Irritable bowel syndrome in a man in his 50’s – Case report of fecal microbiota transplantation
Case presentation: Male in his 50s, irritable bowel syndrome (under observation)
summary
IBS SYMPTOMS APPEARED ABOUT 20 YEARS AGO, DIARRHEA WAS THE MAIN SYMPTOM, ABOUT 20 TIMES A DAY AT MOST, AND THE SYMPTOMS WORSENED DUE TO WORK STRESS, ETC. IN 2012, HE RETIRED AND BECAME SELF-EMPLOYED, AND THE STRESS WAS REDUCED, BUT THE SYMPTOMS CONTINUED. 2014, HE HAD A DESCENDING COLON RESECTION DUE TO DIVERTICULITIS OF THE COLON, AT WHICH TIME HE TOOK ABS MEDICATION, AND HIS IBS SYMPTOMS WERE ALLEVIATED. IBS SYMPTOMS DECREASED AND DIARRHEA HAS DECREASED TO 4-5 TIMES A DAY. CURRENTLY TAKING IRIBO. VISITED OUR OUTPATIENT CLINIC ON OCTOBER 31, 2019 AND UNDERWENT 3 INTESTINAL FLORA TRANSPLANTATION SESSIONS FROM NOVEMBER 18, 2019. PATIENT IS UNDER OBSERVATION.
Basic Information
Patients : | 50s Male |
Attending physician : | Medical Corporation Sakurashinkai Sante Clinic |
Medical institution in charge of transplantation : | Medical Corporation Sakurashinkai Sante Clinic |
Information at the time of initial medical examination
Disease name : | irritable bowel syndrome |
At onset : | About 20 years ago |
Transplant Purpose: To | Diarrhea, frequent gas |
Chief complaint : | diarrhea symptom |
Medications being taken : | man who allegedly pursues a career at the expense of love, feminine interests, etc. |
Medical history : | 2014 Descending colon resection due to diverticulitis of the colon |
Background, family history, lifestyle, supplement use, etc : | Has been treated at a local doctor since 1994 No use of supplements Consumes a lot of vegetables |
Transplant Information
Transplantation period: from | November 18, 2019 – November 22, 2019 |
Number of transplants : | 3 times |
Change from first transplant to end of transplant : |
Decreased frequency of diarrhea, early postprandial bowel movements, decreased emissions 【1st transplantation questionnaire】 2 stools/day. There were signs of nervousness. 【2nd transplantation questionnaire】 Stool frequency: 2 times/day. No abdominal symptoms. 【3rd transplantation questionnaire】 Gas was steadily decreasing, she was no longer going to the toilet immediately after meals, and the frequency of stools itself was also decreasing. |
Changes after completion of transplant : |
Now following |
Evaluation and Discussion
Transplant Evaluation : | Mild improvement of symptoms |
Pre- and post-transplant flora balance test changes:. | under inspection |
Blood test changes:. | under inspection |
POMS2 SCORE CHANGE:. | under inspection |
<Intestinal flora balance before transplant data>
<Intestinal flora balance Post-transplant data> Examination to be conducted
His/her experience (from the questionnaire) : |
Very satisfied with treatment Symptom improvement still mild |
Adverse events: No |
Nothing |
Transplant General Comments and Discussion : |
After the second transplant, the frequency of diarrhea has decreased and he no longer has the urge to have a bowel movement within 30 minutes after a meal. She is now under less stress and is trying to lead a regular life and get enough sleep, so we can expect further improvement in her symptoms. |
… and upwards
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