Reply To: Q&A 01.26.24

[Dr. Andrew]

22yof Patient

CC – Debiliating GI Symptoms; considering a possible endometriosis issue; had some bad food in February (food poisoning) and has had some very poor looking diarrhea since then; stool more yellow and loose, although she has always had yellow stool her entire life…

GOAL – Solve my debilitating digestive issues from the past 9 months, as well as look into my medical history to see how it is all tied together in hopes of fixing long term problems that led to the digestion issues. Tested positive for methane SIBO but not sure if thats all that’s in play. I am no longer able to work and have almost dropped out of college because I am so sick.

bloating/gas (trapped and comes out of nowhere, feels like the gas is causing the constipation) elimination diet, enteragam, atrantil, gas x, charcoal, peppermint, digestive enzymes, probiotics, antibiotics

constipation (with soft stool)/mucus elimination diet, enteragam, atrantil, gas x, charcoal, peppermint, digestive enzymes, probiotics, antibiotics

off and on extreme diarrhea/steatorrhea elimination diet, enteragam, pepto bismol, florastor

nausea elimination diet, enteragam, atrantil, gas x, charcoal, peppermint, digestive enzymes, probiotics, antibiotics

sudden food sensitivities to most foods elimination diet, enteragam, atrantil, gas x, charcoal, peppermint, digestive enzymes, probiotics, antibiotics
horrible tingling in stomach when constipated or trapped gas

elimination diet, enteragam, atrantil, gas x, charcoal, peppermint, digestive enzymes, probiotics, antibiotics

PANDAS/OCD/anxiety DAO, avoiding artificial dyes

Histamine/MCAS/Cold Urticaria DAO and antihistamines

EDS/chronic pain chiropractic work, orthotics

POTS no treatment

DIGESTIVE: had a sensitive stomach to dairy, avoided it most of her life until HS and College when she started to eat like crap, S.A.D. diet issues; I believe I got food poisoning in late February, to which I had an immediate reaction to, but did not get worse to a debilitating degree until a month after the food poisoning

DIET – NO MATTER what she eats, no change or improvement; currently eating

BOWEL HABITS – horrible constipation with diarrhea, very this, ribbon stool, yellow in color and very unhealthy; since March of this year her pattern has been yellow, small diameter, very soft and poorly formed;

CHRONIC GAS – trapped in her bowels and has to wait hours and hours for it to come out naturally; just from drinking water and having any kind of food in the morning…she will trigger a large amount of gas production;

SIBO TREATMENT – confirmed via LBT and has (2) rounds xifaxin; but still no change actually a little worse after doing this for (2) weeks;

CHRONIC BLOATING – size of the abdomen swells and bloats as the day goes on;

FIBROUS, WOODY GREEN VEGGIES – very difficult to digest, raw fibrous veggies cause her lots of issues;

SLEEP:

HORMONES:

VITS/SUPPS: Tried different strain specific probiotics to deal with the GI symptoms and SIBO; didn’t do anything;

CURRENT SUPPLEMENTS:
* None on file

MEDS/LABS:

Upper Endoscopy – small hiatal hernia;

Blood Labs August 2023 – below normal folate, low B12; low D3;

QDetect GI Pathology Stool Test 2023 –

CURRENT MEDICATIONS:

* NALTREXONE …………………………… (200-6.5MG QD)

HAPLOTYPE:

PHENOTYPE:

TODAY’S PLAN: Investigate tongue tie, frenulum with a myologist due to aerophagia; neuromethylation cream;

FUTURE PLAN: Assess OAT and MYCOTOXIN;

• This reply was modified 6 months ago by  Dr. Andrew.