{"id":12954,"date":"2024-02-14T14:22:00","date_gmt":"2024-02-14T05:22:00","guid":{"rendered":"https:\/\/fmt-japan.org\/post\/12954"},"modified":"2024-06-11T16:50:39","modified_gmt":"2024-06-11T07:50:39","slug":"dysautonomia-male-in-his-20s-case-report-of-fecal-microflora-transplantation","status":"publish","type":"post","link":"https:\/\/fmt-japan.org\/en\/post\/12954","title":{"rendered":"Dysautonomia, male in his 20s -Case report of fecal microflora transplantation"},"content":{"rendered":"

<\/span>Case presentation: Male in his 20s, autonomic ataxia<\/span><\/h2>\n

<\/p>\n

<\/p>\n

<\/span>summary<\/span><\/h2>\n

<\/p>\n

<\/p>\n

Apathetic and hard to get motivated. She has been feeling a little more motivated and in a better mood since the second transplant. He used to feel sluggish upon waking up, but this has improved.<\/p>\n

<\/p>\n

<\/p>\n

<\/span>Basic Information<\/span><\/h3>\n

<\/p>\n

<\/p>\n

\n\n\n\n\n\n
Patients :<\/td>\nMale in his 20s<\/td>\n<\/tr>\n
Attending physician :<\/td>\nMedical Corporation Haruna Clinic<\/a><\/td>\n<\/tr>\n
Medical institution in charge of transplantation<\/td>\nMedical Corporation Haruna Clinic<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n

<\/span>Information at the time of initial medical examination<\/span><\/h3>\n
\n\n\n\n\n\n\n\n\n
Disease name :<\/td>\n\n
Dysautonomia, atopy\/allergy<\/div>\n<\/td>\n<\/tr>\n
At onset :<\/td>\nWhen I was a college student<\/td>\n<\/tr>\n
Transplant Purpose: To<\/td>\n\n
Improvement of disease, diarrhea, allergies (food, pollen, chemicals, etc.), etc.<\/div>\n<\/td>\n<\/tr>\n
Chief complaint :<\/td>\n\n
He is lethargic, has mood swings, and has difficulty motivating himself.<\/div>\n
I am also very nervous. I also want to lose weight.<\/div>\n<\/td>\n<\/tr>\n
Medical history :<\/td>\nNothing<\/td>\n<\/tr>\n
Background, family history, lifestyle, supplement use, etc :<\/td>\n\n
Butyric acid bacteria, antiallergic agents, etc.<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/span>Transplant Information<\/span><\/h3>\n

<\/p>\n

<\/p>\n

\n\n\n\n\n
Transplantation period: from<\/td>\n2021\/7\/20~2023\/9\/28<\/td>\n<\/tr>\n
Number of transplants :<\/td>\n6 transplants + 3 additional transplants<\/mark><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n
\n\n\n\n\n
Change from first transplant to end of transplant :<\/td>\n<\/tr>\n
I had been lethargic and unmotivated, but now I feel a little more motivated. The sluggishness upon waking up has also improved. Questionnaire at the time of the first transplant<\/p>\n
They tend to be nervous and anxious easily.<\/div>\n
He was quite nervous, so it took some time to insert it through his anus, but he relaxed after the implantation.<\/div>\n
Since he said that he often drinks refined sugar and other sugars, especially juice, I advised him to make sure he gets enough sugar from root vegetables and rice.<\/div>\n
<\/div>\n

\u30102nd transplantation questionnaire\u3011<\/p>\n

After the first transplant, the fungal fluid appeared a short time later.<\/div>\n
He said he has never changed as a symptom, but neither has he worsened.<\/div>\n
He was lethargic and unmotivated and wanted to gain weight.<\/div>\n
<\/div>\n

\u30103rd transplantation questionnaire\u3011<\/p>\n

After the second transplant, I started to feel a little more motivated.<\/div>\n
He also noted improvement in lethargy upon waking.<\/div>\n
<\/div>\n

\u30104th transplantation questionnaire\u3011<\/p>\n

He is in better shape than before the transplant, but tends to have poor stools when nervous.<\/div>\n
<\/div>\n

\u30105th transplantation questionnaire\u3011<\/p>\n

This time, he had a cold and took antibiotics, but they did not suit him, so he had fatigue and a bit of diarrhea.<\/div>\n
<\/div>\n
<\/div>\n
\u30106th transplantation questionnaire\u3011<\/div>\n
Frequent diarrhea and a feeling of heaviness in the abdomen after eating. He tends to be nervous but calm.<\/div>\n
Colonoscopy showed no abnormality and he was diagnosed with irritable bowel syndrome.<\/div>\n
The bowel sounds were hypersensitive before the transplant, but returned to normal after the transplant.<\/div>\n
<\/div>\n

Questionnaire at the time of the first additional transplant<\/p>\n

I have been mentally anxious for a week now.<\/div>\n
He had been stable until then, but three days ago his stools became loose and today he had diarrhea three times.<\/div>\n
He was instructed to stop taking artificially sweetened beverages every day.<\/div>\n
<\/div>\n

Questionnaire at the time of the second additional transplant<\/p>\n

He is mentally calm and his bowel movements are in good shape.<\/p>\n

Questionnaire after 2nd additional transplant<\/p>\n

As for mood, it has mostly calmed down.<\/div>\n
Sometimes it was difficult to sleep at night due to heightened moods, but now I am able to sleep.<\/div>\n
<\/div>\n
<\/div>\n
Questionnaire at the time of the third additional transplant<\/div>\n
His tummy and mental health are calming down, but his stomach has been upset and he has diarrhea for the past 3 days.<\/div>\n
<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/span>Intestinal flora balance Comparative data<\/span><\/h3>\n

<\/p>\n

<\/p>\n

\"\"<\/figure>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/span>Evaluation and Discussion<\/span><\/h3>\n

<\/p>\n

<\/p>\n

\n\n\n\n\n
Transplant Evaluation :<\/td>\nMild improvement of symptoms<\/td>\n<\/tr>\n
Adverse events: No<\/td>\nNothing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n

<\/p>\n

<\/p>\n

<\/p>\n

\n\n\n\n\n
Transplant Evaluation :<\/td>\n<\/tr>\n
\n
\n
The first transplant did not show much change in symptoms.<\/div>\n
After the second transplant, I became less lethargic and unmotivated, and a little more motivated.<\/div>\n
His lethargy upon waking up has improved and he is motivated in the morning. He feels somewhat better after the transplant.<\/div>\n
\n
After my sixth transplant, my mental health has not changed, but recently I have been experiencing diarrhea about 4-5 times, and I feel a little heavy in my lower abdomen after eating.<\/div>\n
Colonoscopy showed no abnormality and he was diagnosed with irritable bowel syndrome.<\/div>\n
Additional transplants are continuing as we monitor the situation.<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n

<\/p>\n

<\/p>\n

… and upwards<\/figure>\n","protected":false},"excerpt":{"rendered":"Case presentation: Male in his 20s, autonomic ataxia summary Apathetic and hard to get motivated. She has been feeling a little more motivated and in a better mood since the second transplant. He used to feel sluggish upon waking up, but this has improved. 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