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Chronic Diarrhoea

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I am curretnly treating a friend (female, age 37) who has developed chronic

(6 weeks' duration) diarrhoea. She has had only occaisional nausea and no

vomiting. She has absolutely no appetite and every effort to eat food

results in her literally falling asleep for several hours afterwards. The

first hour after waking she has diarrhoea 3-4 times and is exhausted. She

improves as the day goes on. She has only had one incident of abdominal

pain/discomfort on the lower right side. No bleeding PR. In addition,

she has had 3 periods in the last month, all much heavier than usual. She

is taking the OCP. A full gyneacological exam was normal, although she was

advised to stop taking the pill.

All other tests (bloods including thyroid, sigmoidoscopy, repeat stool tests

for parasites, and today a barium x-ray have been normal). She is planning

soon to be tested for Helicobater pylori and lactose intolerance She has

lost over 7 kilos in the last 6 weeks. There is a family history of

auto-immune disease (mother with coeliacs' disease and recent thyroid cancer

and sister with lupus, plus in her own children: psoriasis, lactose

intolerance and in one child alopecia, possibly as a result of Ritalin use).

On the second day of taking the tincture I gave her, she described herself

as " ravenous " and ate more than she had done in the previous month. After

one week of Tr. she had to stop as she was prescribed Metronidazole (alcohol

is strongly CI) by her gastroenterologist. She has now started with the Tr.

again. My working hypothosis is IBS but I am puzzled by the lack of

appetite/complete loss of interest in food and the exhaustion following

attempts to eat.

I would really appreciate any suggestions for ongoing treatment strategies,

or other avenues which could be usefully explored.

Many thanks

Joanna

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