Re: Digestive Bitter Question/concern

Ok, so that's good. You know what you're up against now. They're both tough to get rid of, but the clocae is the more hostile.

I don't see how probiotics can solve this, but they could stop it somewhat from getting worse. That's good that you're adding more bifidus. Although it's curious that no bifidus showed up in the CDSA, but lacto's did, even though you're supplementing large amounts. I wonder if those are weak bifidus strains, or the bad bacteria are suppressing them that quickly.

It's a little concerning that you have no e. coli or bifidus detected. Sometimes they are there in tiny amounts and don't show up until you get rid of the pathogens, but you might want to start researching stool transplantation as it's the only way to restore completely lost strains.

Curious they didn't mention Bacteroides levels. That's your most important/protective bacteria in the colon.

If it were me, I'd be leaning towards the Antibiotics based on the severity of your symptoms and the character's of these particular strains. I would also consider having them tested for vulnerability to both Antibiotics and herbals first. Metametrix does this. But I'd keep doing the protocol you're doing, plus change my diet a bit.

I would stop Sugar entirely, as that will help with the cloacae, also stop dairy entirely if you're eating any, as both can ferment lactose. And I also wouldn't eat anything with glycerol in it on account of the freundii fermenting it.

The Cloacae is also turning amino acids from the meat you eat into ammonia, raising ph, so I'd be considering greatly reducing meat just to see.

Also, fasting won't work against freundii as it can survive on glycerol alone, which your body produces while in ketosis. Juice fasting, if it included citrus would be a disaster, as Citrobacter can live on Citrate too. Ugh!

Both are gram negative, cephalosproin resistant, Antibiotic resistant, so make sure your Doc's really study these guys before committing to which drugs to use. Cloacae needs to be treated with 2 Antibiotics as it will develop resistance if you only use one.

I suspect it's going to take a more thought out choice of antibiotics that takes into account recent developments in resistant strains. What they're suggesting may work, but I would ask them what their thinking is and if they've used those successfully in the past.

According to my reading, Citrobacter has become resistant to broad spectrum Abx like Tetracycline.

I've included some links to Microbe Wiki that has current info on these two strains.

Citrobacter Freundii:
http://microbewiki.kenyon.edu/index.php/Citrobacter_freundii


"...when exposed to new third generation cephems and cerbapenems, clinically isolated C.freundii showed sensitivity to those substances."

Enterobacter Cloacae:
http://microbewiki.kenyon.edu/index.php/Enterobacter_cloacae


"The most effective agent against this bacteria is aminoglycosides, yet more drugs are becoming available to target the infection caused by Enterobacter cloacae. Antibiotics such as cefotaxime and cefaperazone are currently in use and may be used as one of the primary drugs to fight off infections caused by these bacteria."

To cross reference Antibiotics and try and figure out a combination that will hit both:

http://en.wikipedia.org/wiki/List_of_antibiotics


It's going to be tricky, and it may take 3 Abx.

In the mean time, both bacteria have flagella which should be easy to recognize by your innate immune system. Raising SiGa levels may make everything work better, and give you a shot if you want to avoid antibiotics. That means Colostrum, S. Boulardii, which you're already doing, and Meditation. You may want to search for other ways to raise it, but those are the best I've found. I've read good things about EpiCor but don't have first hand experience.

http://www.metametrix.com/files/learning-center/articles/Secretory-IgA.pdf


Let me know what you decide to do, and how it goes,

T.