Presenting Author Allama Iqbal Open University Lahore, Punjab, Pakistan
Inflammatory Bowel Disease is considered incurable in allopathy. Medical professionals hardly advise nutritive-therapy or life-style management. This adds to the prevalence of chronic illness and may end into carcinoma. This case study is a success-story of a young student at 24 years of age who was diagnosed with IBS on colonoscopy. The only medicine advised was hydrocortisone-enema which did not benefit her. Stress related to father’s demise and unhealthy-lifestyle and diet were the identified precipitating factors. History included off and on constipation, bloody-motion with mucus discharge, pain-free defecation, gaseous-abdomen with bloating and dull-pain. Life-style behavior included poor physical activity, disturbed sleep-wake cycle, compromised hostel diet and academic-deadlines related stress.
The impact of Dietary variation was monitored in terms of variation in clinical features. Flare was observed with red-beans, chick-peas and black-lentil. Gluten and Lactose intolerance were ruled out by diet-variation. Probiotic-treatment and low FODMAP diet helped in remission. The specific algorithm that facilitated in recovery included figs, strawberries, cranberries, pomegranate, Salmon fish, Greek-yogurt, olive-oil, oatmeal, walnuts, dates and green-leafy-vegetables. Life-style modification included mindfulness meditation, walking/jogging, soul-cycling and counselling. Outcome was measured and compared. Remission was achieved within 4-5 months and the patient is recovered since last 1.5 years as evidenced by laboratory data. It includes CRP reduction within normal range, hemoglobin improvement (10.2 to 12.2 g/dl), MCV improvement (73 to 86.9 fL), MCH improvement (21.2 to 27.5 pg), MCHC improvement (29.1 to 31.7 g/dl), HCT improvement from 35% to 38.5%, Fecal Calprotectin reduction from 712.9 to 415.3 µg/g and total protein reduction from 8.39 to 7.48 g/dl. Hopefully continuous alternate treatment may normalize the calprotectin marker as well.
