This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
I understand your concerns.
You should still take xifaxan as it eliminates excessive bad bacterial population from the intestine.
This is not well absorbed causing less systemic side effects.
Also bacterial resistance is low.
Usually 10-14 day therapy is suggested.
Stool should normal after 2 weeks from the start of therapy.
Diet should contain low carbohydrates.
That will provide less energy source for bacteria.
High fat low carb and low fiber diet is suggested to treat SIBO effectively.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.
Culturelle 30 Counts twice daily should be fine.
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