Recommendation for Mixed IBS?

Key Discussions:

• Introduction to Mixed IBS:
  Mixed IBS is characterized by a combination of diarrhea and constipation symptoms.
• Testing for SIBO:
  The importance of testing for Small Intestinal Bacterial Overgrowth (SIBO) is highlighted as a first step in diagnosing and managing Mixed IBS. Confirm SIBO before proceeding with SIBO treatment.
• Symptomatic Relief:
  While waiting for test results and determining the underlying cause, symptomatic relief treatments can be used. See siboinfo: symptom relief page, which offer strategies for managing both diarrhea and constipation.
• Probiotics and Fiber:
  The use of probiotics and certain types of fiber, such as partially hydrolyzed guar gum, is recommended for those who can tolerate them. Start with small amounts and gradually increase to label dose over a week.
• Further Testing:
  If SIBO is ruled out, additional tests such as blood work and stool tests are suggested to further investigate the cause of symptoms.

Takeaways:

• Step-by-Step Approach: Begin with testing for SIBO and proceed with treatment based on results.
• Symptom Management: for immediate relief 
• Gradual Introduction: When trying new supplements like fiber, introduce them slowly to monitor tolerance.
• Comprehensive Testing: Consider further diagnostic tests if initial results are inconclusive.

Products mentioned:
– Symptomatic Relief Supplements (exclusive pricing at Fullscript)
– Probiotics (exclusive pricing at Fullscript)
– Fiber/PHGG: (exclusive pricing at Fullscript), or (Amazon: Healthy Fiber)