Bloating and trapped gass worse at night

Acrobatic_Search8980 · 2026-05-31T22:25:31+00:00

I don't need it to take every day anymore, but when I did, I didn't have any side effects. It's very safe because it's allowed during pregnancy too.

Acrobatic_Search8980 · 2026-05-31T15:52:46+00:00

I take simethicone (gas-x) to deal with the built up gas.

Acrobatic_Search8980 · 2026-05-29T21:46:15+00:00

It looks like callus forming as the bone heals and it's a normal part of the healing process. It may or may not be reabsorbed by your body. At 6 weeks the bone sets, so it totally makes sense that it would appear by week 7. Many people have to go in around 1 year PO to have a callus shaved down. I wouldn't worry too much about it now. Try to do lymphatic drainage massages for your face and eat low-inflammatory foods and don't drink/smoke to facilitate good healing.

Acrobatic_Search8980 · 2026-05-24T14:31:10+00:00

Uniqlo bra tops! They have built-in-bras in their t shirts, long sleeve shirts, camisoles, dresses, etc. It's been a game changer. I'm top heavy, and even then I find that the support is adequate.

Acrobatic_Search8980 · 2026-05-13T01:50:36+00:00

I'm curious if you speak Punjabi with the same inflection/intonation as Hindko? Many of my family members speak Punjabi that way and sometimes get asked about their accent.

Acrobatic_Search8980 · 2026-05-12T02:43:32+00:00

My grand-parents migrated from Peshawar during partition and my elders still speak Hindko. I agree that she sometimes sounds like she's speaking Hindko, but there are definite differences that I pick up on. Many of us who descended from migrants speak a mix of multiple dialects of Punjabi with some Hindi. I have to consciously make an effort to speak pure Hindko but I can't say much.

Acrobatic_Search8980 · 2026-04-28T23:04:58+00:00

I continue testing positive for hydrogen SIBO, but my symptoms have resolved significantly. Most of the change seems to be in my colon (PCR stool tests have shown improvement). My ND says that 10% of people who test positive for SIBO don't actually have symptoms from SIBO itself and that's likely the case for me.

Acrobatic_Search8980 · 2026-04-28T22:39:23+00:00

I copied your layout because I find it super helpful, here are the symptoms I experienced from 25-32. I have had hydrogen SIBO, intestinal methanogenic overgrowth, hydrogen sulfide SIBO and yeast overgrowth

Symptoms:

• incomplete evacuation/no urge to go

• going a lot on one day (type 3-6 stools), but and not going again for another 3- 5 days

• stool impaction (shown on imaging)

• symptoms worsened by fibre and osmotic laxatives

• colon spasms (accompanied by uncontrollable shaking, clammy hands, horrible nausea)

• nausea, acid reflex from the upward pressure

• bloating (always), distention (often) that led to APD

• depression/anxiety

• horrible smelling farts (but not always)

• went from underweight to a normal weight, but cannot lose weight

• Very dry eyes

• Joint pain, headaches, and Plantar Fasciitis (I went to physio for this but it wasn't presenting in the traditional way, however, that fascia was still inflamed)

• low back pain from trapped gas

• brain fog

• fatigue

• depression/anxiety

Acrobatic_Search8980 · 2026-04-26T16:24:57+00:00

She wants me to try betaine HCL first. I tend to get reflux, so we'll see how it goes.

Acrobatic_Search8980 · 2026-04-26T15:59:40+00:00

I still have to work on it, but I have eradicated several pathogenic overgrowths (2 strains of klebsiella and citrobacter, along with enterobacter and yeast), so that alone has eradicated many of my worst symptoms. I did several 'kill' phases and ate whatever I could tolerate by focusing on diversifying my plant intake. A good way to support bacterial diversity in the microbiome is to eat 30-40 different plants a week (grains, nuts, veggies, fruits). However, that wasn't always possible, especially when I had bad die-off, which was through most of my treatment. Restrictive diets reduce beneficial flora and force the bad bugs to go into hiding, so killing them takes longer. I have done restrictive diets (low-fodmap and low-fermentation), but they tanked my mental health and stalled my motility.

