u/BloodOpen7068

I have been struggling with distention, brain fog, bloating, constipation, depression etc. For months. I made an appointment with a gastro for when I get back from college. I reached a breaking point and went to see a PCP at school and he said he felt I either had h pylori or Sibo, but he could not order me a Sibo test. I went to see a gastro and he felt the same and prescribed an h pylori test. I came back negative for H. Pylori. The gastro said he thinks it’s SIBO And said he would prescribe xifaxan without the breath test . Is this risky to do without the confirmation of a breath test? Can anyone think of other things I should rule out? I am so frustrated and in so much pain. I am so miserable. I plan to see the original GI when I get home still. I just don’t know what to do.
Additional context: history of heavy PPI usage, gastric lesions, was put on amoxicillin and prednisone for a tonsil infection in January, have tested negative for celiac

Can you mix rifaximin, Neomycin, and metronidazole ?

I don’t know exactly how to convey this, but I am just so frustrated that he, an ex, is a narc. I want so badly for him not to have turned into the person he is. I know it can’t be undone, but it just feels so unfair to him and everyone that this is who he is. I guess I’m mourning the fact that he will probably never be able to have a functional stable relationship/life. I’ve know him since I was four years old and I’m just so disappointed that this is how it turned out. I wish that things were different because it feels like his entire life will be chaotic. Not that I’m excusing his behavior, but he has been through a lot separate from his narcissism in his youth and I wish he had a loving support system, but it’s like with his volatility and narcissism he never will. I don’t really have anywhere to go with this but has anyone felt like this?

I don’t know exactly how to convey this, but I am just so frustrated that he, an ex, is a narc. I want so badly for him not to have turned into the person he is. I know it can’t be undone, but it just feels so unfair to him and everyone that this is who he is. I guess I’m mourning the fact that he will probably never be able to have a functional stable relationship/life. I’ve know him since I was four years old and I’m just so disappointed that this is how it turned out. I wish that things were different because it feels like his entire life will be chaotic. Not that I’m excusing his behavior, but he has been through a lot separate from his narcissism in his youth and I wish he had a loving support system, but it’s like with his volatility and narcissism he never will. I don’t really have anywhere to go with this but has anyone felt like this?