I've read that the fecal bacteria are not the same as the makeup of bacteria living in the surface of the intestines so trying to get a picture of what your gut biome looks like from stool testing doesn't seem like it'll be all too accurate, imo.
www.nytimes.com/ref/health/healthguide/esn-ulcerativecolitis-expert.htmlThey've identified about
110 possible genes that can contribute to UC, which means that there are so many different possible pathways that can lead to the same intestinal inflammation. Add to that how much microbiota can definitely influence the immune system, and you can get really lost trying to figure out exactly what causes the disease, or what triggers it.
Antibiotics aren't the only thing that contributes to changes in the microbiome, but if you throw in the huge proportion of people with UC who developed it during a course of, or shortly after taking antibiotics, I feel like that's a huge clue to how much gut bacteria can influence the immune system. Maybe even slight changes in ratios could cause UC in genetically susceptible people.
I crash dieted for about
a year and a half, cut out many food groups, embarked on a recovery process from my eating disorder, got infectious colitis, and none of that sufficiently altered my microbiome enough to cause UC it seems...but I think one antibiotic course too many set me off because I started having symptoms that never let up during a course of them in February. Meanwhile my bowels were perfectly fine before those antibiotics. I suspect that many things set me up for that to happen, but ultimately the antibiotics were the straw that broke the camel's back in my case.
I wonder if antibiotics themselves affect the immune system directly aside from killing off gut bacteria.
However, I know lots of people didn't get UC while taking antibiotics, and I think everyone with UC probably has something different going on. UC is so complex...any disease except for maybe infectious disease is really complex and we are just now finding out how to assess this complexity.