If the rifaximin isn’t working then a different antibiotic, like doxycycline, might do the trick. It took a few months of doxycycline to clear up my SIBO.

I am currently on doxycycline which was prescribed for diagnosed pneumonia in my retrocardiac lungs. My Bowels are fine - but the pneumonia symptoms are not. My Remicade has been postponed as a result. 

Potatoes are something that is super gassy for me , earlier post op I though its just the recovery phase and I was trying to gain weight so I ate them alot . But now I stay away from them . Rice is a mixed thing sometimes I feel great , sometimes it just makes me bit gassy but nowhere close to what I get with potatoes. You can try maybe switching to sweet potatoes instead. Other things that make me gassy are high protein meals. I've realised that I cannot do only eggs/ meats , I have to eat sufficient amount of carbs along with some veggies to make the thing digest properly. Also I cannot do big salads.

Brown bread on peanut butter, bananas, pastas, anything thats boiled to soft is great. Anything's thats fried is not so. I am not telling you to cut off fried but try eating more boiled things for a change . And add more bulking foods than soups, I try to eat meals at planned times that helps with the bms and gas. Also try maybe intermittent fasting.

Avacados and garlic powder are both  possible issues for gas. I believe they are also on the bad side of the low fodmap.

I had lots of gas with no bm changes, and it turned out I had pouchitis and antibiotics was the only thing that worked as well as following the low fodmap diet.

Hi Pouchobro,

So sorry you’re going through such a rough time.  I sympathize with your frustration 100%.  You’re not alone.  In fact I was just relieved from the hospital  two weeks ago (blockage) and my biggest problem it is how to deal with so much gas. 

I truly believe the diet have a lot to do with your problem. In my case: Pepper, garlic, fried foods, any caffeine beverages and dark chocolate cause me so much pain and lots of gas.  You can start eliminating one item at a time as an experiment and see if the gas production decrease.  You also can try hot breakfast meals (oatmeal, rice) to bulk your stools.  They are delicious and high source of nutrients.  Another tip I found useful it was home made chicken soup.  Check for a variety of recipes online). I cook little chicken pieces, carrots, egg noddles and potatoes on mine and then put it in a blender.  The consistency is creamy and tastes good.  For the fries I suggest don’t deprive yourself if you enjoy them.  Maybe you can bake potatoes slices on the with olive oil instead of soy or try directly to fry them with olive oil and see what happens.  

I believe taking off a few items from your diet, and slowly introduce new ones will help you to regulate that excessive production of gas.  It will get better.  Unfortunately us, the jpouchers fellows need to try and try so many times different options on meds, foods, habits.  So don’t give up, I’m sure you got this. 

Good luck,

Laura 

Still having these issues months later. 

I know this is an old post but Vega shakes are the worst for us IMO.  I love the concept of them, but the ingredients are murder on a sensitive GI. I couldn’t even tolerate them when I was healthy!

Only 2 things create gas: swallowing it or fermentation.

200times a day?!?!! I am so sorry!!! I think you need to see a gastro ASAP

Did you do that with an ostomy too???

It. Could be soy milk causing gas too.

I've heard people having trouble with almonds,maybe try rice milk instead of almond.peppermint tea helps to relieve gas and maybe activated charcoal,loperamide,probiotics?

Low FODMAP helps me!