53 yo male with bloating, gas and some constipation, diarrhea, heartburn and intestinal pain. 4-5 years ago he gradually began to get more bloating, weight gain and asthma. The doctor diagnosed him with IBS, as all testing returned normal, including colonoscopy and endoscopy. Pt had food poisoning in San Francisco 3 years ago and often travels internationally.Pt also c/o itchy ears, ringing in ears, anxiety, irritability, fatigue, headaches, insomnia, poor memory, poor concentration, pain in joints and muscles, stiffness, asthma, chest congestion, SOB, chronic coughing, sore throat, canker sores, stuffy nose, sinus problems, and hay fever.Pt has also been recovering from knee surgery and is in physical therapy.
1. Begin with anti-inflammatory gluten free, dairy free diet
2. SIBO, GI Effects, OAT and Parasite testing
Results positive for SIBO and parasitic infections
1. Start Elimination Diet
2. Begin supplement protocol
Within 2 months, Pt had 90% symptom reduction based on symptom score tracker. He was able to maintain these symptoms with a maintenance diet and nutritional supplement protocol for at least 1 year since starting functional nutrition therapy.
After 2 months, symptoms mostly resolved
1. Begin food introductions
2. Stop herbal antimicrobials, transition to gut healing protocol (probiotics and gut restorative nutrients)