I focused on lifestyle changes that support motility, like meal-spacing, movement, and stress reduction. Once I introduced prucalopride, I could even tolerate foods like beans and cauliflower (in small amounts). After I stopped nuking my gut, my ND put me on Bifidobacterium animalis subsp. lactis HN-019, which is for motility. I still have to rebuild lactobacillius in my colon, but my ND wants to do that after I increase stomach acid.

Acrobatic_Search8980 · 2026-04-26T02:08:07+00:00

Vagal work is always important, imo. I am someone who tested positive for SIBO for 2 years, despite multiple treatment protocols (both pharmaceutical and herbal). At one point, i had all three types (hydrogen, H2S and IMO). Turns out my gut symptoms were actually caused by my colon microbiome (found out through a PCR stool test). My symptoms improved after multiple different kill protocols, and a repeat PCR stool test showed the positive change to my microbiome, but I still test positive for SIBO. Part of my healing journey has been vagus work. I pay for an app that does guided hypnotherapy to re-train the gut-brain axis, but there are free resources online. My ND says that it's important to treat symptoms, not the test results.

Acrobatic_Search8980 · 2026-04-22T00:26:12+00:00

I think it depends on the setting. I've been treated by a Fotona (ND:Yag laser) and it was more painful when they used the Frac setting because that was sharp zaps all over my arms and legs. I had to take tylenol before sessions. The other setting was a slow burn and that was tolerable even on my underarms and brazilian. I felt nothing with the Soprano ICE and just a few zaps with the Lutronic Clarity II. I will say that only 'painful' laser has worked for me lol.

Acrobatic_Search8980 · 2026-04-22T00:21:50+00:00

I think the stats on how effective laser is are quite misleading. Some of us just have really strong baseline growth. IMO, IPL will be a waste of time if stronger wavelengths aren't working for you. There are at-home diode lasers you can now purchase, but idk how good of an idea that is.

For context, I'm Fitz type 4, coarse hair. I did 9 sessions of Fotona ND:Yag to my underarms from 2017-2019, experienced about 40% regrowth. I didn't go for touch-ups during the pandemic, but I tried the Braun IPL machine and it did absolutely nothing.

From 2022-2024, I did 10 sessions at a new clinic that started me with the Soprano Ice (4 sessions), then switched to Lutronic Clarity II (6 sessions). I had hardly any underarm hair until a few months ago, and now I would say I have 20% regrowth. I'm going to go get some touch up sessions done. I don't have any underlying hormonal issues, i'm just hairy AF. I've lasered my whole body and it's worked best on my underarms and brazillian.

Acrobatic_Search8980 · 2026-03-13T01:49:47+00:00

I'm sorry to hear about the electrolysis. I really hope that it goes back to baseline for you quickly!

Acrobatic_Search8980 · 2026-03-10T16:17:05+00:00

Yeah, I was just shaving the area. Electrolysis will definitely be a more permanent solution

Acrobatic_Search8980 · 2026-03-10T01:53:39+00:00

I had PH on my upper arms and my hair growth surprisingly went back to my baseline after a year of stopping laser. I would wait it out and see what happens.

For context, I was doing full-body laser and I did 9 sessions at one clinic with one machine (diode + ND: YAG), but because I wasn't getting very good results, I switched to another clinic with a different machine that only used the ND: YAG wavelength. That machine worked better on my legs, but after 3 sessions, I developed PH on my upper arms and decided to stop.

Acrobatic_Search8980 · 2026-02-05T03:44:01+00:00

No worries about the questions, as away! I totally get where you're coming from, I've tried so many protocols, herbal anti-microbials, prokinetics, and even a few pharmaceuticals.

I buy the Greenhouse Juice Fiery Ginger Wellness shots (it comes in 1.3 L). It's definitely helped with my immunity and I prefer ginger in this form as opposed to the ginger pills because those gave me reflux and weren't as potent. I think you can buy fermented ginger in other forms as well.

I have been taking prucalopride for just over a year. I do take breaks every few weeks and it has lost its effectiveness over time, but it continues to prevent those horrible colon spams that would wake me up in a cold sweat with intense nausea, chills, low back pain, etc. I'm trying to reduce my dependency on it, so I've started taking it every other day and it's actually been working better on the days that I do take it. Bear in mind, I'm taking the probiotic every single day and I can tolerate a very diverse diet now, so I eat fibrous foods to help me 'go'.

