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Crohn’s- A Functional Medicine Approach (Case Review)

A 21-year-old male patient reported being in reasonably good health until three years ago, when he developed abdominal pain and nausea. The symptoms were initially intermittent and mild enough that he did not seek medical attention until six months later when the symptoms became severe. Finally, he described the acute onset of severe mid-line abdominal pain associated with nausea and vomiting. He went to the ER, where a CT scan showed multifocal regions of distal small bowel wall thickening.
Another GI specialist then saw William, and colonoscopy revealed patchy moderate erythema and two small ulcers in the distal terminal ileum with fibrosis consistent with Crohn’s. Over the past two years, he has been on various medications, including Prednisone and Humira.
The medication did initially help with his symptoms but did not result in a total resolution of his condition.
When I saw him, he had several loose bowel movements per day and exhibited abdominal pain and nausea. When he saw me, his GI specialist had him on a maintenance dose of medications.

Unfortunately, his condition was still unresolved, with an intermittent return of his symptoms. I ordered a comprehensive stool analysis which revealed inflammation and a potential pathogen. See below.

 

 

Potential GI Pathogen

 

I also ordered an IgG/IgE food sensitivity test which revealed the following inflammatory foods:

 

Inflammatory foods

I recommended avoiding the above foods altogether, Robert’s formula, Metagenics: UltraInflamX Plus 360°, and ADP (emulsified oregano).
Follow-up visits have shown a significant improvement. It is one year since he began the recommended protocol, and he is still showing no symptoms.

His GI specialist has encouraged him to continue on the protocol I recommended.

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