Gut Health
This patient had elevated lysozyme at 651 and suppressed sIgA at 10.6. Does it mean he is not able to mount any immune response to the parasite or are the parasites are suppressing his immune response to survive? Or that they’re not pathogenic?
Chris Kresser: I don’t think we can say anything about what that means specifically. If you recall back to our...
So on the case before, if you got improvement on the yeast with the antimicrobial protocol, should I still not try the antimicrobial herbs again with the elevated lysozyme? Not sure everybody can do this SIBO test easily with him as a child.
Chris Kresser: I’ve done the SIBO test. I’ve had four-year-olds, even three-year-olds, do the SIBO test. So there may be...
This is the first patient I’ve had with truly high stomach acid. He has a history of heavy NSAID use for migraines starting around the age of nine. He’s now 21, can’t even drink water without burping. Trying nearly anything gives him reflux. Bread is the only thing that helps. He has a bleeding ulcer resulting in surgery and was put on PPIs a year and a half ago. He stopped these and all medications, still gets headaches, but less severe. We’re doing a reset diet. I’ve suggested slippery elm along with licorice tea. H. pylori has been ruled out, stools are oily. Due to limited finances, we’ll do labs one at a time. Plan to start with Doctor’s Data comprehensive stool test. Any suggestions regarding a treatment plan or to relieve the symptoms are welcome. He manages stress well by working a low-stress job and cut out partying. He’s active, which seems to help his headaches.
Dr. Amy Nett: Yeah, so this is really interesting that a patient actually has elevated stomach acid. There’s not a...
A patient did a retest on a stool sample and it came back with moderately elevated lysozyme but normal calprotectin and lactoferrin. Lysozyme level was 1,400, there were seven or eight different bacteria in the commensal column that were +1 or +2 and no pathogenic bacteria, yeast, or parasites noted. His symptoms of high anxiety and phobia remain. His retest on organic acid only showed one marker: 40 yeast elevation and the bacterial markers were negative with Great Plains testing. My question is would you continue to do another round of pediatric herbal antimicrobials, or just do the rebuilding stage?
Chris Kresser: If you didn’t have any improvement on the herbal botanicals, which it doesn’t sound like he did, then...
If someone has parasites and yeast on a Doctor’s Data stool test, but not much pathogenic bacteria at all, only insufficiency dysbiosis, could they just take the Yeastonil and Parastonil from the GI-Synergy, so as not to damage the microbiome any further?
Chris Kresser: With the botanicals, even though Apex has broken them down into antifungal and antiparasitic and antibacterial, most botanicals...
If a patient shows 3+ Saccharomyces on a Doctor’s Data stool test while taking two capsules of S. boulardii per day, should the patient drop to one capsule per day for maintenance?
Dr. Amy Nett: Good question because normally I would suggest people stop taking probiotics before the stool test. I don’t...
Secretory IgA normalized after two years. Low growth of beneficial bacteria including no growth of bifido and Enterococcus and 1+ of Lactobacillus. So I want to continue prebiotics and rebuilding gut after they finish 60 days of GI-Synergy, antimicrobials.
Dr. Amy Nett: Yes, definitely continue prebiotics, absolutely. There, like I just mentioned, think of treatment as two phases. Step...
Patient started feeling better on antimicrobials within days of starting. Otherwise normal test other than a few red blood cells. Two years ago it showed many. Patient not interested in colonoscopy, though has diverticulosis by imaging five years ago.
Dr. Amy Nett: Just of note, depending on the age of the patient, I think you see diverticulosis in probably...
Patient was taking two MegaSpore, two Prescript-Assist daily during antimicrobials. Any other recommendations? Could diverticulosis and/or diverticulitis cause RBCs in the stool test?
Dr. Amy Nett: Diverticulosis should not cause RBCs in the stool test. Diverticulitis possibly could. It depends on the degree...
