Pam’s Notes

GP and SIBO

Conclusions and Q and A start at approximately 40:00
 
1. IVIG
 
2. GP & IMO with low iron- does it make it worse? What he does in his clinic.
 
3. Breath Test with and without a J tube.
 
4. Explanation about the MMC and how to use Motegrity
  Meal-related daytime motility of moving food
  Bedtime is the motility of the cleaning waves, MMC
 
5.Cipro vs Rifaxmin( resistance if repeated plus side effects).
 
6. Can the gases flip-flop in Gastroparesis patients ( SIBO oscillates depending on what you eat)? Beans for a week example.
 
7. Ileostomy patients have less SIBO -it is GP or maybe SIBO from adhesions due to multiple surgeries.
 
8. Breath test cut-offs, and with Gastroparesis, do we go longer?