Hey everyone!
Just wanted to share this because I've been dealing with this issue since I got my pouch, and was at a total loss.
I had my takedown 3 months ago, and ever since have been having insane gut gurgles, explosive farts, and bloating no matter what I ate, drank, took, or did. I'm talking those machine gun farts that echo through the bathroom, creating a faux Vietnam.
I tried Gas X, peppermint, pepto, magnesium, IBguard, xifaxan, neomycin, cipro, proton pump inhibitors, the works. Zero results. Scope was clean, SIBO test was clear, blood tests showed nothing, gastric emptying showed nothing, CTs, everything. Absolutely nothing.
Out of desperation, we ordered a stool test, thinking it would show nothing.
Surprise! I've had E. coli for the last 3 months. 3 days of azithromycin and it was resolved.
So, if you're having explosive gas, and elimination diets, supplements, and other interventions aren't working, and all your other tests come back clean, get a stool test. Learn from my mistake.