Cipro and Augmentin can cause rash and antibiotic associated diarrhea. These antibiotics (Cipro, Augmentin, Flagyl, and Neomycin) each have their own risks and side effects. When the insurance company refuses to pay for Xifaxan and the program to help get certification, other antibiotics can be used.
A program to help with reimbursement by your insurance is available through Salix Pharmaceuticals (1-86). This non-absorbable, small intestinal targeting antibiotic is taken as follows: six pills a day for ten to twenty days depending on the severity of the breath test abnormality. To treat SIBO we like to start with an antibiotic called Xifaxan. The effect can last for many years and as a result the normally small population of small intestinal bacteria will grow. This disorder can result from an insult caused by infection in the past (including traveler’s diarrhea, gastroenteritis, and food poisoning). It is during these muscular contractions that the small intestine is stripped clean and by doing so keeping the bacterial population low. The most common cause of SIBO is the reduction of the normal cycle of muscular activity of the small intestine at night. The effects of SIBO in people include a variety of symptoms including bloating, gas, pain, diarrhea, constipation, irritable bowel syndrome, muscle pain (fibromyalgia), interstitial cystitis, restless leg syndrome, rosacea, and bad breath. The majority of the gas that is produced by bacteria in the small intestine and then most of it is eventually absorbed by the lining and then taken up in the blood stream and then is expelled through the lungs. If the gas levels rise quickly and to an abnormal level a diagnosis of small intestinal bacterial overgrowth can be made and treated. Gas levels rise as the sugar solution passes through the intestine resulting from fermentation of the sugar by bacteria. In this test, a non-absorbable sugar solution is swallowed and hydrogen and methane gases are measured in the breath. It can be diagnosed by the lactulose breath test. SIBO can be caused by many gastrointestinal conditions. Small Intestinal Bacterial Overgrowth (SIBO) is a condition where the small intestine is populated by an abnormal amount and/or types of bacteria.
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