I have a client who has some anal itching along with sticky skin around the anus in the morning after BM. She has a lot of intestinal bloating. Her CDSA came back negative for parasites. SIBO came back negative although I swear she has it. Very mildly elevated arabinose on OATs. Would you still treat as if it were parasites? Yeast? SIBO? She doesn’t have the financial means to do another test (401-H).
I would do a botanical intervention that would cover SIBO and yeast (that also includes some wormwood). Consider the comprehensive bowel detox program from BioBotanical Research – http://www.biocidin.com.