Can post infectious IBS be cured? In this article we are going to look at some of the strategies and tactics that I use to help people go from post-infectious IBS to 80-90 percent better mark.  Only about fifty percent of people with post-infectious IBS actually recover.  What we want to look at is some of the strategies that i've used to help people actually get better quicker and get to that ninety to one hundred percent better.
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In a previous video we looked at what is post-infectious IBS.  That article got a lot of interest and naturally got questions about wether or not post-infectious IBS can be cured.  This article will address this question  with the steps you can take to get to a point where your digestion is better. I have helped many patients with IBS and what was determined to be post infectious IBS get completely cured and no longer have symptoms at all.  In some cases they still have mild symptoms, but they are to a point where they are not worrying about it on a regular basis.  Before we jump into how to do this, a quick summary on what is post-infectious IBS. 

So this is a digestive condition resulting from your intestines getting inoculated with some intestinal bug so this could be a bacteria could be a fungus could be a virus could be a parasite any of those can do this and this results in IBS-like symptoms.  so you could be having diarrhea loose stools constipation alternating both cramping bloating etc usually it's going to come on after eating out or some scenario where you ate some bad leftover food or something like that.  The persistence of the symptoms after that event whatever it was . sometimes you don't even remember this specific event but the persistence of your symptoms over  weeks and months is what leads us to believe that it's post-infectious IBS.  now not all IBS is post-infectious but a lot of cases are from this post-infectious scenario.   The persistence of those symptoms is resulting from one of three causes.  The first is excess microbes that may still be present, months weeks years later.  The second is general gi inflammation.  The third is just an imbalance in the normal relative balance of the different microbes that are present in your digestive tract.  So what do you do about it?We don't always have to know the specific thing that's going on in order to get some general strategies or help support some of the things going on in the digestive tract.  There is a test to identify if you have post-infectious IBS too.  This can be helpful for people that are unsure if their symptoms are coming form a microbe.  For instance, if you are unsure if you have symptoms that have been there for a long time, and you can't pinpoint it to a specific event, this may be worthwhile checking.  It can still be  worthwhile doing it even if you do have that association, as certainty is key. 

The test is called "IBS smart" and it's measuring different antibodies to your intestinal tract. These antibodies that get up regulated or get triggered by your immune system when you have post-infectious IBS.  The antibodies are called anti-vinsulin and anti-cdtb.   Check that out if you're unsure of the source of your IBS. 

In order to shorten the time span from your current digestive issues to getting better from post-infectious IBS, we need to know what's going on (at least a general idea).  We said there's different bugs that one can get like bacteria viruses fungus parasites et cetera.  Which one you have or had is not always easy to tell without testing.  Testing is limited and when it is available it is not always accurate either.  However it's more common to get viruses or bacteria than it is any of the others but the others can occur too.  If you are in an area of the world where parasites are common, it might be worthwhile doing some parasite tests.   We are going to focus more on the bacterial side, since that is more common and what I have seen more of. 

The two things that we will look at for pathogenic bacteria are different clostridial species and Klebsiella species and overgrowth syndrome.  When there is pathogenic bacteria these can basically be anywhere in the intestines but usually they are in the colon (large intestine).  There's no test or way to really differentiate where these issues are occurring unless you are doing a biopsy but where they are doesn't always matter either.  When testing for digestive issues this is mostly discovered through stool testing and different metabolomic testing.  When they are found it is assumed they live in the large intestine.  

Overgrowth syndromes on the other hand are going to be more in the small intestine.