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Hi all, during this round of what I believe to be pouchitis I am experiencing a lot of noises and rumbling. While I am on antibiotics the noises usually disappear and then a week or so after I am off antibiotics the noises come back. It usually seems to occur in the afternoon. If I let things go the noises get worse and more violent although I don't feel terrible. Usually I only let it go on for 2 weeks or so. Is this typical of pouchitis? I have also considered that maybe this could be SIBO but I am not sure. I know that they are treated pretty much the same. If anyone has any thoughts or experiences on the noises I would really appreciate your advice. Thanks again!
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My doctor gave me some samples of VSL #3 of which I have yet to try. He said that it is very expensive. Does your insurance cover the VSL #3? How much does it really cost with/without insurance?

I am currently working part-time 5 hours a day and I manage the noises by not eating before or during work. However, working an 8-hour day in the future worries me if I have to eat lunch during the day and then my pouch noise issues will appear. Would VSL #3 immediately prevent these issues?
Sounds like SIBO. I have it. I am on the verge of buying a stoma reducer even though I don't have an ostomy but to cover my opening for my bcir. It is violent as well for me.

SIBO is managed by diet. Sugar and bread/startches. There are a lot of cook books out there for the SCD and Paleo that work for treating it. I avoid fruit since that is sugar and honey or agave, dairy.

For SIBO a high (heathy) fat diet is a must since the bacteria can't grow there and you can absorb nutrients properly if you need them.
quote:
Does your insurance cover the VSL #3? How much does it really cost with/without insurance?


My insurance does cover VSL#3. I pay $40 for six boxes of packets - a very reasonable price especially compared to the uninsured cost (that information can be found online - don't recall off the top of my head).

As I mentioned previously I find that it helps with my digestion/rumbling noises, so I take it immediately after a meal. I ostensibly use it for pouchitis, but find that avoiding sugar and processed foods has had a greater impact on that front. So diet is certainly worth your consideration too.

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