.

(Also I have a feeling that lots of the posts on here of bloated people in underwear are posted/upvoted by fetishists ew)

It’s so so important to stick to the science and evidence and not fall for weird internet click bait, it’s so harmful and really muddies the water for everyone. You NEED to check whether the people you’re getting your information from are just trying to sell you something or promote eating disorders.

I have methane sibo and blastocystis. Been prescribed metronizadole and I’m on day 8 of taking it.

I’ve been eating a normal diet this entire time - which has given me diarhea, and clearly gut is irritated - but could also be die off I guess.

People who have taken metro, what did you eat with it? Also is metro alone enough to kill this thing?

Thanks

My belly fucking hurts often and I'm constipated regardless if I drink 10 liters of water and a ton of fiber every day. I take 20-45 fucking minutes wiping my ass after every bowel movement to the point that I leave the bathroom covered in sweat, and this is so stupid and annoying but I can't tell this to anyone because I'll just be mocked. Wtf.

I WANT TO EAT AND GO TO THE BATHROOM LIKE A NORMAL FUCKING PERSON

Has anyone experienced a faster heartbeat while taking prucalopride?

I tested positive for IMO and my gastroenterologist prescribed prucalopride 1 mg once daily which I’ve now been talking for around 3 weeks.

Initially I took it at night, but it caused significant insomnia, so I switched to taking it in the morning and reduced the dose to 0.5 mg. This seemed to improve my sleep, however, I’ve occasionally noticed my heart beating faster for a few minutes. Has anyone else experienced this with prucalopride? Did it settle over time, or did you have to stop the medication?

It has definitely improved my bowel movements and reduced my bloating, so I’d prefer to stay on it if possible.

Hi folks!

I’m reading the book Gut by Giulia Ender. Anyone else read this?

I’m 2 chapters in and find it fascinating.

One sentence that stood out says, “Anyone who wants to take no chances after a bout of diarrhea can buy good bacteria at the pharmacy to repopulate their gut.”

This is news to me! I have SIBO/IMO after getting food poisoning 2 years ago (confirmed with the IBS smart test)

My question is what would be the type of “good bacteria” that one could buy after getting food poisoning? If this was more common knowledge it seems like it could save folks a lot of suffering…

Thoughts?