An 18-year-old had found himself planning tasks around his nearest restroom. Even a simple homemade food, and almost all meals he had, were taken out with diarrhea hitting him immediately after the meal. He also had brief episodes of nausea every day in the morning, making him wonder if he was having serious gastric trouble.
Determined to help himself, he thought he was taking the right home remedies and self-care measures. He even followed the BRAT diet that included bananas, rice, applesauce, and toast. He also took probiotics for a month and relied even on anti-diarrheal medications, but nothing seemed to help. Now, even the medications that had worked for days were no longer helping him. Unsure whether he had irritable bowel syndrome with diarrhea (IBS-D) or another digestive disorder, he sought specialist advice through iCliniq.
After a detailed assessment of his past medical history, the doctor concluded that the symptoms he exhibited were highly indicative of irritable bowel syndrome with diarrhea predominance (IBS-D). Nevertheless, the doctor was quick to make another crucial observation: IBS is what we can term as a diagnosis of exclusion. He also pointed out that IBS is of three types:
1. Diarrhea predominant.
2. Constipation predominant.
3. Mixed variety.
Based on the pattern of symptoms he mentioned, the doctor suggested that IBS-D appeared to be the most likely possibility. Apart from using anti-diarrheal drugs, the doctor advised adopting another treatment strategy to manage his symptoms:
Considering proton pump inhibitors such as Pantoprazole or Rabeprazole with his gastroenterologist if acid-related symptoms were aggravating the discomfort.
Adherence to a healthy, balanced diet without consumption of fatty, spicy, and heavily peppered meals, which tend to worsen symptoms of the bowels.
Discussing with his doctor about smooth muscle relaxants like Mebeverine to assist in relieving abdominal cramps under medical prescription.
In unresolved cases, treatment with other prescription drugs has to be discussed with his treating physician.
This patient had what he had been lacking after so many months of self-prescribing: a clear and tailored care plan. Unlike the ones he was experimenting with before, like diets and drugs, now he has understood that it is important to receive an evaluation of his condition before making any assumptions regarding his IBS.
Persistent diarrhea and frequent bathroom breaks can affect a person’s education, occupation, social activities, and even emotions, particularly in young adults. For this patient, the consultation has provided him with the correct direction. With the proper diagnosis and the personalized treatment that follows, this patient was able to improve his quality of life.
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