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Megacolon SIBO Rectal bleeding & Incontinence
I am a 57 year old female who was recently diagnosed with small intestinal bacterial overgrowth after taking a hydrogen breath test at Cedar Sinai. I am unable to take the antibiotics recommended . I have had a problem with extensive abdominal bloating pain and gas and megacolon for the past 20 years after having colon resection surgery after my colon had twisted.  I have had extensive tests done at Mayo Clinic over 5 years ago before the diagnoses of SIBO was made.   I consulted with a  GI motility specialist who felt I should take the conservative approach as long as I am able to have bowel movements.  I fluctuate between having several  bowel movements and  gas pain to not being able to have a bowel movement.. I also have incontinence and intermittent heavy rectal bleeding which is thought to be from internal hemorrhoids and external skin tags.  It has been approximately 6 years since I have had a colonoscopy done which was normal to the splenic area but a flexible sigmoidoscopy was done over a year ago which was normal. I also had anal manometry done which showed an absent inhibitory response. It was normal in Mayo clinic over 5 years ago. My family history is mother had crohn's disease and my nephew has ulcerative colitis. I am also of Ashkenazi Jewish background which I understand increases my risks.  My problem is my  Mayo Clinic will not see me back on my HMO.  I live in  Las Cruces NM where the gastrologists do not know how to deal with my problem other than surgery to remove my colon. I would like to know what non invasive tests I would need to take including blood tests . I have a problem with most of the preparations since my colon gets to the point where it feels like it will perforate. Any suggestions you might have.would be helpful and very much appreciated!  
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