IBS

Advice needed for 36 yo F client with digestive problems; low mood; fatigue

I am currently seeing a 26 year old lady who had a nervous breakdown 2½ years ago due to a number of stressful events and this seemed to trigger the following symptoms: Anxiety & Depression (2½ years): Occurs most of the time, but has been getting increasingly worse. Digestive problems…

30 yo F with bloating CFS and stool result

Thank you in advance. I have a patient 30y old woman with bloating 10y and Chronic fatigue diagnosed by previous GP 10y ago (not treated). Lots of tropical travel through South America. Through previous GP she had a referral to gastro team who did endoscopy and colonoscopy 6y ago and…

24 yo F with IBS off work due to pain

Hi Todd, An update for you. I have just heard back from my client re. diagnosis and this was her response: ‘In terms of how I was ‘diagnosed’ they did various blood tests and do so every time I see them about it. Nothing comes up In those tests. The…

24 yo F with IBS, off work due to pain

Hello, I am seeing one of my clients on Wednesday for her second follow up and would greatly appreciate some input. Thank you in advance for your comments. My client is 24, 5ft 8”, 55/54kg (slightly underweight, with a BMI of 18.4), and is in very good health other than…

17 yo F with IBS and kidney stones

I’d appreciate any advice on the following please: 17 year old female came to me with IBS, suffering abdominal pain in the morning. 12 months of investigations in NHS led to IBS diagnosis earlier this year, and in June she was hospitalised with more pain which turned out to be…

Candida worse after protocol!

My client is a 43-year-old female who came to me with fatigue, weight gain, stress, PMS, bloating, IBS, hx of depression, frequent infections and allergies. After an OA test, she came back high in Arabinose (66). I put her on a low GL, Paleo style diet and a candida protocol,…

4 R’s not working

I am quite stuck on a situation with a client and hoping for some advice. Case history is: 38 yr old female, happily married with 2 small children, has had issues with her gut for some 20 years, prone to ‘stomach bugs’ for the last 5 years, very poor immune…

36 Yo F With Challenging IBS Case

Female, 36, married, trying to conceive Goal: Reduce IBS, identify food intolerances, regulate hormones Primary presenting symptoms: Bloating (almost constant), tender gut, nausea, flatulence, occasional constipation, fatigue (in flare), mild acne, low mood, headaches. Exercising intensively 6 days per week. Diagnosis, history: PCOS (since 2004), regular cycle after 1 year…

Food sensitivities

62 year old female with multiple food intolerances/sensitivities PART 1 Female aged 62. Height: 168cm. Weight: 53.2kg (Fat %: 22.8%) Muscle Mass: 37.9kg Her goals: To stop reacting to so many foods, to be able to eat and enjoy a reasonable range of food without symptoms and get relief from…

Moving on from low FODMAP

60yr F with SIBO, did well following SIBO protocol but relapses every time we try to move her on Part 1 – I’ve been seeing this client for 1yr, originally presenting with constant diarrhoea, bloating, smelly wind. She was having 3 – 6 urgent bowel movements per day, and was…

Gut Issues urgent diarrhoea

Female Client 58yo with unresolved gut issues From early 2015 my client has suffered from diarrhoea with urgency, generally about 30 mins after meals. Most of this has now disappeared but reoccurred last week unexpectedly and she remains very aware of the fact it may happen SH has visited several…

SIBO client

Would really appreciate your help please. Many thanks. 51 year old female, who would like to test for food intolerances and needs help with her diet – Oct 2018 MRI / Gastroscopy: Inflammation of the duodenum / scar on stomach / pyloric sphincter not working well. She had some abdominal…
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IBS and urgency

Hi, I have a (new) client with IBS, terrible urgency sometimes (mostly afternoons, but not every day). She had parasites a year ago and is about to do a stool test including testing for worms (which were previously identified) but not H. Pylori. I suspect SIBO. I am following the…

Epilepsy

I have a 53-year-old female with diagnosed epilepsy when she was 20 years old and has been taking the same medication for over 20 years with no seizures. She came to see me with lots of sensitivities to foods, stomach and abdominal pain, bloating, cramping, nausea and constipation and diarrhoea.…

SIBO

Long term SIBO case Part One Female, aged 41, serious athlete (Triathlete) history of IBS symptoms from 2013, cramping, pain, discomfort, bloating after eating, described as a feeling of having eaten 10 pizzas). Endoscopies in 2013/2014 all normal, despite symptoms and told IBS, no action. Oct 2017 First consultation. Suggested…

Mast Cell Activation

I have a client with diagnosed Mast Cell Activation Disorder; due to a long history of digestive issues she has been following a low FODMAP diet and now with this diagnosis, is avoiding all histamine foods … it doesn’t leave a lot left … while low histamine is the priority…
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Food Sensitivities

Female aged 62. Height: 168cm. Weight: 53.2kg (Fat %: 22.8%) Muscle Mass: 37.9kg Her goals: To stop reacting to so many foods, to be able to eat and enjoy a reasonable range of food without symptoms and get relief from general digestive discomfort. I started working with this client in…

postprandial bloating

Bloating after stomach acid soda test A 67 yo female patient with postprandial bloating after evening meals experience a significant bloating and no belching after a ‘soda’ stomach acid test first thing in the morning. In your opinion, is this simple test safe, has any clinical value and what can…
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42 yo F unresolved digestive issues on a FODMAP diet

Female, age 42, history of digestive issues. Used to be mainly constipated and had diagnosis of chronic IBS 3 years ago after colonoscopy showed all was clear. also has frequent episodes of thrush. She also showed negative result after lactose intolerance breath test 3 years ago, and had an ASI…
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