A New IBS Solution

This book is very informative, and educational on the subject of IBS. Many books have been published, but this is the most thorough, in answering all of my questions.

Just ordered this book, received it, and read it all in one night. I read this book because I wanted to hear his perspective on small intestinal bacterial overgrowth and the justification for using rifaximin (xifaxan) in treating it. That aside, what is great about this book is that there isn't much pussyfooting and crap about other things. It gets to the point and is substantial. He isn't selling anything.For me, it was helpful for a few reasons.. he details and is specific on:1. the role of stress, but that it's not a cause, but how it comes into play2. how diet affects ibs - specifically, it's not that we're allergic to wheat or gluten, but how the glucose feeds bacteria3. role of probiotics4. why so many who take antibiotics feel good and have temporary symptom remissionanyhow, i really enjoyed this book. So much so that I read it two days in a row .. once and then again. I have several book on IBS, and for me, nothing tops this book. You'd think that from my review I know the person or am selling it.. but i'm not. This book does one thing that others doesn't.. it doesn't leave you guessing or asking yourself why? It explains everything backed up by studies, science, and experience. He also addresses IBS-C, and IBS-A (fluctuating)After reading this book I was going to get a script for xifaxan.. but i actually found a digestive enzyme on here (amazon) that i've used before called ultra-zyme, that for some reason is amazing for ibs-d.. (and ive tried almost every digestive enzyme under the sun).. consider trying that product before getting into the whole antibiotic thing.. I have a review of that as well..Good luck, and this is a great read!

This one is a very comprehensive book on IBS/SIBO. It really helps to piece together various pieces of the puzzle for someone who's been bothered by an "IBS" of sorts.I myself am more on the constipation side of things with occasional manifestations of extra flatulance, gurgling stomach etc. (but not anything like frequent diarrhea or severe bloating). I'm definitely sensitive to fast carbs like white bread and sugar packed stuff like candies and chocolate. I'm actually less sensitive to pastas and also sourdough or non-yeast bread. I've tested for pretty much everything already without much results though. For one, it's not celiac disease. It's also not gluten intolerance per se (I've done genetic testing for that). It's not parasites. I also don't have much "inflammation" or anything like autoimmune effects according to a variety of blood tests. I do have some issues with gut flora according to stool tests, and I might have a lower than necessary stomach acid, though (currently awaiting for the latest test results). I might have some lactose intolerance because of my gut flora issues (basically, it's an excess of E.coli lactose negative). I do have iron, B12 and some folic deficiencies. Supplementing with B vitamins and iron does help with the deficiency, but as soon as I stop, it's back again. I've been taking various probiotics with no long-term effects - as soon as I stop, it's all back in a day or two. I've got a stressful life balancing various family stuff and a rapidly developing international startup. I developed some annoying side-effects to all of the above that really affect my quality of life. As a result, I've been also supplementing with diosmin and stone root, on a permanent basis - to keep the side-effects under control. What's even more annoying is that laxatives actually make it worse (it's a well-known fact, btw, but still annoying). I've switched to Natural Calm magnesium lately, and it appears to be much better than anything else for consistent bowel movements, though. I've been also taking Trimebutine (200mg, 3 times a day with meals) and it really made a difference at the beginning, but now it's much less pronounced, though definitely helps a lot (especially with bread and pasta).Now about the book.PROS. After studying various materials for almost 2 years now, I tend to conclude this book is the most detailed story behind IBS/SIBO connection so far. If you've been checking books like "Breaking the Vicious Cycle", "Fiber Menace", "The Good Gut", "The Microbiome Diet", "Why Stomach Acid Is Good for You", and maybe also various "SCD lifestyle" and "FODMAPs" resources on the Web, this book is the very necessary addition to your library. It kinda summarizes everything in a consistent and easy to digest manner, and gives you further direction if you're still stumped. I'd really recommend checking out more books on every particular topic, though (e.g. on stomach acid). What I also liked about this book is that it's got an entire section on "alternative approaches" to mitigate the IBS effects. I can confirm that mindful meditation does help to alleviate the "IBS symptoms" if practiced on a consistent basis - basically, if done every day. There are many great apps already for that, Headspace being particularly useful to me personally.CONS. It appears the book is already quite outdated. E.g., Zelnorm/Tegaserod appears to be withdrawn from the market since 2007. Still the book sort of advertises it. The book also doesn't mention relatively benign but very effective spasmolytics like Trimebutine (possibly because it's not approved pretty much everywhere but not in the U.S.?). In fact, the book says spasmolytics don't help - but that's probably in regards to two particular medicines mentioned in the text. The antibiotics approach is certainly something worth considering after all the comprehensive tests are done and severe bacterial infection confirmed, however it's more like an atomic bomb to your gut. There are things like bacteriophages that have been used in certain countries for almost a century now as a great alternative to antibiotics..*** Update ***Still can't fully deal with my "IBS", though :) Preferred not to go the "anti-biotics" path. Been trying various probiotics, with varying results. Been changing my diet too, with mixed results (no panacea from any combination I've tried so far). Also tried a bunch of esoteric (supplement) things. One interesting fact that I've discovered recently — Luna by Nested Naturals helps to improve my bowel movements quite significantly. For the mildest laxative (and most useful so far) I'd recommend trying out "KAL - Magnesium Glycinate 400".

This book is a quick and easy read for virtually anyone. Doesn’t go too heavy into the science behind Sibo BUT does explain Dr. Pimental’s theory behind IBS. After reading I felt all pieces of puzzle fell into place for me. My symptoms were classic sibo, yet no one picked up until finally insisted (after friend suggested a breath test). My GERD never got better, bloated and nausea all the time etc. I followed FODMAP religiously, took virtually every ppi and still no relief.READ this book it explains it all, in fact I really think a lot of GI docs should. I test high ranges for methane sibo- one of the most difficult to clear up- yet it took me a year before I got an answer. After losing almost 15 lbs, not the worst - however the complete lack of desire for food distressing. If I lived on West Coast I would go to the practice at Cedar Sinai without a moment’s hesitation.If you are suffering, do yourself a favor and read this book. Knowledge is power!!

Merci, pour vite envoyer le livre après mon remarque.

This book can be really considered an healing tool for all the IBD/IBS sufferers; in a very simple but professional way the author starting from the base gives you all the information about what it is and how to cure this debilitating disease affecting a lot of people around the world; I really recommend this book to all the people willing to heal; despite many differents theory about this topic in this book you can read real stuff and I truly recommend it !

I am happy to ser that finaly we can have a treatment for ibs. Thanks for the new research done.

Finally someone has cared enough not only to research, but take the time to answer the questions most gi's don't answer. We who live with this problem are ignored and yes told its psychological!! I have lived all the scenario's Dr Pimentel has given us in this excellent book. Personally, my experience is just as he has stated, there's nothing we can do, there is no test to prove you have IBS and live with it. Thank you Dr Pimentel, I wish you were my Dr. , I unfortunately live with all these awful symptoms. Now I feel convinced that I have this bacterial overgrowth and will certainly pursue looking for a Dr. Who is willing to follow your guide lines given in this wonderful book. Thank you very much for caring enough to help people who suffer. I wish the were more Drs in our society who would be as diligent as you have shown. God bless you..

An interesting read in order to understand the investigations going on by D. Pimentel in regards SIBO and antibiotic use to tackle the problem. However this is only one of many books any person with IBS should read in order to get deeper understanding of the disease and the current available options to treat it. I have to say I disagree quite a lot with the diet proposed in the book.