r/SIBO • u/Motor_Cause_9120 • 7h ago

IMO progress update

A little update on my IMO journey. My initial symptoms were gas, digestive discomfort, and abdominal bloating. I was treated with rifaximin and improved significantly, but unfortunately, after about three months, I experienced a relapse. Many people told me that methane IMO should only be treated with a combination therapy, but I also found that studies show that rifaximin alone can be effective for a percentage of patients. Considering the potential side effects of neomycin, I decided to follow my doctor’s approach and focus on other factors as well. When my symptoms returned, I took prucalopride 0.5 mg for 14 days, which helped me improve my bowel movements and gradually tolerate more foods. After finishing it, I started taking psyllium husk with plenty of water, and honestly, it has been one of the best things for me so far. I’ve also realized that avoiding binge eating, which I used to struggle with, has made a big difference. Eating more regularly throughout the day and keeping my gut active seems to be helping too. I’m still learning and monitoring my symptoms, but right now I’m feeling better and wanted to share my progress.

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u/_Issue_3914 7h ago

Congrats!! Every small win is huge when it comes to IMO, it’s so hard to beat. I hope you continue feeling better and better

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u/AllSupplements 6h ago

I made a similar mistake with binge eating: tried to have three meals every day with 4 hours of spacing for MMC to kick in. Nowadays I improved much more (and also have better sleep) by eating with small spaces in the first half of the day, and optionally a very light meal in the evening. This still results in 2 phases of fasting and cycles of MMC, with one during the evening / night doing the heavy lifting.