Hello doctor, I have a history of anxiety and panic issues. I was trying to find out the root cause of it and I have found that I have IgG antibodies against Epstein-Barr Virus and a Streptococcal infection (Anti-DNase B Test) in my throat. I also seem to have OCD issues and always remember having throat and tonsil infections during my teenage days. Azithromycin used to help me calm down the infection. I also have an overgrowth of Streptococcus in my small intestine. This is called SIBO. My symptoms are all matching up with the signs of a possible adult PANDAS-like situation. I would like to take your advice on how I should treat the EBV and Streptococcus.
Hello. As I understand you are having antibody against EBV (Epstein–Barr virus) and Streptococcal infection but you have never suffered from EBV disease. You only had some episode of Streptococcal throat infection in the past. So first I wish to explain you that Rifaximin is a newer drug and can be used to treat it. However many other antibiotics like Cephalosporins, Tetracyclines, Macrolides etc. can be used to treat it. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You also need to take a rich fibrous diet with vegetables and fruits to balance your gut flora. Probiotics and prebiotics are also available in the market that can be taken. Limit ingestion of sugar, animal fat, and animal protein. I suggest to consult a gastroenterologist and take treatment. For more information consult a family physician online -->