Irritable Bowel Syndrome - Case Study Example

1. History of P Sx/ chief complaints: On investigation, he did not reveal any previous history of surgery or any other symptoms associated with other illnesses.
2. Other symptoms: She reported that her symptoms subsided on their own around 6 months back but there has not been any let-up ever since.
3. Past medical history: No major illnesses except once during their teenage she had experienced abdominal cramps, which were later diagnosed on account of painful menstruation.
4. Family history: Both parents are healthy, doing well in their professional lives, and have had no major illnesses during their lifetime.
5. Personal and social history: Personally she appeared to be a bubbly human being, full of willingness to live a healthy and carefree life. Socially she said she banked a lot on her friends of all ages for support and positive interaction.
6. Review of relevant organs: She came up with a host of medical reports advised by her general practitioner, in which no abnormality was found.
   
   2. Laboratory investigations and physical examination:

An intolerance test was conducted which revealed intolerance to wheat, tomatoes, turkey, E127(erythrosine), and E102 (tartrazine).

3. Other relevant naturopathic diagnostic procedures:

Most of the information was obtained through history since no specific tests are as much conclusive in this condition. However, it was observed that her symptom worsened during her menstrual cycles suggesting that reproductive hormones are linked with irritable bowel syndrome.

Part 3: Naturopathic diagnosis

Irritable bowel syndrome and intolerance to certain food items.

Part 4: Treatment protocol

The treatment protocol will be based on the 4R program. This entails removing pathogenic organisms from the gut, replacing deficiencies that hinder proper bowel function, reinoculate with favorable organisms, and repairing by means of nutritional management.

Part 5: Nutritional Suggestions

Diagnosis

Nutritional interventions

Rational

Expected outcome

Evaluative criteria

Irritable bowel syndrome

First and foremost was to stop food items to which Mary is intolerant. This was followed up with the initiation of glutamine, folic acid, and vitamin D supplementation.

Glutamine regulates gut barrier functions and is also helpful in immunoinflammatory response. Other supplements are helpful in optimizing enteric mucosal integrity.

Reduction in flare-ups and symptoms associated with the condition

The progress was evaluated based on the reportage of symptoms on follow-ups.

Part 6: Other recommendations

Mary was asked to check the aggravation of reduction in symptoms in specificity to the foods she took and watch out for outcomes post-treatment.

Part 7: Conclusion

There is not any conclusive opinion on what cures irritable bowel syndrome but naturopathic medicine manages the problem by the simple principle of body healing itself by eliminating influences that offend its systems. This is why nutritional management of the condition resolves it more than any other therapeutic intervention.

CASE 2

Part 1: Personal details

Lynda Samson, 36, a bank professional, was suffering from constant tiredness, symptoms matching irritable bowel syndrome, headaches, indigestion, and eczema. Since being into active professional life all these symptoms are interfering with her office work and she had reached a point where she found it difficult to concentrate jeopardizing her performance.

Part 2: Case History

1. Case history

1. Chief complaints: Headaches; more intense when hungry, severe itching, sudden loss of energy, and exertion on the slightest hard work. Felt depressed when all symptoms occurred concurrently.
2. History of P Sx/ chief complaints: She has been suffering from these conditions for the last 3 years. The problems began with eruptions, later diagnosed as eczematic, then irritable bowel syndrome and indigestion thereafter.
3. Other symptoms: No other symptoms, but said recently she has developed a negative perception of life.
4. Past medical history: None significant.
5. Family history: Mother, now no more, has had some skin eruptions that came and went every now and then, but were never diagnosed as eczema.
6. Personal and social history: Has been a lively person with a rich social circle. Would not befriend any Tom, Dick, and Harry on account of being choosy. Was party-savvy before the health issues began.
7. Review of relevant organs: Skin was sensitive to touch at certain spots and all abdominal percussions revealed no significant abnormality.