Pt with Pathogenic Bacteria PI-IBS

[Lorraine Love]

Client DL Female age 32

hx: 2002 trip to guatamala

sx: 2005 bloating, gas, cramping, nausea, feels extremely full when little is eaten. Low body weight/ beginning to lose hair

tests:
food sensitivity – Oxford Labs MRT test – have removed gluten, dairy, and all inflammatory foods

stool – parasitology center, az – no parasites- + 3 for Enterobacter sp +3 Escherichia coli

SIBO – have not run –

Nutritional Status – Spectracell – deficiencies B2, B12, Pantothenate, Inositol, Chromium

Plan:
Remove inflammatory foods + gluten/dairy
Replete deficient nutrients
run SIBO or just treat?
protocol to kill path bacteria?
other?

I am assuming either the + 3 for Enterobacter sp or the +3 Escherichia coli are the problem. Which one? or both? Here’s where I get beyond my scope – what protocols to use, how manage mulitple pathogens, need for biofilm busters?, etc.

I am looking at Freedom, Cleanse, Restore protocol from Parasitology Center in AZ.

Additional Questions:
which bacteria is the problem? are they the problem?
how to treat ? I am thinking Biofilm Buster and FCR herbal protocol from Parasitology Center. I don’t have much experience here –
the SIBO test is unreliable ? would you ever just treat?
post infectious IBS – I am finding many clients with IBS secondary to travelers diarrhea. I am reading that can get to be autoimmune gut? How do you help these people? motility agents + anti pathogen protocol?

What are your go to tests you would always run?
How would you manage this pt?
thanks for your review and input.
Lorraine

[Carolyn Hofe]

Lorraine,
Will be interested in Dr. Woeller’s response, but this does remind me of a client of mine who vacationed with her husband in the African bush country. Went from being a 100 lb. healthy RD to quite ill & about 250 lbs. Many of her symptoms related to ear problems though and she kept seeking out the best ear surgeons in the country. (Can’t believe now that I missed that.) MRT/LEAP helped with other issues, Parasitology Center found some small things but nothing behind her major issues. Long story short – turned out to be Lyme disease. I think it is missed a lot and it is recommended to find an ILAD physician, from what I understand.

[DrWoeller]

Lorraine,
The feeling full when hardly eaten is suspicious of SIBO. Also, the low body weight and losing hair could point to malabsorption. There are multiple possibilities here.

I would suggest doing an Organic Acids Test from Great Plains and GI Pathogen Screen #401-H from BioHealth Laboratory. I would absolutely want to rule out C. Difficile, as well as Helicobacter pylori. I would be surprised if there wasn’t an invasive candida situation going on with this individual.

If those tests are clear I would try the patient on the Comprehensive Cleansing Program from BioBotanical Research – http://www.biobotanicalresearch.com. This cleansing program is useful for people with SIBO and generalized bowel toxicity. If you look on their homepage under Products you will see a link to this program. There is a dosing chart that can be downloaded as well.

Sincerely,
Dr. Woeller

P.S. Lyme disease is always a possibility and this can be tested for through IgeneX – http://www.Igenex.com

[Lorraine Love]

The Parasitology test already ruled out h pylori and c diff. What about the enterobacter? Isn’t that pathogenic and needs treatment – ? Please explain if and how you would treat this.
Why would I need to run another stool test?
I do think the OAT test would be helpful, and a SIBO test.
But, Do I absolutely need to do more testing? – what if there weren’t tests – and I think she has SIBO, has enterobacter, ? candida. Cant I treat with something that would cover all the bases (please specify what that might be) – and follow up with a cleanse if needed?

Thanks
Lorraine

[DrWoeller]

Lorraine,
Enterobacter is a commensalism bacteria. In some people it can contribute to metabolic syndrome, but it is not necessarily a pathogen that needs automatic antibiotic treatment. I still feel you best bet is the Comprehensive Cleansing Program as it contains Biocidin which is very good for bacteria and candida.

Sincerely,
Dr Woeller

[DrWoeller]

Commensal, not commensalism.

[Lorraine Love]

Thank You. I will try it with this client. Do I have to add a biofilm agent like Interfase Plus, or is that covered in the formulations? Also, I had read that Candida becomes resistant very quickly to whatever anti fungal agent you are using and you should alternate every 3-4 weeks. How does the Biocidin cleanse address this concern.?

Will the comprehensive cleanse also address vaginal candida? or, would I have to address that separately.

Lorraine

[Lorraine Love]

Thank You. I will try it with this client. Do I have to add a biofilm agent like Interfase Plus, or is that covered in the formulations? Also, I had read that Candida becomes resistant very quickly to whatever anti fungal agent you are using and you should alternate every 3-4 weeks. How does the Biocidin cleanse address this concern.?

Will the comprehensive cleanse also address vaginal candida? or, would I have to address that separately.

Lorraine

[Lorraine Love]

Thank You. I will try it with this client. Do I have to add a biofilm agent like Interfase Plus, or is that covered in the formulations? Also, I had read that Candida becomes resistant very quickly to whatever anti fungal agent you are using and you should alternate every 3-4 weeks. How does the Biocidin cleanse address this concern.?

Will the comprehensive cleanse also address vaginal candida? or, would I have to address that separately.

Lorraine

[Lorraine Love]

Thank You. I will try it with this client. Do I have to add a biofilm agent like Interfase Plus, or is that covered in the formulations? Also, I had read that Candida becomes resistant very quickly to whatever anti fungal agent you are using and you should alternate every 3-4 weeks. How does the Biocidin cleanse address this concern.?

Will the comprehensive cleanse also address vaginal candida? or, would I have to address that separately.

Lorraine

[Lorraine Love]

Thank You. I will try it with this client. Do I have to add a biofilm agent like Interfase Plus, or is that covered in the formulations? Also, I had read that Candida becomes resistant very quickly to whatever anti fungal agent you are using and you should alternate every 3-4 weeks. How does the Biocidin cleanse address this concern.?

Will the comprehensive cleanse also address vaginal candida? or, would I have to address that separately.

Lorraine

[DrWoeller]

Lorraine,
Actually, Biocidin has the ability to breakdown biofilm so added supplementation usually isn’t needed. Also, because Biocidin is a combination of different remedies resistance is less of a factor.

Vaginal yeast you will likely need to address separately.

Sincerely,
Dr. Woeller

[Author]

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