Patient story

SIBO after probiotics and kimchi.

@gutpattern-347c906fBronzeContributorShared July 2026

Current status

Still struggling
  1. Still struggling
  2. Somewhat resolved
  3. Mostly resolved
  4. Fully resolved
In their words

The story

I have chronic lyme and have had it for 13 years. A year ago I contracted bartonella in the summer of 2025, and around that time also some gastroenteritis, with bloody stools which messed me up. I lost 12kg in 6 weeks around that time. I tried to treat post-gastroenteritis with high doses of general lactobifido mix probiotics, ended up being extremely bloated, sibo-like. Got rifaximin, did not work, actually worsened it and increased insane acidic feeling in my lower abdomen, right under my belly button, which felt as if acid was dissolving my intestines from the inside. I was getting really fast neurological decline around that time, kept losing weight despite my caloric intake being sufficient, and nearly cutting out carbs did not help much. In a desperate attempt I took amoxicilin without clavunate, for which I decided based on finding suspecitibility studies of the said probiotics. It cleared bloating and stopped weight loss within a few days. Weight loss was probably from bartonella (can cause rapid weight loss in acute phase), and while amoxicilin does not work well intracellularly, it probably killed enough bartonella to stop the acute phase.

I then spent half a year around doctors looking to treat lyme and bartonella, taking a few antibiotics, which helped, some a lot (ceftriaxone), some somewhat, but before I was able to start a full treatment I ate a big jar of kimchi with fish sauce at once at the turn of the year. It basically reactivated the same symptoms: bloating right under my belly button, carb intolerance. Endless bloating. I took fluconazole which helped with general malaise, so yeast probably could have played a role, but did nothing re bloating. Then I tried rifaximin for 3x14 days courses this half a year, each time it helped cut symptoms by like 60-70%, but never got fully flattened abdomen. I bought Aire 2, first had only h2 elevated, after first rifaximin course methane started to appear as well. I had a negative glucose breath test in June. Around the turn of June/July, I got c.jejuni, which cleared my methane. However I am still bloating right now, and will be trying further atb treatment, this time systemic antibiotics, as my bartonella and lyme caused symptoms have progresed including vision issues. I will update what happens.

My main symptoms rn are: constant bloating right under the belly button that only goes away when I did not eat for 2 days during c.jejuni and during preparation for a SIBO test.

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What they were dealing with

Symptoms

severeBloody stoolssevereWeight losssevereFood intolerancesmoderategeneral sicknessmoderate
What the workup showed

Tests & diagnoses

negative
Every treatment, and what happened

Treatments

Each treatment this contributor tried, in the order that mattered, with their own reported result. The ones marked with a trophy are the treatments they credit as decisive.

Made worseNo changePartially helpedHelped
Amoxicillin
Helped

Cleared bloating and stopped weight loss within a few days.

Antibiotics
Helped a bit

Taken while looking to treat lyme and bartonella; helped, some a lot and some somewhat.

Fluconazole / Diflucan
Helped a bit

Helped with general malaise but did nothing for bloating.

Helped a bit

First course did not work and worsened symptoms; later 3x14 day courses each cut symptoms by about 60-70% but did not fully flatten abdomen.

Made worse

Tried for post-gastroenteritis; ended up extremely bloated and SIBO-like.

Kimchi with fish sauce
Made worse

Ate a big jar at once; caused recurrence of last summers bloating in the same location

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Treatment Outcomes

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Important

This is one person's reported experience aggregated by GutPattern, not clinical advice, a treatment protocol, or a diagnosis. What helped one contributor can do nothing — or harm — for someone with a different underlying cause. Sudden, severe, bloody, feverish, or worsening symptoms belong with medical care. Always discuss care decisions with a qualified clinician.