What are some triggers for relapse?

Antibiotics, probiotics, colonoscopy, general anesthesia, abdominal surgery, potent antacid use, excessive or adverse reaction to vaccination, severe food poisoning, intestinal infections, or brain injury are triggers for bacterial overgrowth. It is important to remember that this is just a list of potential triggers and not a list of events to be avoided. nnNote: Chronic, low-grade sinus or dental infections are very common events that can cause a temporary and prolonged worsening of symptoms that might be misconstrued as a relapse but, in fact, is not. A mild runny nose, cough, or flair of allergies can cause enough neurological stress to worsen anxiety, hyperactivity, aggression, and stimming. A simple ten-day course of nasal corticosteroid spray (e.g., OTC fluticasone) can improve the symptoms and lead to a positive trajectory of improvement once again.

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