Re: Interesting case--chronic foul burping

[Guest guest]

How about parasites? Guardia esp. comes to mind. Common transmission from

pets to humans AND babies to adults/other humans, maybe even the dog.

Second: Sulfite sensitivity?

Rotten egg/burnt matches sulfur smell is common with this. If he's eating

typical American Diet, it's often full of sulfites.

By the way, does her REALLY believe that marijuana " covers up " the smell of

tobacco!? lol

Jan Patenaude, RD, CLT

In a message dated 7/1/2008 10:29:49 A.M. Mountain Daylight Time,

pwkemp@... writes:

Is is possible that he is having intermittent (atypical) partial small bowel

obstructions? Bowel decompression occurs giving rise to the vomiting/fecal

breath odor and diarrhea, then resolves.

Another possibibility is enzymatic defects undiscovered to date (associated

with Aspergers.)

Peggy L:ange, MNS, RD, LDN

Pulmonary Care Specialist

Washington County Hospital

Hagerstown, MD

----- Original Message -----

From: _monika@afterthedietmoni_ (mailto:monika@...)

To: _rd-usa@...-_ (mailto:rd-usa ) ;

_afterthedietneuroenafterthedietneuraftert_

(mailto:afterthedietneuroendolist )

Sent: Tuesday, July 01, 2008 11:27 AM

Subject: Interesting case--chronic foul burping

Colleagues,

This case was presented by a psychologist on another listserve. I told her

I'd run it by you to see if you might have any ideas for her.

Thanks in advance!

Monika M. Woolsey, MS, RD

_http://www.afterthehttp://w_ (http://www.afterthediet.com/)

_http://www.incyst.http://wwhtt_ (http://www.incyst.blogspot.com/)

_http://www.thisisyohttp://www.thisihttp://www.thhtt_

(http://www.thisisyourbrainonpsychdrugs.blogspot.com/)

I have a male patient who, off and on, for about two years, has had episodes

of burping during which the taste and smell are very foul. In fact, the

taste and smell resembles feces. ER nurses have confirmed the description of

the

odor. His GI specialist has had him on antibiotics for many months. There is

no change in the pattern. Tonight, he informed me that his dog is having the

same type of burping. So far, the dog has not had the other symptoms. Of

course, he refused to consider taking the dog to the veterinarian'I have a

male

pa

Here is the pattern. The burping starts and within about one hour he feels

very nauseated and like he must vomit. He begins to vomit quite violently; at

the same time, he has severe diarrhea.

He does drink sports drinks with aspartame, corn syrup, fructose, and food

coloring. His nutrition is founded on fast food lunches, no breakfast, and the

efforts of his wife who provides dinner. He also smokes marijuana about four

times a day when he is feeling stress or to cover up the odors of cigarette

smoking. For several years, needless to say, I have recommended that he stop

these and other activities. He is always on the verge of being fired from his

employment; he has protected status at work due to his disabilities.

This person is about 38 years old, has some Asperger's behaviors, and has

had multiple mild to moderate TBIs. Fortunately, none of the TBIs have been

recent. He originally was referred for significant rage (and police) problems

and for dissociating during most or all of the rage episodes. About two years

ago, he was injured in his small car when a dump truck squashed most of it,

leaving him scrambling for the shelf area behind the back seat. Progress is

slowly being made.

He is a bright person who earned a college degree despite his drug and

alcohol habits. He no longer uses street drugs, except for cigarettes and

marijuana; he did stop drinking except for an occasional beer. He lacks insight

into

the effect of his behaviors on others. His parents are well educated and are

devotedly committed to traditional medicine. He lives in a house with his

wife and toddler daughter. There is significant denial about the possibility of

toxins in the household, yard, etc. He does walk his dog twice a day in a

suburban neighborhood. He does not engage in any outdoor sports.

I know this is a bizarre situation. I have suspected toxins.

I just thought one of you might have a useful observation or experience to

share. His symptoms have repulsed ER staff members. Thanks!

[Non-text portions of this message have been removed]

***** CONFIDENTIALITY NOTICE *****

This message contains confidential information and is intended only for

the individual named. If you are not the named addressee you should not

disseminate, distribute or copy this e-mail. Please notify the sender

immediately by e-mail if you have received this e-mail by mistake and

delete this e-mail from your system.

[Non-text portions of this message have been removed]

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more, caused by food sensitivity

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information that

is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept liability

for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

**************Gas prices getting you down? Search AOL Autos for

fuel-efficient used cars.

(http://autos.aol.com/used?ncid=aolaut00050000000007)

[Guest guest]

Is is possible that he is having intermittent (atypical) partial small bowel

obstructions? Bowel decompression occurs giving rise to the vomiting/fecal

breath odor and diarrhea, then resolves.

Another possibibility is enzymatic defects undiscovered to date (associated with

Aspergers.)

Peggy L:ange, MNS, RD, LDN

Pulmonary Care Specialist

Washington County Hospital

Hagerstown, MD

Interesting case--chronic foul burping

Colleagues,

This case was presented by a psychologist on another listserve. I told her I'd

run it by you to see if you might have any ideas for her.

Thanks in advance!

Monika M. Woolsey, MS, RD

http://www.afterthediet.com

http://www.incyst.blogspot.com

http://www.thisisyourbrainonpsychdrugs.blogspot.com

I have a male patient who, off and on, for about two years, has had episodes

of burping during which the taste and smell are very foul. In fact, the taste

and smell resembles feces. ER nurses have confirmed the description of the odor.

His GI specialist has had him on antibiotics for many months. There is no change

in the pattern. Tonight, he informed me that his dog is having the same type of

burping. So far, the dog has not had the other symptoms. Of course, he refused

to consider taking the dog to the veterinarian's for a work up!

Here is the pattern. The burping starts and within about one hour he feels

very nauseated and like he must vomit. He begins to vomit quite violently; at

the same time, he has severe diarrhea.

He does drink sports drinks with aspartame, corn syrup, fructose, and food

coloring. His nutrition is founded on fast food lunches, no breakfast, and the

efforts of his wife who provides dinner. He also smokes marijuana about four

times a day when he is feeling stress or to cover up the odors of cigarette

smoking. For several years, needless to say, I have recommended that he stop

these and other activities. He is always on the verge of being fired from his

employment; he has protected status at work due to his disabilities.

This person is about 38 years old, has some Asperger's behaviors, and has had

multiple mild to moderate TBIs. Fortunately, none of the TBIs have been recent.

He originally was referred for significant rage (and police) problems and for

dissociating during most or all of the rage episodes. About two years ago, he

was injured in his small car when a dump truck squashed most of it, leaving him

scrambling for the shelf area behind the back seat. Progress is slowly being

made.

He is a bright person who earned a college degree despite his drug and alcohol

habits. He no longer uses street drugs, except for cigarettes and marijuana; he

did stop drinking except for an occasional beer. He lacks insight into the

effect of his behaviors on others. His parents are well educated and are

devotedly committed to traditional medicine. He lives in a house with his wife

and toddler daughter. There is significant denial about the possibility of

toxins in the household, yard, etc. He does walk his dog twice a day in a

suburban neighborhood. He does not engage in any outdoor sports.

I know this is a bizarre situation. I have suspected toxins.

I just thought one of you might have a useful observation or experience to

share. His symptoms have repulsed ER staff members. Thanks!