Bloating/SIBO Post Abdominoplasty (Photo)

Hello, and thank you for your question regarding your ongoing bloating and SIBO diagnosis following your abdominoplasty, umbilical hernia repair, and breast augmentation. Congratulations on your commitment to your health, and I understand how frustrating unresolved symptoms can be.

Based on your history and provided photo, it is highly unlikely that your Small Intestinal Bacterial Overgrowth (SIBO) is directly related to your plastic surgery procedures. Abdominoplasty and hernia repair primarily affect the structure and skin of the abdominal wall, while SIBO involves bacterial overgrowth in the small intestine, a condition unrelated to surgical manipulation of the external abdominal area.

That said, post-surgical changes such as scarring, adhesions, or altered intra-abdominal pressure could theoretically contribute to gastrointestinal symptoms in rare cases. To explore this possibility and get to the root of your symptoms, I strongly recommend consulting a gastroenterologist. Additional diagnostic procedures like an upper and lower GI endoscopy, imaging, or a hydrogen breath test might provide more insights into your ongoing bloating and the persistence of SIBO.

Although you've already undergone three rounds of Rifaximin without improvement, a gastroenterologist may consider alternative treatments or therapies tailored to your condition. In the meantime, adhering to a low-FODMAP diet and addressing any potential contributing factors like stress or lifestyle habits may help manage symptoms.

I hope this provides clarity about the likely lack of connection between your SIBO and plastic surgery. Wishing you the best in resolving these concerns with the help of a specialist.

Sincerely,
Dr. Katzen

I'm sorry to hear of the issues you are experiencing with bloating. It is possible that your SIBO flared due to your abdominoplasty. I encourage you to work with your GI specialist for resolution.

Thank your query. The SIBO seems to be the cause of your symptoms. It may have little to do with your abdominoplasty, other than perhaps peri-operative antibiotics. It will be best to seek the help of a specialist for the problem. Please find an experienced board certified Gastroenterologist who can examine you and help you with all your concerns. All the best!