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72 year old female with long history of digestive issues. Constipation from 5yo. BMs are described as hard, compacted “little balls”. For the past 3-4 years, patient has been taking Miralax daily and often uses enemas and suppositories. Gas and bloating is severe (this is her number one complaint). Gall bladder was removed 7 years ago bc of severe pain. She was told that she had only 17% function.
Endoscopies in 2005 and 2011 showed significant damage to stomach lining likely due to excessive intake of NSAIDS. Has been on Omeprazole ever since.
She is “addicted to dough”.
Has a diagnosis of Myofascial pain syndrome and suffers from inflammation in joints and anxiety disorder.
Attached KBMO with gut barrier panel.
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This reply was modified 3 months ago by Dr. Andrew.
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This reply was modified 3 months ago by