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FOLLOW UP BREATH TEST

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Tootsie had her follow-up lactulose breath test today to see if the meds were effective against SIBO.  We'll get results at our GI follow-up in a couple weeks.  We did get a copy of last month's results, which shows a strong positive.  As you can see, she was well above the 20ppm threshold.


We made the best of prep day again by doing a little shopping at the mall (Tootsie picked out some press-on nails...something she's always asking for, but I never let her get.)  We also stopped by Michael's to check out "Slime Headquarters".  If you don't know, slime is all the rage among tweens these days.  (Here is a YouTube video on what it's all about).  She did a manicure and pedicure in the room, we rented a movie, and went for a soak in the hot tub.  The day went by pretty quick and the Zofran worked out well at keeping the nausea away.  



The smiles disappeared the next morning.  She woke up feeling nauseous and even with Zofran on board the first 45 minutes of the breath test was pretty rough.  Toots felt like she was on the verge of vomiting and had to dig deep to keep it together.  I am happy to report she was able to complete the 3 hour test.  Way to go, Tootsie!!


We were able to get in to see the GI (Dr. A) and and the ND (Dr. B) while we were there for Tootsie's new & continuing signs and symptoms: thrush, keratosis pilaris flare on her cheeks, sore throat, chapped lips, irritability, and continuing constipation and bedtime anxiety....which all point to SIFO (Small Intestine Fungal Overgrowth).


Dr. A confirmed the SIFO diagnosis and Dr. B devised a plan to treat it.   

Tootsie will be taking:
Fluconazole 100mg daily, with food for 21 days
N-Acetyl-L-Cysteine 1 capsule twice per day with food during SIBO/SIFO treatment - disrupts biofilm and improves response to antifungal/antibiotic treatment
Folate 400mcg open 1 capsule twice daily for 21 days, mix with a little water, swish and swallow - to help rid of oral thrush

She will continue with the following supplements:
L-glutamine - 2 tsp daily to help heal digestive tract
Lactoprime Probiotic - to support GI health, regular bowel function and immunity
CalMag - 3 tsp daily to support regular bowel function (can increase by 1 tsp at a time until stool reaches Britsol type IV.
Motil-Pro - 2 capsules twice daily to support normal GI motility
Theanine -  increase to 2 capsules 2 time per day, to help reduce anxiety and improve sleep.
Multivitamin, Vit C 500mg, Vit D3 1,000iu



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