constipation

Post-trauma gastrointestinal issues

24 year old female, had life-changing injuries October 2020 loss of left leg (hindquarter), pelvic fractures and devolving of left buttock. Stoma and ileostomy. Stoma reversed May 2022. Since reversal has had severe diarrhoea, with tummy cramps and vomiting (most days spend at least an hour to hour and a…

4 year old chronic constipation

4 year old boy who has suffered from chronic constipation since 10 months which coincided with him starting to eat solids. Natural delivery and breastfed until 18 months. Antibiotics at some point under age 1. Tried a variety of laxatives but Dec 22 took him off Movicol and parents do…

Sleep, stress & constipation for pt with polycystic kidney disease

Supplement to help with sleep, stress & constipation for pt with polycystic kidney disease and a low budget Hi I am looking for a supplement to help with relaxation and sleep for a pt I saw the other day. Her primary complaint is constipation, which she has suffered from since…

45 yo F with longstanding constipation

Protocol for client with longstanding constipation, passing blood and smelly mucus – colonoscopy showed colitis/ileitis and patchy proctitis. Biopsy clear but was told she had an angulated colon. 45 year old female has had a long standing problem with constipation, passing blood and smelly mucus began 6 months ago. After…

63 yo F with Chronic constipation

Chronic constipation & reliant on suppositories to ‘go’. Not resolved by surgery (partial colectomy Feb 16). How to get further improvement at follow-up? • Age 63y, female. • Primary Sx: Constipation, flatulence • Diagnoses: Born w malformed colon (too long), Slow transit • Duration of Sx: Lifelong • Health history:…

59 yo F with paraplegic (T4/5) . Had a climbing accident 30 years ago

Constipation in 59 year old paraplegic (T4/5) lady. Had a climbing accident 30 years ago. This lovely positive lady came to see me 2 years re several health issues and continuous urinary infections. The D-mannose worked really well and she takes the maintenance dose now. She called me yesterday to…

3 yo M with extremely limited diet, allergies and constipation

I would appreciate some suggestions on the best approach to help this 3 year old boy. He has a very limited diet – French fries cooked in coconut oil, coconut yoghurt and coconut milk to drink (I think his mother adds honey to this to get him to drink it!).…

53 yo F with constipation and pain in shoulders and head

53yrs old female has constipation (regular BM, lumpy stools), pain between shoulders and unusual headaches (afternoons/evengs only when bends/stands up and during straining BM/passing urine). She has raised levels of Bilirubin oscillating between 21 to 27 umol/L for over a decade and raised cholesterol (T cholesterol 7.2, HDL. 1.72mmol/L) since…

52 yo M with with gut symptoms

52 year old male wanting help to address some debilitating gut issues. Colonoscopy, SIBO, H Pylori breath test run by gastroenterologist negative. Other tests run by his medical team included negative tTG IgA, midrange blood B12 329pg/ml, TSH 0.79 miU/l, fT4 18.4 pmol/l, CRP >1, borderline vitamin D 49nmol/l. He…

Chronic Pruritus

Client with chronic Pruritus Ani, diarrhoea, constipation, bloating, cramps Hi there. My client is a 29 yr old male who came saw me initially as thought he was intolerant to wheat, gluten and dairy. Previous food intolerance test (2010, don’t know which one) was negative. Even when he eliminated these…

30 yo F with Chronic digestive pain

Hi there, I am hoping someone will have some advice for a client I am seeing. Five years ago she had a pregnancy terminated and ever since has had chronic pain on both sides of the lower abdomen. She has no pain during the daytime, but at night she wakes…

Chronic Constipation

I have a client, who is well, energetic, eats a really good diet with lots of fibre, drinks lots of water and herbal teas, exercises, is not stressed, has had a clear stool test and takes daily probiotics but still battles with constipation. The only thing that she says works…

41 yo F with Chronic constipation

Hi, I hope you can help. I was contacted by a lady who said she wanted some help with implementing a gluten free diet by her doctor. I didn’t ask for a questionnaire as I figured the consultation would be based around food ideas. However, when I asked about why…

9 yo F with constipation

Hi, I’m currently in my final year studying nutrition at CNM. I have my first child patient coming in this weekend and so wondered if anyone could give me some advice. My patient is a little girl aged 9/10. She has had problems with constipation since a baby. She suffers…

55 yo F with Breast cancer

55 year old female with breast cancer, chronic constipation, low energy and severe hot flushes. Her main reason for seeking advice is for her constipation, hot flushes and low energy. My client has a very strong family history of cancers (breast, ovarian and colorectal). She was recently diagnosed with breast…

29 yo F with Brain damaged

Young woman 29yrs, with recurrent constipation, living in residential care home, brain damaged during pregnancy, but physicaly able, active. Her mental development stopped around 8 months. Fully mobile and quite active, appears happy where she lives, good carers who take her out regularly. Non verbal , but mostly appears cheerful…

12 weeks F with Bowel movement

Hi there, Does anyone know what constitutes a healthy number of bowel movements for an infant? My daughter is 12 weeks old and currently passing a stool only every other day, sometimes going three days. A quick google search reveals anything between several times a day to once a week…

47 yo F with Candida and hypochlorydria

My client has a host of symptoms, the most bothersome at the moment is constipation, but she also has a number of other digestive symptoms (indigestion, bloating, acid reflux, stomach pains, feeling of fullness). Apart from that she complains about skin and eye irritations, issues with mood and mind, joint…

5 yo M with Bloated Face especially around the chin

I have a client who came to me 5 years ago with bad constipation and bloating we addressed this, he no longer has the symptoms. He then went on a strict diet and liver cleanse as he was concerned that he had enlarged breast (man boobs). They have gone too.…

53 yo F with Dizzy spells

I will be seeing a client for the third time. She is a 53yr old married woman who has been a life long IBS sufferer. Following a detailed analysis of her symptoms 6 months ago which revealed that she was suffering from regular bloating, episodes of fatigue, headaches, lower RHS…