Hi fectoid , sorry only just seen your post.
I haven't shown my GP or my gastroenterologist the results from the CDSA yet although the doctor interpreting the results had this to say..
" There are two additional species of bacteria that I wouldn’t expect to see namely alpha haemolytic streptococcus and coagulase negative staphylococcus.
The treatment of the upper fermenting gut is an area where we have a lot more good questions than answers. I see this not as a battle but a war – i.e. it takes weeks and probably months of correct diet to get a result.
Essentially there is a four-pronged approach to treating the upper fermenting gut:
Firstly eat a diet of low fermentable substrate – see
http://www.drmyhill.co.uk/wiki/Fermentation_in_the_gut_and_CFS
and use transdermal supplements, which can be applied by spray (TD minerals), in order to bypass the gut. Where there is gut fermentation almost invariably there is hypoglycaemia and possibly vice versa – the two are certainly in close association with each other. The reason for this is that the fermenting gut produces alcohol and alcohol has a major destabilising effect on blood
Sugar levels. Broadly speaking yeasts ferment monosaccharides and disaccharides (fructose, glucose, sucrose) whilst bacteria ferment disaccharides, polysaccharides and starches. The evolutionary correct diet is the zero-carb diet based on protein, fat and vegetable fibre and the evolutionary imperative to do this can be found at
http://files.meetup.com/1463924/Homo%20Carnivorous-WAPF2.pdf
and detailed at
http://www.drmyhill.co.uk/wiki/Stone_Age_Diet
Secondly - ensure good digestion of food – where there is a fermenting gut there is often hypochlorhydria and almost invariably malabsorption. Taylor suffered severe weight loss and micronutrient deficiencies following high dose
Antibiotics which means that he may have been suffering from this condition for many years – see
http://www.drmyhill.co.uk/wiki/Hypochlorhydria_-_lack_of_stomach_acid_-_can_c...
and
http://www.drmyhill.co.uk/wiki/Pancreatic_exocrine_function
Thirdly – use antimicrobials directly to kill off the fermenting microbes. These may be yeast
http://www.drmyhill.co.uk/wiki/Yeast_problems_and_candida
or bacteria. We have no simple answers to the wrong bacteria in the gut, but suggestions are at
http://www.drmyhill.co.uk/wiki/Fermentation_in_the_gut_and_CFS.
Vitamin C is toxic to all microbes but the key point is the dose. I suggest 1 – 4g at mealtimes and adjust according to bowel tolerance. The idea is to take sufficient vitamin C to kill the millions of bacteria in the upper gut but not sufficient to kill the billions of microbes in the lower gut. So the idea is to increase the dose of vitamin C until there is slight diarrhoea and hold it at that level.
Fourthly eat fermented foods such as sauerkraut and Kefir (which can be grown on soya, coconut or rice milks) - the microbes within ferment out carbohydrates to short chain fatty acids. Furthermore these friendly microbes help to restore normal gut flora. "
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I don't agree with the zero carb diet and I was glad to see many people here didn't either. I eat quite a lot of carbs and do have reactions but there's no way I'm starving my body of them , not again. I do obviously avoid gluten and dairy though.
I've not started any supplements through the skin although this may be a good idea , something I'd need to discuss with my doctor also.
I've never tried kefir but if I do it will probably be water kefir I'll make myself.
Vitamin C I would take but having an ulcer anything that can stimulate acid is probably a bad idea in my situation. I think I do suffer from low stomach acid which could be due in part to the H pylori but I'll need to heal the lining of my stomach before attempting to raise stomach acid. If I'm lucky it may be H pylori causing the low stomach acid altogether and supplementing wont be necessary at all after hopeful eradication.
At the end of the letter the doctor also wrote the following
" It may be that this is sufficient to turn things round for Taylor. I am always rather loathe to use
Antibiotics – as Pasteur famously said “it is not the microbe it is the environment”, i.e. if we can change the ambiance then the gut flora too would change. However some people do not see benefit until they use
Antibiotics and in this case we need something that is effective against anaerobes – possibly Metronidazole 400mg tds or possibly Rifaxamin (a gut only antibiotic) 400mg tds for two weeks and then a maintenance dose of 200-400mg daily in the longer term to, as I call it, keep the gut tidy. What would be most helpful for monitoring all this will be Taylor’s actual symptoms. "
I'm not sure what I think of this to be honest but I would have a very hard time taking antibitoics again.
My gastoenterologist really wants me to take the triply therapy for my H pylori insisting that tetracycline ( the drug that seemed to trigger most of my problems ) is a very powerful and different
Antibiotic when compared to this treatment.
For now I'm concentrating on the H pylori and going from there.