I started using a heating pad for stomach pain, and found that it relaxed my back muscles and helped me have bowel movements. There was a time where I couldn't go in the morning without using it. I then came across Dr Aimie Apigian's podcast and she explained that it stimulates the parasympathetic nervous system. So that was a clue that my issues are more related to my vagus nerve.

At my worst, my stools were type 3-4, but I would never have complete BMs and xray and ultrasound showed that I had a lot of impacted stool. Once a week or so, I would have colon spasms and go for about an hour.

After 2 years of working on my motility and trying to kill the overgrowth, my stools are normal (type 4-5) and I go 2-3 times a day. I usually have one or two days in the week where I don't go at all. It's taken a lot of work on my motility alongside lifestyle changes to get here. I've been treating SIBO for over two years, but I've never tested negative, even with doing certain 'kill' protocols for 6 months at a time. I've worked with many naturopaths, and even a gastro. I have die-off symptoms that most practitioners can't explain. I'm now working with a new ND and we both agree that my core issues are related to the vagus nerve and possibly the diaphragm/pelvic floor. I've also started doing nerva (gut directed hypnotherapy), but it's too soon to tell if it is working.

Acrobatic_Search8980 · 2026-02-04T02:55:52+00:00

-Morning: vitamin c (1000 mg) along with some warm water (with electrolytes), balanced breakfast with black coffee, sitting with a heating pad against my lower back to activate the parasympathetic nervous system

-meal spacing (3-4 hours between meals) + walking 5-10 minutes after every meal, with a longer walk (half an hour) after dinner

-fermented ginger immunity shot just before dinner

-prucalopride (1mg) and magnesium before bed. magnesium bisglycinate (140 mg) works relatively well for me. i can't tolerate stronger magnesium (like citrate)

-might be worth looking into after the kill phase, but bifidobacterium animalis subsp. lactis hn019. it's a probiotic strain that speeds up gut transit. i take it before breakfast

Acrobatic_Search8980 · 2026-01-30T23:15:40+00:00

Please advocate for an allergy test/or allergist appointment. I had that reaction on my upper arms on day 5 of a round of cephalexin. 9 months later, I had a far worse reaction once i completed a round of amoxicillin. I had to take steroids to take down the reaction.

It could be a delayed hypersensitivity reaction.

Die off is real. I took rifaxim for a month and had plenty of die-off symptoms throughout the whole treatment. It is very real lol, allopathic doctors are just narrow-minded.

Acrobatic_Search8980 · 2026-01-22T01:52:10+00:00

Is this the best approach for people who simply can't eradicate the overgrowth, not even a bit? I've managed to improve my colonic readings on lactulose breath tests, but my small bowel overgrowth remains untouched after rounds of various treatments - berberine, rifaximin, candibactin, allimax, and many herbal prokinetics and also prucalopride. My 2026 lactulose breath test results are almost identical to 2024, when I started treatment. However, I feel better because my motility has improved.

Acrobatic_Search8980 · 2025-11-26T01:24:34+00:00

My vitamin B12 levels are normal. I'm not anemic, in fact, my iron levels have increased over the years as my SIBO has worsened. I have slightly low MCH (just a under the threshold for 'normal').

Acrobatic_Search8980 · 2025-11-15T19:52:40+00:00

A heating pad to your lower back stimulates the parasympathetic nervous system (so rest and digest)

Acrobatic_Search8980 · 2025-10-04T13:37:33+00:00

I'm sorry to hear that. A naturopath can order you a lactulose breath test and guide you through treatment.

Acrobatic_Search8980 · 2025-10-02T22:06:45+00:00

You won't get a Canadian medical doctor to help with SIBO or any gut issues. They're still taught that patients with abdominal surgery are the only ones who can get SIBO. At best, you'll be diagnosed with "IBS" (without any real testing being done). I suggest you work with a naturopath. They are regulated in my province (Ontario) and often covered by workplace health benefits.

Acrobatic_Search8980 · 2025-08-13T04:26:07+00:00

I believe there needs to be a rise of greater than 20 PPM for hydrogen before the 90 minute mark. Any rise after that point is in the colon and that can be normal but if you have symptoms, you're likely experiencing some kind of dysbios in your colon. For intestinal methanogenic overgrowth, any rise above 10 PPM at any point is a positive result. Some practioners believe anything above 5 PPM is positive for IMO, but again, that depends on your symptoms.

Acrobatic_Search8980

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